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Department of Maternal and Child Health

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Title V authorizes infant care, family planning, and dental. EPSDT. Rubella vaccine licensed ... 1967: Title V Authorizes Infant Care, Family Planning and Dental Care ... – PowerPoint PPT presentation

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Title: Department of Maternal and Child Health


1
MCH/Public HealthMilestonesPart VIII
1965-1969
2
Greg R. Alexander, MPH, ScDCathy Chadwick, MPH
Donna J. Petersen, MHS, ScDMaryAnn Pass, MD,
MPH Martha Slay, MPHNicole Shumpert, BS
  • Department of Maternal and Child Health
  • The MCH Leadership Skills Training Institute
  • University of Alabama at Birmingham

3
Acknowledgement
  • Supported by funding from the Maternal and Child
    Health Bureau

4
1965
Medicaid and Medicare enacted
Title V Amended
Children and Youth Project
Neighborhood and Migrant Health Centers
Child Nutrition Act
Highway Safety Act
Reorganization of HEW
Title V authorizes infant care, family planning,
and dental
EPSDT
School Lunch and Child Nutrition Act expanded
Childrens Bureau transferred to Office of Child
Development
Rubella vaccine licensed
1969
5
The 1960s and 70s
  • Tremendous expansion of federally funded
    programs for the poor and for children
  • Growth in public sector programs at the state
    and local levels, many providing direct services
  • Growth in disillusionment with government

6
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7
War on Poverty
  • In his first State of the Union address, on
    January 8, 1964, President Johnson announced that
    his administration "today, here and now, declares
    unconditional war on poverty in America, and I
    urge this Congress and all Americans to join with
    me in that effort.
  • His program called for a systematic effort in
    "chronically distressed areas" of the country, a
    youth employment ("job corps") plan, expansion of
    the food stamp and unemployment relief systems,
    and special aid to schools, libraries, hospitals,
    and nursing homes.

8
War on PovertyPresident Johnson and Mrs.
Johnson in Kentucky
9
1965 Title XVIII and XIX of the Social Security
Act
  • Medicare (Title XVIII) established to provide
    health insurance coverage to persons over age 65
  • Medicaid (Title XIX) established to provide
    health insurance coverage to low income women and
    children (also, aged, blind and disabled)

10
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11
1965 Title V Amended, P.L. 89-97
  • The 1965 amendments (P.L. Law 89-97) amended
    Title V of the Social Security Act by providing
    comprehensive health care for children and youth,
    the so-called CY Projects.

12
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13
C Y Projects
  • There was a growing realization that
    comprehensive care was needed for children and
    youth, particularly in low-income areas.
  • Legislation passed in 1965 (P.L 89-97),
    provided this care through Children and Youth (C
    Y) projects.
  • A primary directive was to make these services
    accessible, available and appropriate to the
    identified low-income neighborhoods
  • The intent was to provide comprehensive health
    care to children and youth including health
    supervision, screening, medical care, nutrition,
    and social services.

14
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15
Comprehensive Neighborhood Health Centers
  • Comprehensive Neighborhood Health Centers were
    created as part of the Partnership for Health Act
    and under the Office of Economic Opportunity.
  • The intent of these centers was to provide
    family-focused community health care.
  • In 1971, the program was transferred to the
    Public Health Service and was renamed the
    Community Health Centers Program

16
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17
Migrant Health Program
  • The Migrant Health Program was established in
    1965 to provide prenatal and infant care services
    to migrants, seasonal farm workers and their
    families

18
Migrant Health
19
1966 Child Nutrition Act
  • The intent of the Child Nutrition Act of 1966
    was to ensure that children were provided with
    adequate food in order to promote better
    development and learning

20
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21
1966 Highway Safety Act and the National Traffic
and Motor Vehicle Safety Act
  • Authorized the federal government to set and
    regulate standards for motor vehicles and
    highways
  • Vehicles were built with new safety features,
    including head rests, energy-absorbing steering
    wheels, shatter-resistant windshields, and safety
    belts
  • By 1970, motor-vehicle-related death rates were
    decreasing

22
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23
1967 Department of HEW Reorganized
  • A reorganization of the Department of Health,
    Education and Welfare (HEW) was instituted by
    administrative order.
  • The health and welfare components of the
    Childrens Bureau were separated, with some of
    the responsibilities of the Childrens Bureau
    distributed among other agencies

24
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25
1967 Title V Authorizes Infant Care, Family
Planning and Dental Care
  • The Title V authorization of 1967 created three
    new medical project grants
  • infant care (neonatal intensive care)
  • family planning
  • dental care

26
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27
Title XIX Amendments EPSDT
  • The Medicaid statute (Title XIX) was amended in
    1967 to create the Early and Periodic Screening,
    Diagnosis and Treatment (EPSDT) program for needy
    children.
  • The purpose of EPSDT was to identify and
    diagnose health problems of indigent children
    though the provision of periodic physical and
    developmental examinations.
  • The program also provided funds for the
    treatment of illnesses and other health conditions

28
Child receiving oral polio vaccine
29
1968 School Lunch and Child Nutrition Act
Expanded
  • In 1968, Congress expanded the School Lunch and
    Child Nutrition Act.
  • A program was created to provide food for
    school-age children during the summer.
  • Additionally, a year-round program was initiated
    to provide food to low-income children, as well
    as children in day-care centers and Head Start
    programs.

30
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31
1969 White House Conference on Food, Nutrition,
and Health
  • In 1969, President Nixon convened a White House
    Conference on Food, Nutrition, and Health.
  • After this Conference, the Secretary of
    Agriculture established the Food and Nutrition
    Service in order to administer the federal food
    assistance programs.

32
President Richard M. Nixon
33
Childrens Bureau Transferred to Office of Child
Development
  • The Childrens Bureau was disbanded in 1969.
  • Duties that had remained with the Childrens
    Bureau after the HEW reorganization, were
    transferred to the newly created Office of Child
    Development.
  • When this occurred, the health programs of the
    Childrens Bureau were transferred to the U.S.
    Public Health Services, in an agency now known as
    the Maternal and Child Health Bureau.

34
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35
Rubella Vaccine Licensed
  • The rubella vaccine was licensed in June, 1969.

36
Child with Rubella
37
  • Maternal and Child Health/Public Health
    Milestones 1965-1969
  • Photo Acknowledgements
  • Slide 6 During the 1960s, hundred of thousands
    of people took part in several different protest
    movements, including the civil rights movement,
    the anti-Vietnam War movement, the women's rights
    movement, the gay rights movement, and the
    environmental movement. These activists were
    attempting to change American society through
    demonstrations, marches, sit-ins, and teach-ins.
    Jason Laure/Woodfin Camp and Associates, Inc.
    www.encarta.com
  •  
  • Slide 8 On April 24, 1964, Lyndon and Lady Bird
    Johnson visited Inez, KY, and the property of
    Tommy Fletcher, a father of eight whose living
    conditions epitomized the squalor that
    characterized Appalachia for decades. On
    Fletchers porch, Johnson declared the War on
    Poverty. (AP photo) www.post-gazette.com
  • Slide 10 Physician and nurse examining elderly
    patient in home. 1963. CDC/Charles Farmer.
    www.cdc.gov
  •  
  • Slide 12 Courtesy of WHO and National Library of
    Medicine. www.nlm.nih.gov
  •  
  • Slide 14 Courtesy of National Library of
    Medicine. www.nlm.nih.gov
  •  
  • Slide 16 Courtesy of National Library of
    Medicine. www.nlm.nih.gov

38
  • Maternal and Child Health/Public Health
    Milestones 1965-1969
  • Photo Acknowledgements
  • Slide 18 Public Health Service photo.
  •  
  • Slide 20 Courtesy of National Library of
    Medicine. www.nlm.nih.gov
  • Slide 24 Nursery school. Courtesy of the
    National Library of Medicine. www.nlm.nih.gov
  •  
  • Slide 26 Building a Better Life Family
    Planning. Courtesy of the National Library of
    Medicine. www.nlm.nih.gov
  •  
  • Slide 28 www.cdc.gov . Health workers
    administering oral polio vaccine to child. 1963.
    CDC.
  •  
  • Slide 30 Courtesy of the National Library of
    Medicine. www.nlm.nih.gov
  •  
  • Slide 32 Richard M. Nixon. www.encarta.com .
    Richard M. Nixon, the twice-elected 37th
    president of the United States, was the only
    chief executive to resign from office. Shortly
    after becoming General Dwight D. Eisenhower's
    vice-presidential running mate in 1952, Nixon was
    suspected of misusing a fund. He is heard here
    giving his famous "Checkers" speech concerning
    this incident.
  •  
  • Slide 34 Mother and child in consultation with
    a physician. Courtesy of National Library of
    Medicine. www.nlm.nih.gov
  •  
  • Slide 36 Rash of rubella on childs back. 1978.
    CDC

39
CREDITS
  • This work builds upon the earlier efforts of
    Dr. Allan C. Oglesby, Cindy Camberg, EdD, and
    Cathy Chadwick of the Maternal and Child Health
    Institute to Increase Leadership Skills Project,
    San Diego State University, and draws upon their
    Manual of the History and Philosophy of Maternal
    and Child Health as a foundation for this
    multi-volume series.
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