General Maternal & Child Health
December 2014 Issue of Health Affairs
(Note: Health Affairs requires a subscription for full access to articles)
The current issue of Health Affairs is focused on children's health. The issue covers a wide range of articles dealing with a broad spectrum of children's health including access to care, insurance coverage, maternal health & birth outcomes, among others. Various articles take into consideration social determinants of health in addition to life course theory. The table of contents is available here.
New MCH Navigator Spotlight on Training: Identifying and Using Evidence-Based/Informed Resources
This resource comprises selected trainings to help health professionals and students identify and use evidence to address MCH issues. Contents include descriptions of and links to conference and webinar archives, interactive modules, online courses, and presentation slides. Selected publications and websites are also included. The resource is available here.
MCH Evidence Briefs: Access to Evidence-Based or Evidence-Informed Resources
This MCH Library series provides information and resources to assist state leaders in implementing the transformed Title V Maternal and Child Health Services Block Grant to States Program. The series comprises 15 resource briefs addressing the proposed national performance measures (NPMs). Content includes information about the significance of the performance measure, data and statistics, key websites, policy recommendations, interventions, and additional materials. To access the series, click here.
New National MCH Workforce Development Center Report on Title V Workforce Needs
A Summary of Current Title V Workforce Needs discusses challenges and opportunities facing the MCH work force and specific needs for training and technical assistance. The report outlines work force needs in the following categories: information about health care reform, adaptive skills to lead through change, skills to work effectively within integrated systems and skills to measure the quality and return on investment of programs. The report also includes descriptions of the types of training, tools and evidence-informed guidance necessary to advance an MCH agenda and information on how the National MCH Workforce Development Center is addressing work force needs. To view the report, click here.
CTSE Releases 2013 ECA Report on Epidemiology Workforce Needs
The Council of State and Territorial Epidemiologists (CSTE) is pleased to announce the release of the 2013 Epidemiology Capacity Assessment (ECA) core report. The 2013 ECA report represents the most complete and comprehensive national data on epidemiology workforce needs. Data from the most recent assessment have already been shared as congressional hearing testimony in support of greater targeted funding for capacity development. Your health department will benefit from the report's insightful recommendations to address capacity gaps. This report is a culmination of efforts that began in July 2012 with an ECA workgroup that reviewed and revised the core ECA tool, followed by your hard work in the completion of the multiple sections of the ECA. The national office performed data analysis with direction from our lead ECA consultant, Dr. Jim Hadler. We hope that the 2013 ECA results will help illuminate the status of state epidemiology efforts and assist our member states with targeting improvements in epidemiology capacity within their health departments. To view the report, click here.
Women's & Infant Health
New Study on Soft Bedding and SIDS
A new study published in Pediatrics, "Trends in Infant Bedding Use: National Infant Sleep Position Study, 1993–2010", finds 55 percent of infants sleep with soft bedding, raising risk of death. This study is the first to estimate how many infants sleep with potentially hazardous quilts, bean bags, blankets or pillows. Despite recommendations to avoid putting anything but a baby in a crib, two-thirds of Black and Latino parents still use bedding that is both unnecessary and unsafe. The New York Times summary of the study can be found here. To access the full journal article, click here.
New Database from the Office on Women's Health
Quick Health Data Online is an online database and interactive system that provides reliable and easily accessible health data to help assess needs, develop programs and inform policies. The system is for anyone looking for U.S. health data and is used by the public health community, policymakers, grant writers, researchers and students. The system provides state- and county-level data for all 50 states, the District of Columbia, and U.S. territories and possessions. Data are available by gender, race, and ethnicity and come from a variety of national and state sources. The system is organized into 11 main categories, including demographics, mortality, natality, reproductive health, violence, prevention, disease and mental health. Within each main category, there are numerous subcategories. To access the online database, click here.
Child & Adolescent Health
New Guidelines for HIV Prevention with Persons with HIV
This week CDC, HRSA, NIH, the American Academy of HIV Medicine, the Association of Nurses in AIDS Care, the International Association of Providers of AIDS Care, the National Minority AIDS Council and the Urban Coalition for HIV/AIDS Prevention Services (UCHAPS) issued Recommendations for HIV Prevention with Adults and Adolescents with HIV in the United States, 2014. This guideline updates the 2003 guideline, Incorporating HIV Prevention into the Medical Care of Persons Living with HIV: Recommendations of CDC, HRSA, NIH, and the HIV Medicine Association of the Infectious Diseases Society of America. The new guideline compiles new and longstanding federal recommendations about biomedical, behavioral and structural interventions to reduce HIV transmission from persons with HIV. To access the guidelines, click here.
New U.S. Office of Child Care Publication on Licensing
Contemporary Issues in Child Care Licensing describes a series of reports designed to help state licensing agencies strengthen their child care program, meet Office of Child Care policy reforms and better protect children in out-of-home care. Topics include child care licensing inspection policies; enforcement strategies with licensed child care providers; monitoring strategies for determining compliance; enforcement and approaches to illegally operating providers; reporting, tracking and responding to serious injuries and fatalities in child care; building and physical premises safety in child care; quality assurance in child care licensing; and elements of a licensing statute. The document is available here.
New Publication on Hospitalizations in Children with Medical Complexity
This article in Pediatrics, "Preventing Hospitalizations in Children with Medical Complexity: A Systematic Review," summarizes evidence from studies characterizing potentially preventable hospitalizations in children with medical complexity and interventions aiming to reduce such hospitalizations. Postsurgical patients, those with neurologic disorders and those with medical devices had higher preventable hospitalization rates, as did those with public insurance and nonwhite race/ethnicity. Passive smoke exposure, nonadherence to medications and lack of follow-up after discharge were additional risks. Hospitalizations for ambulatory care sensitive conditions were less common in more complex patients. Patients receiving home visits, care coordination, chronic care-management and continuity across settings had fewer preventable hospitalizations. To access the article, click here.
New Child Trends Research Brief on Family Environment and Adolescent Well-Being
The Family Environment and Adolescent Well-Being brief highlights several key areas of interaction between the family environment and adolescent well-being, using national data sources. Topics include parent and adolescent closeness and communication, parental relationships, parental monitoring, eating meals together and parental healthy behaviors. To learn more, click here.
AHRQ Study Finds American Children Receive Antibiotics Inappropriately
"Narrow and Broad Spectrum Antibiotic Use Among U.S. Children," in Health Services Research, describes how inappropriate antibiotic prescribing continues for American children, despite efforts to educate providers about the risks of creating antibiotic-resistant infections, according to a new Agency for Healthcare Research and Quality (AHRQ) study. Researchers found that 27.3 percent of American children used at least one antibiotic each year during the 2004-2010 study period. About 69 percent of those children received antibiotics to treat common upper respiratory infections such as pharyngitis, pneumonia and ear infections. In addition, significant proportions of children received antibiotics to treat three conditions – bronchitis, sinusitis and the common cold – for which antibiotics are rarely prescribed. Researchers also found that 18.5 percent of these children used narrow-spectrum antibiotics and 12.8 percent used broad-spectrum antibiotics. The researchers concluded that, despite encouraging reports on the declining use of antibiotics, further improvement is needed in the appropriate prescribing of antibiotics for children. The abstract is available here.