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Maternal and Child Health Bureau

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Maternal and Child Health Bureau. For Internal Audiences. Logo and Style Guide. Business Cards ... Child Health Day Kit & Poster. Newsletter (Title V Today) ... – PowerPoint PPT presentation

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Title: Maternal and Child Health Bureau


1
Maternal and Child Health Bureau
Peter van Dyck, MD, MPHAssociate Administrator
MCHB
Maternal and Child Health Bureau
2
Maternal and Child Health Bureau
Q A
Maternal and Child Health Bureau
3
Maternal and Child Health Bureau
Toward an MCHB Communications Strategy Patricia
Campbell
Maternal and Child Health Bureau
4
For Internal Audiences
  • Logo and Style Guide
  • Business Cards
  • Kit Folder
  • Division Fact Sheets
  • Newsletter (Title V Today)

5
Logo Style Guide
6
Business Cards
7
Kit Folder
8
Division Fact Sheets
9
Title V Today Newsletter
10
For MCH Advocates/Policy-Makers
  • Child Health Day Kit Poster
  • Newsletter (Title V Today)

11
Child Health Day Kit
12
Child Health Day Poster
13
For MCH Advocates/Policy-Makers
  • 65th Anniversary Celebration (February 2001)
  • Poster
  • Understanding Title V Booklet
  • Celebrating Title V Book
  • Article by Dr. Vince Hutchins

14
65th Anniversary Poster
15
Understanding Title V Booklet
16
Celebrating Title V Book
17
Maternal and Child Health Bureau
What Were Doing
Maternal and Child Health Bureau
18
Goal
  • To use communication strategies to advance MCHBs
    Strategic Plan and three over-arching goals to
  • Eliminate barriers and health
    disparities
  • Assure quality of care
  • Improve the health infrastructure and system

19
Objectives
  • To increase awareness among key MCHB audiences of
    the Bureaus role, programs, and contributions.
  • To facilitate the rapid and appropriate
    dissemination of new knowledge from MCHB programs
    and grants.
  • To turn up the volume on health issues critical
    to improved maternal and child health in the
    United States.

20
Maternal and Child Health Bureau
Q A
Maternal and Child Health Bureau
21
Maternal and Child Health Bureau
Lifetime Documentary Maribeth Badura , MSN, RN
Acting Director, Perinatal Systems and Women's
Health
Maternal and Child Health Bureau
22
A Healthy Start Begin Before Babys Born
  • Partnership between MCHB, Ad Council of America,
    and Lifetime
  • Produced by Moxie Firecracker

23
A Healthy Start Begin Before Babys Born
  • Premiering February 23 at
  • 7 PM EST
  • on
  • Lifetime Television Station

24
A Healthy Start Begin Before Babys Born
  • Women/families referred to MCHB prenatal care
    hotline 1-800-311-BABY
  • Calls automatically transferred to State Hotlines
    according to area code(s)
  • Spanish PSAs to The National Alliance for
    Hispanic Health 1-800-504-7081

25
Maternal and Child Health Bureau
Q A
Maternal and Child Health Bureau
26
SPRANS Abstinence Education ProgramMichele
Lawler, M.S., R.D.Public Health Analyst
27
SPRANS Community-based Abstinence Education
Grants
  • Public Law 106-246, the Military Construction
    Appropriations Act of 2001, appropriated 20
    million to the Health Resources and Services
    Administration for the MCH Block Grants Federal
    Set-Aside Program -- which supports Special
    Projects of Regional and National Significance
    (SPRANS) -- earmarked to fund community-based
    abstinence education project grants for FY 2001.

28
SPRANS Community-based Abstinence Education
Grants
  • P.L. 106-246 rescinded the 20 million advance
    appropriation for the Adolescent Family Life
    Program provided in the FY 2000
    Labor-HHS-Education Appropriations Act (P.L.
    106-113).

29
SPRANS Community-based Abstinence Education
Grants
  • The pending FY 2001 Labor-HHS-Education
    Appropriations Act (H.R. 4577) includes an
    advance appropriation, under SPRANS, of 30
    million for the Community-Based Abstinence
    Education Projects Grants Program for FY 2002.

30
SPRANS Community-based Abstinence Education
Grants
  • Program Purpose and Goals
  • Provide support to public and private entities
    for the development and implementation of
    abstinence education programs for adolescents,
    ages 12 through 18, in communities across the
    country.
  • Funded entities will be required to report on
    four national performance measures.

31
SPRANS Community-based Abstinence Education
Grants
  • National Performance Measures
  • 1 Proportion of program participants who
    successfully complete or remain enrolled in an
    abstinence-only education program.
  • 2 Proportion of program participants who have
    engaged in sexual intercourse.
  • 3 Proportion of program participants who report
    a reduction in risk behaviors, such as tobacco,
    alcohol, and drug use.
  • 4 The rate of births to female program
    participants.

32
SPRANS Community-based Abstinence Education
Grants
  • Eligibility
  • Any public or private entity, including an Indian
    tribe or tribal organization, is eligible to
    apply. (State agencies responsible for the
    administration of the Section 510 Abstinence
    Education Grant Program are eligible to apply.)
  • Priority for funding will be given to entities in
    local communities which demonstrate a strong
    record of support for abstinence education among
    adolescents.

33
SPRANS Community-based Abstinence Education
Grants
  • Program Requirements
  • Projects must clearly and consistently focus on
    the Section 510 definition of abstinence
    education and agree not to provide a
    participating adolescent any other education
    regarding sexual conduct in the same setting.
  • Grantees may not teach or promote religion.
  • In accordance with Title IX, boys and girls must
    be given equal access to educational
    opportunities.

34
SPRANS Community-based Abstinence Education
Grants
  • Program Elements
  • Projects must involve an educational
    intervention.
  • Curricula developed or selected for
    implementation are expected to be responsive to
    the eight elements of the Section 510 abstinence
    education definition.
  • Applicants must provide written assurance that
    the selected curricula are not inconsistent with
    any of the eight elements of the Section 510
    abstinence education definition.

35
SPRANS Community-based Abstinence Education
Grants
  • Program Elements (continued)
  • In addition to curriculum implementation, other
    educational interventions can be funded.
  • A project activity may not be inconsistent with
    any aspect of the Section 510 abstinence
    education definition.

36
SPRANS Community-based Abstinence Education
Grants
  • Two types of SPRANS Community-Based Abstinence
    Education Project Grants will be funded
  • Planning Grants
  • Implementation Grants

37
SPRANS Community-based Abstinence Education
Grants
  • Planning Grants
  • One-year grants ranging from 75,000 to 100,000.
  • Anticipate that approximately 15-20 planning
    grants will be funded.

38
SPRANS Community-based Abstinence Education
Grants
  • Implementation Grants
  • Three-year grants ranging from 250,000 to
    1,000,000 annually.
  • Anticipate that approximately 25-50
    implementation grants will be funded.

39
SPRANS Community-based Abstinence Education
Grants
  • Time Line
  • Federal Register Notice Published on November 17,
    2000
  • Letters of Intent due to MCHB by December 1,
    2000
  • Application Due Date February 2, 2001

40
SPRANS Community-based Abstinence Education
Grants
  • Application Guidance and SPRANS Grant Application
    Form PHS-5161-1
  • MCHB website at www.mchb.hrsa.gov (Word Perfect
    version)
  • HRSA Grants Application Center
  • Telephone (877) 477-2123
  • E-mail hrsagac_at_hrsa.gov

41
SPRANS Community-based Abstinence Education
Grants
  • Consistent with other SPRANS grant programs, MCHB
    encourages coordination and collaboration between
    State agencies administering a Section 510
    Abstinence Education Grant and community-based
    organizations applying for a SPRANS
    Community-Based Abstinence Education Project
    Grant.
  • Note There is no required match support for a
    SPRANS Community-Based Abstinence Education
    Project Grant.

42
Maternal and Child Health Bureau
Q A
Maternal and Child Health Bureau
43
SLAITS Survey on Children with Special Health
Care Needs
  • Bonnie Strickland, Ph.D.
  • Branch Chief,Integrated Services for CSHCN

44
National CSHCN Survey
  • Partnership between Maternal and Child Health
    Bureau (MCHB) and National Center for Health
    Statistics (NCHS)
  • Using SLAITS, complete 750 CSHCN interviews per
    state.
  • Data available Summer 2002

45
Purpose
  • Establish uniform state, regional, and national
    prevalence estimates for CSHCN under 18 with
    existing special health care needs using the MCHB
    definition,
  • Provide state, regional, and national data for
    CSHCN characteristics and systems impact as
    baseline estimates for federal and state
    performance measures, Title V needs assessment
    activities and HP 2010.

46
Additional Purposes
  • Provide estimates of health care coverage for all
    children and
  • Provide information on low income, uninsured,
    families regarding health status and
    Medicaid/SCHIP

47
Prevalence Estimates Using Uniform Measure
  • Living with Illness Survey (Foundation for
    Accountability)
  • Questionnaire for Identifying Children with
    Chronic Conditions (QUICCC-R)

48
Examples of ScreenerTopics
  • Need or use medicine prescribed by a doctor
  • Need or use more medical care, mental health, or
    educational services than is usual for most
    children
  • Limited or prevented in ability to do things
  • Need or get special therapy
  • Need or get treatment or counseling for an
    emotional, developmental, or behavioral problem

49
Interview Process
  • Households screened for children under 18
  • NIS conducted if household has a 19-35 month old
    child
  • Screener to identify children with special health
    care needs
  • Detailed questionnaire for children with special
    health care needs
  • Target sample size 750 CSHCN per state

50
Characteristics and Impact DataService Needs
and Systems Adequacy
  • Demographics
  • health and functional status
  • access to care
  • care coordination
  • satisfaction with care
  • health insurance coverage
  • adequacy of health care coverage
  • impact on family

51
Health and Functional Status
  • Extent to which condition limits ability to do
    things other children can do
  • Overall severity and stability of condition
  • IFSP or IEP
  • School days missed

52
Access to Care
  • Usual source of care (location and provider),
  • Reasons for delay in obtaining needed health
    care,
  • Difficulty in obtaining specific services

53
Care Coordination
  • Availability
  • Source of care coordination
  • Coordination within health
  • Coordination with community services
  • Services from Title V

54
Satisfaction with care
  • Time spent with child/family
  • Listening and partnership
  • Respect for values and customs
  • Adequacy of information

55
Health Insurance Coverage
  • Source of insurance
  • Gaps in insurance coverage
  • Duration of uninsurance

56
Adequacy of Health Care Coverage
  • Adequacy of benefits,
  • Out-of-pocket costs,
  • Access to health care providers,
  • Adequacy of information,
  • Overall satisfaction

57
Impact on Family
  • Out-of-pocket expenses,
  • Health care provided by family,
  • Time spent providing and coordinating care,
  • Financial and employment impact.

58
Objective / Performance Measure
  • All CSHCN will receive regular ongoing
    comprehensive care within a medical home
  • Existence of a primary care provider
  • Care coordination by PCP
  • Communication between PCP and other health
    providers, schools, and child care providers

59
Objective /Performance Measure
  • All families of CSHCN will have adequate
    insurance to pay for the services they need
  • Current health insurance coverage
  • No insurance and gaps in coverage over past 12
    months
  • Delays or failure to get needed care due to costs
  • Access problems due to health plan
  • Satisfaction with health plan

60
Brief Interview for Children Without Special
Needs
  • Health Insurance Coverage
  • Demographics

61
Medicaid and SCHIP
  • All low income and uninsured receive
    Medicaid/SCHIP section plus a subsection of the
    CSHCN questions
  • Main reason for no health insurance
  • Awareness of Medicaid/SCHIP
  • Application, eligibility, and enrollment
    information,
  • Reasons for not wanting to enroll.

62
Schedule
  • Questionnaire Finalized Nov 1999
  • Pretesting Mar Sept 2000
  • Conduct interviews Oct 2000 2001
  • 6 month national data Sept 2001
  • State-level data Summer 2002
  • Repeat periodically

63
Maternal and Child Health Bureau
Q A
Maternal and Child Health Bureau
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