Collective impact is a structured approach to creating collaborative partnerships with a specific focus on working together to solve complex social and health problems that do not have a single, defined source or solution. It calls for the commitment of a group of important actors from different sectors to a common agenda for solving a specific social problem. Recently, national initiatives have encouraged state and community partners to enhance or develop comprehensive approaches for improving birth outcomes. Systems-wide progress requires the development of strong partnerships and a collective impact approach.
As a resource to members and partners, AMCHP developed the following utilizing the CI framework:
- Compendium: Forging a Comprehensive Initiative to Improve Birth Outcomes and Reduce Infant Mortality A matrix of basic information on current national initiatives
- Webinars and conference workshops on collective impact (in partnership with Tamarack Institute)
- A Pulse article on collective impact for MCH systems
AMCHP uses collective impact as a framework to guide initiatives and promote partnerships at the state and national level. AMCHP will continue to foster strategic connections, and continue to provide information and resources to members. Through coordinated and continuous information sharing, Title V MCH programs can harness the current national energy on improving birth outcomes into a collective impact for improved family health outcomes within their communities.
Data & Assessment
AMCHP considers national and state issues relevant to the use of data and other kinds of information to assess needs, monitor health status and problems, develop policies and programs, and evaluate and assure the quality, efficacy and effectiveness of interventions designed to promote family health. AMCHP collaborates within and across agencies at the national and state level to address the need to integrate data, programs and policy for improved health among maternal and child populations. AMCHP also provides state leadership with information and assistance in building states' data capacity. For more information on our work around data and assessment click here.
Home visiting is rooted in the belief that services delivered in the home to families of children at risk for poor health and development outcomes can have measureable and long-term impacts on family and child wellbeing. Since the MIECHV program was enacted in 2010, grantees have leveraged the funding to assemble leadership at the state level, establish cross-sector partnerships, and implement innovative approaches to building comprehensive statewide early childhood systems. Through these efforts, the Title V federal-state partnership has served a valuable role supporting systems integration, collective impact, quality, and accountability. Further, the Title V role in home visiting emphasizes prevention and wellness for all members of a community, encompasses social determinants of health, and brings a population lens to the client-based model of home visiting. For more information on our work around home visiting click here.
Improving Birth Outcomes
While the United States has made some gains in improving infant and maternal mortality rates over the past several decades, nationally these rates remain high and significant disparities still exist. Fortunately renewed interest and public and private investments in improving birth outcomes have resulted in a groundswell of momentum, initiatives, recommendations, and activities at the national, state and local levels. Efforts vary in their focus and include reforms to health care systems and their financing, public awareness campaigns, quality improvement projects, collaborative learning among states and community engagement in place-based programs. These initiatives present an important and needed opportunity for the leaders of these efforts to coalesce and discuss how to effectively coordinate and maximize the impact of these efforts, particularly for states and community groups.
Life course theory shines light on health and disease patterns – particularly health disparities – across populations and over time. AMCHP supports the life course approach to maternal and child health. To further promote the adoption and integration of this approach within state Title V maternal and child health and children and youth with special health care needs programs, AMCHP manages collaborative efforts with members and develops and promotes resources with partners across the maternal and child health community. For more information on AMCHP's work around the life course theory and metrics, click here.
Male involvement in families’ and children’s lives is an emerging issue, as the social paradigm of the role of fathers is shifting. State Title V programs are increasingly incorporating fathers into their maternal and child health (MCH) programmatic work. These programs have an important role in facilitating communication and expanding collaborations among state and local agencies and programs to increase father involvement with MCH populations For more inforation on Father Involvement in MCH programs, click here to access an AMCHP Fact Sheet.
According to the World Health Organization, a maternal death is defined as the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management but not from accidental or incidental causes. Maternal death reviews are necessary for ensuring all deaths are identified and effective prevention actions developed. To learn more about our work around Maternal Mortality, click here.
MCH & Chronic Disease Collaboration
Increasing collaboration between MCH and chronic disease programs is a priority identified by AMCHP’s Board of Directors and members, therefore, AMCHP is currently partnering with various organizations on projects to support collaboration between Maternal and Child Health (MCH) and Chronic Disease (CD) programs. The goals of these projects include the early prevention of chronic diseases, improving birth outcomes and promoting women’s health across the lifespan.
Many experts have noted a silent
epidemic of suffering among new mothers who face multiple stressors postpartum. Several studies suggest that postpartum women
are not adequately prepared for specific postpartum physical and emotional
symptoms, and that this affects the quality of their relationship with their
health care provider. Further, 20-30% of
new mothers do not receive a postpartum visit. With support from the W.K. Kellogg Foundation, AMCHP hosted a
Post-Partum Think Tank Meeting to promote the
health and well-being of new mothers by developing recommendations for
improving the system of postpartum care. Meeting participants represented
the perspective of consumers, clinicians, the health care system and public
health / community partners. Participants worked both separately and together to craft
action steps for providing high-quality, well-coordinated, woman-centered
services. To access a summary of the findings from the meeting, clcik here: Postpartum Think Tank Meeting Summary.pdf. To access slides from the meeting click here: Postpartum Think Tank Slides.pdf
Women's Health & Disability
AMCHP has developed a Toolbox for maternal and child health programs that target women with disabilities and special health care needs. This site serves to centralize health information and links to existing tools that were designed to increase the use of clinical preventive services among women with disabilities.