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Title V Technical Assistance Meeting
Trend Reversal: Uninsured rates tick upwards since passage of the Affordable Care Act
Resources for Promoting Healthy Behavioral and Emotional Development in Adolescents
Welcome to Pulse
Building Healthy and Resilient Communities Across Rhode Island
Heeding Lessons Learned from the Zika Response as We Prepare for Emerging Threats and Issues
From the President: Emerging Issues

 ​Welcome to Pulse

...​ where leaders, researchers and practitioners in maternal and child health share stories about policies and practices to promote the health of all families.


Emerging Issues in MCH 

Stories in this issue center on issues increasing in prominence in the MCH field.

yellow small.jpgTHE BETEL NUT
What Title V Leaders Need To Know 

While the popularity in the U.S. of smoking traditional cigarettes has gone down markedly in recent years, that decline has been accompanied by an increase in the use of alternative tobacco products (ATP). Among these ATPs is the areca (or betel) nut, the use of which can be traced back as far as 2,000 years. As the popularity of this nut continues to grow, public health officials are sounding the alarm. [more]


brushing-teeth-787630_1920 (1).jpgSUPPORTING DIVERSITY AND REDUCING HEALTH DISPARITIES IN COMMUNITY-BASED MCH PROGRAMS

We know that low-income and racially and ethnically diverse children and families consistently face disparities accessing high-quality health care, which ultimately affect their health outcomes. We also know that no single action can erase those disparities – but as my organization is finding out, something as simple as implementing strategies from tip sheets can get health care providers moving in the right direction. [more]

iStock_000080659993_XXXLarge.jpg CONGENITAL SYPHILIS RISES IN THE U.S. 
How Do We Get Down to Zero?

Although the majority of pregnant women infected with syphilis receive some prenatal care, maternal syphilis is often detected and treated too late to prevent CS. Of women who gave birth to an infant with CS, 42 percent were not tested in time to be treated to prevent CS. [more]

nisa and kiyonna (1).jpgOPIOIDS, DOMESTIC VIOLENCE AND MENTAL HEALTH 

As the opioid epidemic continues to grow and gain national attention, it is important to shed light on the connections between substance abuse, mental health and intimate partner violence (IPV). While there is nothing quite "new" about the devastating impacts that these three issues have on families among all demographics in the United States, several recent studies on their interaction together create an emerging perspective for Maternal and Child Health  (MCH) workforces to consider. [more]

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FOR IMMIGRANTS, FEAR EMERGES IN SEEKING CARE

Physicians and public health professionals are increasingly concerned that federal efforts to find and detain undocumented immigrants have compelled many immigrants to forgo health care and other essential services, such as food assistance and schooling. While the evidence is anecdotal, community health centers and physicians in hospitals are noting fewer immigrant patients making medical appointments and attending follow-up care, no matter what their documentation status. [more]

DRJOIAHEADSHOT.jpgREAL LIFE SUCCESS STORY
PA Partnerships Boost Access to and Quality of Services for LGBTQ Youth

The Pennsylvania Department of Health (PADOH) has developed and implemented several strategies through the Maternal and Child Health Services Block Grant to protect and promote the health of adolescents. In order to target resources to areas of greatest need, PADOH has focused its efforts on vulnerable populations that are at greater risk for poor outcomes. [more]

DRJOIAHEADSHOT.jpg

TURNING THE FOCUS TO EQUITY TO REDUCE MATERNAL MORTALITY

The rising maternal mortality ratio in the U.S. continues to generate alarm and confusion[i], as seen in recent reporting by National Public Radio and ProPublica. Although the attention to maternal mortality is welcome, one part of the story hasn't received the coverage it deserves: the disparity in pregnancy-related mortality between black and white women. [more]


data_sufficiency_1 (1).jpgDATA AND TRENDS

This infographic samples AMCHP's members' top emerging issues. [more]


DRJOIAHEADSHOT.jpgMCH EPI
Assessment of E-Cigarette, Cigarette, And Marijuana Use Among Pregnant Women in Kitsap County, Washington

Given our concern that the reduced smoking rate might be associated with other substance use during pregnancy and in the absence of local or statewide data, KPHD resolved to collect our own data to help us understand our community trends and guide any necessary public health interventions. [more]


data_sufficiency_1 (1).jpg

PROTECTING CHILDREN FROM LEAD ONCE AND FOR ALL 

Fortunately, a growing number of collaborative efforts are underway to help us collectively move toward our ultimate goal: no childhood lead exposure. To reach that goal, the focus of childhood lead-poisoning policy must shift from case identification and management to primary prevention by providing environmentally safe housing, child care and schools for all children. [more]

United_States_Capitol_-_west_front (1) (1).jpgAMCHP'S REPLICATION PROJECTS:
How Iowa Replicated Colorado's T.I.G.E.R.S. Practice

One of the top priorities for Iowa's Maternal and Child Health Title V program is to increase the percent of Youth With Special Health Care Needs (YSHCN) who receive services needed for transition to adulthood. Part of improving transition services involves moving from an agency-centered approach to a youth and family-centered approach. [more]

Eileen Forlenza.jpg

CATCH THE ACTION IN THE MCHL
Why Maternal & Child Health Reminds Me of Hockey

Some of you might be surprised to learn that Nashville, Tenn. is a hockey town. As I write this, my Nashville Predators are, for the first time in franchise history, in the middle of the Stanley Cup Finals of the NHL playoffs –  and the energy is palpable as our southern city embraces hockey and cheers on our home team. (And by the time you read this, we will know how that story unfolded!)

During this time of hockey hoopla, and as we think about emerging issues in maternal and child health (MCH), I am reminded of the words attributed to hockey legend Wayne Gretzky: "I skate to where the puck is going to be, not where it has been." [more]

United_States_Capitol_-_west_front (1) (1).jpg ​A VIEW FROM WASHINGTON
How Long in Limbo?

In the last issue of Pulse I wrote about how predicting what happens next on major questions about national maternal and child health policy is about as effective as looking into a Magic Eight Ball. Since then, Congress passed the only major legislation sent to President Trump’s desk this year – an Omnibus Appropriations package that we were very pleased to see includes a $3.5 million increase for the Title V Maternal and Child Health Services Block Grant. [more]

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AMCHP STAFF AND BOARD OF DIRECTORS

Meet the AMCHP staff and elected Board of Directors. [more]