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Public Health Matters for Women and Families: A National Maternal and Child Health Perspective Brittany Argotsinger, MPH, PHPS Fellow Office for State,

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Presentation on theme: "Public Health Matters for Women and Families: A National Maternal and Child Health Perspective Brittany Argotsinger, MPH, PHPS Fellow Office for State,"— Presentation transcript:

1 Public Health Matters for Women and Families: A National Maternal and Child Health Perspective Brittany Argotsinger, MPH, PHPS Fellow Office for State, Tribal, Local and Territorial Support Centers for Disease Control and Prevention PHAP/PHPS Summer Seminar June 1, 2015 Centers for Disease Control and Prevention Office for State, Tribal, Local and Territorial Support

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3 AMCHP supports state maternal and child health programs and provides national leadership on issues affecting women and children.

4 Title V Maternal and Child Health (MCH) Services Block Grant  What is the MCH Services Block Grant?  A federal-state partnership  The only Federal program that focuses solely on improving the health of all mothers and children  Support for core public health functions  A Brief History 1912 1921 193519812015 $ $$ $ $

5 Transformation of the Block Grant (2015) Direct Services Enabling Services Public Health Services and Systems for MCH Populations Source: Guidance and Forms for the Title V Application/Annual Report, HRSA, 2015 Population Health Domains: 1)Women’s & Maternal Health 2)Infant Health 3)Child Health 4)Adolescent Health 5)Children and Youth with Special Health Care Needs 6)Cross-cutting/Life Course

6 The “M” in MCH 10.0 deaths per 100,000 live births (1990, all races) Source: Pregnancy Mortality Surveillance System. August 11, 2014. Trends in pregnancy-related mortality in the United States: 1987– 2010 [Table]. Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention. Retrieved at: http://www.cdc.gov/reproductivehealth/maternalinfanthealth/pmss.html.

7 The “M” in MCH 10.0 deaths per 100,000 live births (1990, all races) 17.8 deaths per 100,000 live births (2011, all races) Source: Pregnancy Mortality Surveillance System. August 11, 2014. Trends in pregnancy-related mortality in the United States: 1987– 2010 [Table]. Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention. Retrieved at: http://www.cdc.gov/reproductivehealth/maternalinfanthealth/pmss.html.

8 The “M” in MCH 10.0 deaths per 100,000 live births (1990, all races) 17.8 deaths per 100,000 live births (2011, all races) Source: Pregnancy Mortality Surveillance System. August 11, 2014. Trends in pregnancy-related mortality in the United States: 1987– 2010 [Table]. Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention. Retrieved at: http://www.cdc.gov/reproductivehealth/maternalinfanthealth/pmss.html. 52,000 severe maternal morbidities each year

9 The “M” in MCH 12.5 deaths per 100,000 live births (non-Hispanic white) Source: Pregnancy Mortality Surveillance System. August 11, 2014. Trends in pregnancy-related mortality in the United States: 1987– 2010 [Table]. Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention. Retrieved at: http://www.cdc.gov/reproductivehealth/maternalinfanthealth/pmss.html.

10 The “M” in MCH 12.5 deaths per 100,000 live births (non-Hispanic white) Source: Pregnancy Mortality Surveillance System. August 11, 2014. Trends in pregnancy-related mortality in the United States: 1987– 2010 [Table]. Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention. Retrieved at: http://www.cdc.gov/reproductivehealth/maternalinfanthealth/pmss.html. 42.8 deaths per 100,000 live births (African American)

11 Aim : Strengthen state maternal mortality surveillance systems and enhance states’ ability to translate data into policies and programs that improve maternal health. Key Components: AMCHP Every Mother Initiative Two 15-month Action Learning Collaboratives (ALCs)State sub-awards to implement translation projectsBeta-testing of the CDC Maternal Mortality Review Data System Tools and resources for state MCH programs

12 Health for Every Mother A menu of strategies mined from 35+ consensus reports An assessment tool to facilitate dialogue on comprehensive initiatives Examples from 30+ states to foster effective practice and innovation A wealth of national implementation resources

13 TITLE V Methods Environmental scan of consensus documents and state maternal mortality review (MMR) reports Analysis for key themes State examples solicited through regional networks Vetting of resources Input from state and national expert reviewers

14 Core Elements of a Comprehensive Initiative Maternal Data Systems Value of Investments Healthy Living Access to Care High Quality Health Care for Women Readiness for Adverse Events

15 Core Elements of a Comprehensive Initiative Maternal Data Systems Value of Investments Healthy Living Access to Care High Quality Health Care for Women Readiness for Adverse Events Infrastructure

16 Action Elements & Related Strategies Social Determinants of Health Physical and Policy Environment Health Promotion Efforts Comprehensive Health Coverage Availability and Acceptability of Services High Quality Well Woman Care High Quality Routine Maternity Care Coordination Across the Care Continuum Clinical Recognition and Response to Adverse Obstetric Events

17 The Health Impact Pyramid Tier 2: Change the Context for Health Tiers 3-4: Protective, Long-Lasting and Clinical Interventions Tier 5: Education and Counseling Tier 1: Address Socioeconomic Factors Increasing population health impact 3456 Adapted from: Frieden TR. 2010. A framework for public health action: The health impact pyramid. Am J Public Health; 100(4): 590-595.

18 Assessment and Planning Tools

19 Communications Launch in conjunction with National Women’s Health Week Direct outreach to members; partner newsletters and calls; conference presentations; social media (#EveryMother) Help us promote this important resource!

20 Download the resource today: http://bit.ly/HealthforEveryMother

21 For more information, please contact CDC’s Office for State, Tribal, Local and Territorial Support 4770 Buford Highway NE, Mailstop E-70, Atlanta, GA 30341 Telephone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348 E-mail: OSTLTSfeedback@cdc.govWeb: http://www.cdc.gov/stltpublichealthOSTLTSfeedback@cdc.govhttp://www.cdc.gov/stltpublichealth The findings and conclusions in this presentation are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. Questions? Brittany Argotsinger, MPH bargotsinger@amchp.org Centers for Disease Control and Prevention Office for State, Tribal, Local and Territorial Support

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