Mch

1. PUBLIC HEALTH DIVISION
Maternal and Child Health Section
Maternal and Child Health
Cate Wilcox, MPH
Maternal and Child Health Manager
Title V Director

2. Maternal and Child Health
Every child born has an
opportunity to reach their full
potential by experiencing a
childhood that sets them on a
trajectory of life-long health
and wellbeing.
How the public health system
supports healthy pregnancies
and childhood can impact that
trajectory.
PUBLIC HEALTH DIVISION
Maternal and Child Health Section
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3. Maternal and Child Health
• The goal of the MCH Section is that every mother, child and family
has the best opportunity to reach their greatest potential life-long
health and well-being.
• Our work addresses both universal and targeted approaches that
promote protective factors and resilience in the early years for
life-long health.
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4. MCH and Public Health Modernization
• Foundational Capabilities:
– Policy, Systems and Social Determinants of Maternal, Child and
Family Health
– Community, Caregiver and Provider Linkages and Capacity
– Surveillance, Assessment, and Evaluation
• Foundational Program Outcomes:
– Safe, Supportive Environments
– Resilient and Connected
Communities and Families
– Nutrition and Healthy Development
– Oral health
InBrief: The Foundations of Lifelong Health. Center on the Developing Child; Harvard University;
http://developingchild.harvard.edu/science/deep-dives/lifelong-health/
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5. Policy, Systems and Social Determinants
of Maternal, Child and Family Health
• Social determinants and population conditions for health (economic
security and opportunities, food/nutrition, equity/Culturally and
Linguistically Appropriate Services (CLAS), trauma/ Adverse
Childhood Experiences (ACEs))
• Targeted life course policy (infant mortality reduction, violence and
injury prevention, preconception health, childcare, maternal mental
health, community water fluoridation)
• Systems alignment and integration (early childhood, trauma
informed care, childcare, family violence prevention, oral health)
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6. Community, Caregiver and Provider
Linkages and Capacity
• Workforce development (child care, oral health, home visiting
professionals and community partners)
• Screening and referrals to services (Oregon MothersCare, EHDI,
home visiting, family violence prevention, pregnancy intention)
• Program guidance, training and technical assistance for LPHA,
Tribes, and partners (Title V, MIECHV, oral health, home visiting)
• Assurance (Dental Sealant Program, Title V, home visiting)
• Partnerships (child injury prevention, tobacco prevention, nutrition,
medical and dental homes)
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7. Surveillance, Assessment, and
Evaluation
• Surveillance (Birth Anomalies Surveillance System (BASS), Early Hearing
Detection and Intervention (EHDI), Oregon Oral Health Surveillance
System)
• Surveys (PRAMS, PRAMS-2, Smile, Healthy Growth, BRFSS Oral
Health/ACES)
• Needs Assessments (Title V, MIECHV)
• Program CQI and Evaluation
(MIECHV, Tracking Home visiting
Effectiveness in Oregon (THEO),
Rape Prevention and Education)
• Data and Informatics
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8. Title V MCH Block Grant:
$6.1 mill annually, ~1/3 to LPHA/Tribes
• Maternal and Women's Health
• Perinatal and Infant Health
• Child Health
• Adolescent Health
• Children and Youth with
Special Health Needs
• Cross-cutting/Lifecourse
• Toxic stress/Trauma/ACE
• Food Insecurity
• Culturally/Linguistically
responsive services
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9. Home Visiting
• Public Health Nurse Home Visiting ($1.2
mill/biennium GF--$1 mill to LPHA)
– Expanded Babies First!
– Nurse Family Partnership
– Targeted Case Management
• Maternal, Infant and Early Childhood
Home Visiting (MIECHV) ($8.4 mill
annually—75% to local implementing
agencies for services)
– Services
– Systems
PUBLIC HEALTH DIVISION
Maternal and Child Health Section
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10. Oral Health
• School-based Programs -- Dental
sealants, Dental sealant
certification, Fluoride varnish/tablets
• Workforce -- Dental Pilots, HRSA
Workforce grant
• SHIP -- connections with Chronic
Disease prevention
• Statewide Oral Health Strategic Plan
• Title V
• Surveillance--Smile Survey, OH
Surveillance System
PUBLIC HEALTH DIVISION
Maternal and Child Health Section
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11. Other Programs Important to our
Populations
• Early Hearing Detection and
Intervention (EHDI)
• Rape Prevention and
Education (RPE)
PUBLIC HEALTH DIVISION
Maternal and Child Health Section
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12. Collaborations and Partnerships....
• Local Public Health
• Tribes
• Coordinated Care Organizations
• Early Learning Hubs
• State Agencies
• Non-Profits
• Universities
• National Organizations
PUBLIC HEALTH DIVISION
Maternal and Child Health Section
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13. Budget: 15-17 Biennium
Total = $34,867,571
• Federal funds: $30,555,104 (88%)
• State GF: $ 3,655,497 (10%)
• Other: $ 656,969 (2%)
Distribution:
• LPHA/Tribes: $16,746,483 (48%)
• State: $10,587,889 (30%)
• Other contracts: $ 7,533,198 (22%)
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14. Federal and State Issues
• President’s Proposed Budget: Title V MCH Block Grant proposed to
increase by $30 million nationally (~5% increase); $130 million to be
cut in categorical MCH funding (e.g. EHDI)
• State Budget: Possible elimination of Babies First! General Fund
• Local implications: LPHAs may need to put forward more local GF
for the Targeted Case Management match.
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15. Questions?
Cate Wilcox, MPH
MCH Section Manager
cate.s.wilcox@state.or.us
971-673-0299
PUBLIC HEALTH DIVISION
Maternal and Child Health Section
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