Search Results: MCHLine

Annotation: This report provides data that compares Medicaid enrollment and expenditures in rural and urban counties by state. It briefly describes other data contained in the state profiles of Medicaid and the State Children's Health Insurance Program in rural and urban areas. The report includes summary tables that show the rural-urban variation within each state. Footnotes are included.

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Keywords: Costs, Enrollment, Medicaid, Rural populations, State Children's Health Insurance Program, Statistical data, Urban populations

Annotation: This report describes a study that examined the iron status of infants and young children ages 6-24 months with a prevalence of anemia of at least 10 percent and who were participating in WIC in West Virginia counties. The report, which includes an abstract and an executive summary, introduces the issue, discusses the background and methods, and provides results, a discussion, and conclusions. References are included. Statistical information is provided in tables throughout the report.

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Keywords: Child health, Infant health, Iron deficiency anemia, Low income groups, Research, Rural populations, WIC, West Virginia, Young children

Annotation: This chartbook introduces the results from an analysis contrasting young children's care and development in rural and non-rural settings using baselines data from the Early Childhood Longitudinal Study birth and kindergarten cohorts (coordinated studies, one following a nationally representative group of infants through entry into school and the other following a nationally representative group of kindergarteners through elementary school). The report begins with a narrative section that discusses school readiness, utilization of early care and education arrangements, American Indian and Alaska Native young children, and mental health and family life. The main body of the chartbook consists of data tables.

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Keywords: Alaska natives, American Indians, Child care, Early childhood development, Early childhood education, Families, Mental health, Rural populations, School readiness, Statistics, Urban populations, Young children

Annotation: This report describs the Rural Early Childhood Forum on Hurricane Recovery and Emergency Preparedness held on December 5, 2005, in Mobile, Alabama. The report includes the forum agenda, written versions of presentations and discussions, and a list of participants. Maps and color photographs are included.

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Keywords: Child care, Costs, Disaster planning, Disasters, Early childhood education, Emergencies, Head Start, Mental health, Prevention, Rural populations, Young children

Annotation: This book, which is intended for students and others involved in public or community health with an interest in learning about a geographic information system (GIS), provides information on how to use a GIS to improve birth outcomes. The book is divided into the following chapters: (1) explaining the geography of infant health, (2) an introduction to GIS (data), (3) an introduction to GIS (spatial), (4) the geography of health risks, (5) GIS and spatial analysis: keeping it simple, (6) advanced spatial analysis, (7) spatial/temporal stability in neighborhoods of risk: the mobility of mothers, (8) patient confidentiality, (9) creating the Baton Rouge Healthy Start GIS, (10) bioterrorism, pregnancy, and old white men, and (11) rural health issues and their investigation in a GIS.

Keywords: Communities, Confidentiality, Geographic factors, Healthy Start, Infant health, Infant mortality, Louisiana, Mothers, Pregnancy outcome, Prevention programs, Public health, Rural populations, Urban populations

Annotation: This report describes the activities of a Healthy Start program to reduce infant mortality in four rural counties in South Carolina from February 2002 through January 2006. Report contents include an introduction to factors in South Carolina contributing to high infant mortality rates; an overview of racial and ethnic disparity focused on by the project, and project implementation, management and governance, and accomplishments. Also included is a description of the project's impact on systems of care, the community, the state, the role of local government, and lessons learned, as well as the project role of Fetal and Infant Mortality Review. Appendices include maps, grant proposals, a copy of the local evaluation report, and project data. Samples of product developed during the project are also provided. [Funded by the Maternal and Child Health Bureau]

Keywords: Final reports, Healthy Start, Infant mortality, Prevention programs, Program descriptions, Rural health, South Carolina, Underserved populations

Annotation: This final report describes the Voices of Appalachia Healthy Start program, based in Whitley County, Kentucky, during the period February 1, 2001, to January 31, 2006. The project served a low-income rural community in which lack of transportation was a serious obstacle to maintaining continuity and quality of health care, especially for high-risk pregnant women. The projefct focused on geographic, social, economic, and educational disparities in the community. Report sections include (1) overview of racial and ethnic disparity, (2) project implementation, (3) project management and governance, (4) lessons learned, (5) project impact, (6) local evaluation, (7) fetal and infant mortality review, (8) products list, and (9) project data forms. A CD-ROM and a videotape are included. [Funded by the Maternal and Child Health Bureau]

Keywords: Access to health care, Community programs, Final reports, Healthy Start, Infant mortality, Kentucky, Low income groups, Poverty, Pregnant women, Prenatal care, Prevention programs, Reproductive health, Rural populations

Annotation: This report describes the Healthy Start CORPS program implementation of a Healthy Start program based in North Carolina serving a large, rural county characterized by diversity; high rates of low birthweight, preterm births, adolescent pregnancy, and infant mortality; poverty; low educational attainment; and other problems. The project period was 2001-2004. Topics include an overview of racial and ethnic disparities focused on by the project, project implementation, project management and governance, project accomplishments, project impact, local evaluation, fetal and infant mortality review, products, and project data (by year). The report includes three appendices: (1) U.S. low birthweight since 1950: distribution, impacts, causes; (2) infant mortality models and infant mortality trends; and (3) prevalence of postpartum depression in a Native American population. A CD-ROM is included. [Funded by the Maternal and Child Health Bureau]

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Keywords: Adolescent pregnancy, American Indians, Blacks, Educational factors, Final reports, Healthy Start, Infant mortality, Low birthweight, North Carolina, Poverty, Racial factors, Rural populations

Annotation: This assessment of nutrition and physical activity status of children in rural areas consisted of in-depth interviews and focus groups with 45 partner communities in Kentucky, West Virginia, South Carolina, Georgia, Mississippi, Tennessee, Arizona, New Mexico, and California. The report, which includes an executive summary and an overview of obesity prevalence, causes, and consequences, presents findings on the problems of obesity among rural children and on types of interventions to prevent it. The report offers a strategy for preventing obesity among children in rural America. Four appendices include a list of partner sites, sample elementary school breakfast and lunch menus, a list of obesity-related legislation passed during 1999-2003 by Save the Children states, and a list of related initiatives.

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Keywords: Child health, Child nutrition, Community programs, Focus groups, Obesity, Physical activity, Prevention, Research, Rural populations

Annotation: This brief presents information on the social-emotional health, parenting practices, and access to mental health services for kindergarteners in rural areas. The brief provides a background, discusses differences between rural and non-rural kindergarteners on a variety of topics, and offers a conclusion. Statistical information is presented in figures throughout the brief. References are included.

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Keywords: Access to health care, Emotional development, Families, Mental health, Parenting, Parents, Rural populations, Young children

Annotation: This report presents results of two nationwide surveys. The first is a survey of Medicaid programs regarding telemedicine services, with a specific target of identifying common strategies related to Medicaid reimbursement. The second is a survey of Title V programs in each of the 50 states to ascertain the types of telemedicine services specifically available for children with special health care needs served by Title V. Common themes are abstracted in the report, and state-level detail is provided in tables. A concluding commentary is also included. The report includes two appendices: (1) glossary of telemedicine terms and (2) telemedicine resources. [Funded by the Maternal and Child Health Bureau]

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Keywords: Child health, Children with special health care needs, Florida, Health services, Medicaid, Reimbursement, Rural populations, Surveys, Telemedicine, Title V programs, Urban populations

Annotation: This report describes the Women's Wellness Initiative of Missouri Bootheel Healthy Start, an effort by SIDS Resources, Inc., to promote the mental health and well-being of women during and around the time of pregnancy in a rural area of southeast Missouri, including Dunklin, Mississippi, New Madrid, Pemiscot, and Scott counties, during the period July 1, 2001, through May 31, 2005. Topics include (1) overview of racial and ethnic disparities focused on by project, (2) project implementation, (3) project management and governance, (4) project accomplishments, (5) project impact, (6) local evaluation, (7) fetal and infant mortality review, (8) products, and (9) project data. A local evaluation report, a CD-ROM, peer volunteer training materials, and other related materials are included. [Funded by the Maternal and Child Health Bureau]

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Keywords: Ethnic factors, Final reports, Healthy Start, Infant mortality, Low birthweight, Mental health, Missouri, Poverty, Racial factors, Reproductive health, Rural populations, Women's health

Annotation: This report provides a comprehensive overview and bibliography focused on rural mental heath. The report is divided into the following chapters: (1) rural America today, (2) epidemiological overview of mental health in rural America, (3) epidemiological overview of substance abuse in rural America, (4) mental health service delivery in rural areas: organizational and clinical issues, (5) work force development, and (6) where to go from here: rural mental health in the 21st century. A user's guide to the annotated bibliography and annotations are included.

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Keywords: Bibllographies, Health care delivery, Mental health, Rural populations, Substance abuse

Annotation: This report presents the results of the AIM Community-Based Abstinence Education Project for Rural Alabama. The AIM Project is an abstinence education outreach program focusing on rural communities in the state. The report describes the project and discusses (1) how welfare reform and abstinence education work together against child poverty, (2) scientific evaluation of the project, (3) student satisfaction with the project, and (4) reducing welfare payrolls and poverty in rural Alabama. [Funded by the Maternal and Child Health Bureau]

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Keywords: Abstinence education, Alabama, Child health, Children, Communities, Evaluation, Outreach, Poverty, Rural populations, SPRANS, State projects, Students, Welfare reform, Welfare services

Annotation: This chartbook examines the differences in health care access, use, and expenses between urban and rural areas. Counties are classified along the urban-rural continuum according to whether they are metropolitan statistical areas (MSAs) and, if they are not, according to their proximity to an MSA. The chartbook presents data from the Medical Expenditures Panel Survey; the charts indicate similarities and differences between rural and urban places on measure of health care access, use, and expenses. The chartbook is organized into three sections. The first compares people in four categories along the urban-rural continuum (metro, near-metro, near-rural, and rural). the second provides information on insurance access and access to care. The third focuses on variations in use and expenses for ambulatory care, prescription medications, and dental care. An updated edition, covering 2004-2006, was published in 2009.

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• Updated Edition 2004-2006

Keywords: Access to health care, Costs, Data, Health care utilization, Health insurance, Oral health care, Prescription drugs, Primary care, Rural health, Rural populations, Statistics, Urban health, Urban populations

Annotation: This final report describes the Rural Medical Home Expansion project,a statewide expansion endeavor in New Hampshire and Vermont, during the period April 1, 2001, through March 29, 2004. The purpose of the project was to support statewide development of community-based medical homes for children with special health care needs by (1) surveying and informing pediatric practices in New Hampshire and Vermont about the medical home concept, (2) providing them with access to a continuous improvement process involving partnerships with parents, linkages to community resources, and potentially new Medicaid reimbursement, and (3) creating an environmednt under which eight teams could implement improvement strategies and integrate efforts with state Title V programs, future statewide planning, and payer reimbursement criteria. Report sections include (1) purpose of project and relationship to SSA Title V maternal and child health (MCH) programs, (2) goals and objectives, (3) methodology, (4) evaluation, (5) results and outcomes, (6) publications and products, (7) dissemination of results, (8) future plans and follow-up, and (9) type and amount of support needed to replicate. Sixteen appendices include a variety of supplemental materials. A computer diskette is included. Funded by the Maternal and Child Health Bureau]

Keywords: Children with special health care needs, Collaboration, Community programs, Final reports, Medicaid, Medical home, New Hampshire, Parents, Pediatricians, Reimbursement, Rural populations, Vermont

Annotation: This book addresses the challenge of making systemic changes in schools and school districts and examines how schools have incorporated strategies to promote student health and education outcomes. The book is divided into four parts. Part 1 describes what coordinated school health programs are and why they are needed. Part 2 discusses practical considerations for implementing such programs, highlights key questions addressed in the stories included in part 3 of the book, and summarizes lessons learned. Part 3 presents nine stores of coordinated school health programs serving a range of socioeconomic and ethnic populations in rural, suburban, and urban settings throughout the United States. Part 4 concludes with a list of print and online resources and national organizations that can provide additional information.

Keywords: Adolescent health, Child health, Education, Rural populations, School districts, School health programs, School health services, Schools, Urban populations

Annotation: This report describes a project conducted from 1999 to 2003 in Western North Carolina to address the unmet medical and psychological needs of the families living in rural areas of the state and to provide services within the families' communities. The program sought to improve the health of children with sickle cell disease and other inherited blood disorders, increase knowledge and understanding of sickle cell disease and other inherited blood disorders in Western North Carolina, and ensure continuity of care for all program participants. Report contents include a description of the purpose of the project, goals and objectives, methodology, evaluation, results and outcomes, publications and products, dissemination and utilization of results, future plans and follow-up, and type and amount of support and resources needed to replicate. An annotation and a keywords list are included. The report includes one appendix: grant objectives status as of April 2003. [Funded by the Maternal and Child Health Bureau]

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Keywords: Blood and lymphatic diseases, Communities, Families, Final reports, Health care delivery, Health services, Mental health, North Carolina, Rural populations, Sickle cell disease

Annotation: This report presents a general overview of issues and policies related to the use of the Internet and other telecommunication technologies to improve access to and quality of health care services in rural parts of the United States. The report seeks to inform health professionals who are not particularly familiar with telecommunication technologies about some of the issues related to the use of these technologies in the delivery of health care services and to highlight some promising health-related applications. The report, which includes an executive summary, also contains the following main sections: (1) telemedicine comes of age: a brief history, (2) health applications of Internet-based technologies, (3) policy issues at a state, federal, and private-sector level, and (4) funding opportunities. Six appendices describe area health education centers and critical access hospitals, the role of the Internet in the delivery of health care to rural areas: the Arizona model, examples of next-generation Internet projects, and funding opportunities. The report concludes with a list of endnotes.

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Keywords: Access to health care, Financing, Health care services, Internet, Public policy, Rural populations, Technology, Telemedicine

Annotation: This report presents an action plan which would reduce the number of agricultural injuries to children and adolescents involved in agriculture whether as workers or bystanders. It includes the objectives and makes recommendations for reducing the frequency and severity of childhood agricultural injuries. Side bars elaborate issues raised by the committee members while they were developing the plan; a key for each objective identifies stakeholders who may play a role in achieving that objective. The report includes biographical sketches of the committee members, bibliographical references, and suggested readings. [Funded in part by the Maternal and Child Health Bureau]

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Keywords: Adolescents, Agricultural injuries, Children, Farm machinery, Injury prevention, Occupational safety and health, Rural populations, Strategic plans