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Maternal and Child Health 101


Public Health Approach. Found at on 8/27/09 ... Boulder, Broomfield, Delta, Denver, El Paso, Jefferson, Larimer, Las Animas ... – PowerPoint PPT presentation

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Title: Maternal and Child Health 101

Maternal and Child Health 101
  • Gina Febbraro, MPH
  • Maternal and Child Health Program Manager
  • Colorado Department of Public Health

Maternal and Child (MCH) Health
  • The professional and academic field that
    focuses on the determinants, mechanisms and
    systems that promote and maintain the health,
    safety, well-being and appropriate development of
    children and their families in communities and
    societies in order to enhance the future health
    and welfare of society and subsequent
    generations" (Alexander, 2004).

MCH Program Areas
  • Medicaid, CHP
  • Mental Health
  • Newborn Screening
  • Overweight / Obesity
  • Oral Health
  • Prenatal Health
  • Physical Activity
  • Reproductive Health
  • School Health
  • Smoking and Tobacco Cessation
  • STI / STD
  • Teen Pregnancy Prevention
  • Women's Health
  • Workforce Development
  • Adolescent Health
  • Child Health
  • Children and Youth with Special Health Care Needs
  • Emergency Preparedness
  • Family Planning
  • Family and Consumer Involvement
  • Health Care Financing
  • Health Equity
  • HIV Prevention
  • Infant Mortality
  • Injury and Violence Prevention

MCH System
  • Federal / National,
  • State,
  • Local Components

Primary Federal / National Level Partners
  • Maternal and Child Health Bureau
  • Housed within HRSA at Dept. of HHS
  • Association of Maternal and Child Health Programs
  • CityMatCH

Maternal and Child Health Bureau
  • Mission To provide national leadership and to
    work in partnership with States, communities,
    public-private partners, and families to
    strengthen the maternal and child health (MCH)
    infrastructure, assure the availability and use
    of medical homes, and build knowledge and human
    resources in order to assure continued
    improvement in the health, safety, and well-being
    of the maternal and child health population.
  • Population All Americas pregnant women,
    infants, children, adolescents, and their
    familiesincluding women of reproductive age,
    fathers, and children with special health care

Title V MCH Block Grant
  • Began in 1935 as part of Social Security Act
  • Administered by MCHB
  • Only federal program devoted to improving the
    health of all women, children and families.
  • Serves 33 million women and children in the U.S.
  • 80 percent of all American children are served by
    one or more maternal and child health programs

Title V MCH Block Grant
  • Provides 662 million in formula funding to state
    MCH programs
  • Competitive grant opportunities
  • Special Projects of Regional and National
    Significance (SPRANS) grants
  • Community Integrated Service Systems (CISS)
  • Healthy Start Initiative

National Efforts / Resources
  • 18 National Performance Measures / 6 Outcomes
  • MCH Essential Services for Public Health
  • MCH Pyramid

Public Health ApproachFound at
http// on 8/27/09
Colorado Maternal and Child Health
  • Colorado Department of Public Health and
  • Mission To optimize the health of women,
    children and families using a public health
    approach that supports community action,
    facilitates capacity building, strengthens
    infrastructure and enhances systems of care.
  • Who we are
  • Director
  • Program Manager
  • Health Planner
  • Program Assistant
  • 3 MCH Generalists 3 OPP Consultants
  • 3 Core funded Units and MCH Program Staff CASH,
    Womens Health, CSHCN
  • Other Units and Program Staff in PSD
    Immunization, Oral Health, COPAN, Nutrition
    Services, STEPP, ISVP

Colorado MCH Title V Funding
  • 7.2 million total
  • 3.24 million to state-level activities (45)
  • 3.96 million to local partners and programs

Colorado MCH Program Administration
  • What we do and why
  • See Logic Model

Key State-level MCH Activities
  • Title V Block grant application and reporting
  • 5-year state-level needs assessment
  • Manage budget and allocate funds to state-level
  • Administer funds to MCH at local health agencies

Key State-level MCH Activities
  • Oversee MCH data development, compilation,
    interpretation, and dissemination
  • Promote evidence-based programs
  • Professional development / training / TA to state
    and local partners
  • Disseminate resources local, state, national
  • Facilitate/coordinate learning opportunities
    (annual meeting, webinars, lab sessions)
  • Offer TA on program, administration issues

State-level MCH Program Areas
  • Child, adolescent and school health
  • Children with special health care needs
  • Prenatal
  • Oral health
  • Immunization
  • Injury, suicide and violence prevention
  • Physical activity and nutrition
  • Tobacco prevention, cessation
  • Nutrition services (WIC, Child and Adult Care
    Food Program)

Examples of State-level MCH
  • Teen motor vehicle fatality prevention
  • Coordinated school health
  • Positive youth development
  • Healthy Baby Campaign
  • Immunization registry
  • Medical home systems building

Local Maternal and Child Health in Colorado
Local MCH-funded Partners
  • 15 Local health agencies 2 HCP Regional Offices
    (Health Care Program for Children with Special
  • Boulder, Broomfield, Delta, Denver, El Paso,
    Jefferson, Larimer, Las Animas/Huerfano, Mesa,
    Northeast, Otero, Pueblo, San Juan Basin,
    Tri-County, Weld, HCP South Central Region, HCP
    Northwest Regional Office
  • 39 County Nursing Services Receive very small
    amount of MCH funds

Local Health Agencies in CO
  • Staffing Levels
  • Leadership
  • Expertise
  • Partners/collaboration
  • Local assessment, planning, implementation,

Local MCH Funding Levels
  • Range from 38,087 for smaller counties and
    health agencies such as Broomfield
  • To 997,377 for larger counties and health
    agencies such as Tri-County

MCH Local Health Agency / State Fiscal
  • Administered like a grant program
  • Contractual relationship
  • Funding based on funding formula
  • Federal fiscal year (Oct 1 Sept 30)
  • Invoice for services rendered
  • Contract management system
  • Monitoring mechanisms
  • Fiscal and program staff involved

MCH Local Health Agency / State Program
  • 3 program areas funded Child/adolescent,
    prenatal, and children with special health care
  • State MCH Generalist Model
  • State MCH Program Specialists
  • Provide consultation, technical assistance, and
    professional development opportunities
  • Supportive relationship two way communication /
  • Opportunities for collaborative
  • decision-making/planning

MCH Local Health Agency Planning Process
  • Begins in February prior to fiscal year start
  • Once every three years
  • Intensive assessment and planning process in
    partnership with MCH Generalists / Program
  • Create three year plan, budget, budget narrative

LHA Assessment Planning
  • Orientation meeting on planning process
  • MCH Guidelines
  • Step-by-step guides
  • MCH web site (MCH data)
  • Dissemination of county-level MCH data set and
    county-level trend analyses
  • EPE staff consult with MCH staff to review county
    MCH data before planning meeting

LHA Agency Planning Meeting
  • Attendance
  • LHA staff
  • Local community partners
  • MCH Generalist / Program Manager
  • CDPHE EPE Staff
  • MCH Checklist a tool to assist in the review
    and consideration of county-level MCH data (if
  • Review data and complete checklist in planning
  • Discuss possible MCH priorities and strategies
    for three-year plan
  • Identify relevant action guides

LHA Planning Process
  • LHA drafts plan and works with Generalist and
    Program Specialists
  • July 1 plan submission
  • Assess LHA feedback on planning process

LHA Plan Implementation and Reporting Process
  • Plan is dynamic and can change over time
  • Ongoing communication / consultation between MCH
    Generalist and LHA
  • Year-end report on plan implementation
  • Numbers served for Title V

Local MCH Program Examples
  • Teen motor vehicle fatality prevention
  • Coordinated school health
  • Positive youth development
  • Healthy Baby Campaign
  • Immunization registry
  • Medical home systems building

  • Gina Febbraro, MPH
  • MCH Maternal and Child Program Manager
  • 303 692 2427
  • Thank you!