Achieving Equity: Including Women with Disabilities in Maternal and Child Health Policies and Programs

Author(s):  
Linda Long-Bellil ◽  
Anne Valentine ◽  
Monika Mitra
Author(s):  
Valire Carr Copeland ◽  
Daniel Hyung Jik Lee

Social reform efforts of the settlement-house movement have provided, in part, the foundation for today’s Maternal and Child Health Bureau’s policies, programs, and services. Planning, implementing, and evaluating policies and programs that affect the health and well-being of mothers and children require a multidisciplinary approach. Social workers, whose skills encompass direct services, advocacy, planning and research, community development, and administration, have a critical role to play in improving the health outcomes of maternal and child populations.


PEDIATRICS ◽  
1950 ◽  
Vol 5 (5) ◽  
pp. 899-902
Author(s):  
CLARENCE H. WEBB

THE following report, submitted by Dr. Clarence H. Webb, official liaison representative from the Academy to the Children's Bureau, summarizes the highlights of the meeting of the Advisory Committee on Maternal and Child Health and Crippled Children's Services at The Children's Bureau, January 30 and 31, 1950. This general advisory committee, constituted in 1948, meets once or twice annually to advise with the Maternal and Child Health and Crippled Children's Services concerning the policies and programs of these divisions of the Children's Bureau. It is to be distinguished from smaller technical committees which study and give advice on specific technical problems. Academy members in attendance at the meeting were: Harry H. Gordon, Chairman of the Advisory Committee, Allan M. Butler, John P. Hubbard, Thomas F. Shaffer, Clarence H. Webb, James L. Wilson, Leona Baumgartner, Associate Chief of the Children's Bureau, and Katherine Bain, Director of Division of Research in Child Development. Dr. Edwin F. Daily reviewed important developments since the last committee meeting. Attention was directed to the Annual Report of the Children's Bureau in the December issue of The Child, wherein significant increases in child population and changes in maternal and infant mortality rates are reviewed. Cooperative planning and action between the Children's Bureau and voluntary agencies has been fruitful.


2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Virginia Pendleton ◽  
Jennifer B. Saunders ◽  
Rebecca Shlafer

Abstract Background In response to the dramatic increase in the number of women incarcerated in the United States—and a growing awareness that a small proportion of women enter prison pregnant and have unique health needs—some prisons have implemented policies and programs to support pregnant women (defined here as maternal and child health [MCH] policies and programs). Corrections officers (COs) are key stakeholders in the successful implementation of prison policies and programs. Yet, little empirical research has examined prison COs’ knowledge and perspectives of MCH policies and programs, particularly the impact such policies and programs have on COs’ primary job responsibility of maintaining safety and security. The objective of this mixed-methods study was to understand COs’ knowledge and perspectives of MCH policies and programs in one state prison, with a specific emphasis on the prison’s pregnancy and birth support (doula) program. Results Thirty-eight COs at a single large, Midwestern women’s prison completed an online survey, and eight of these COs participated in an individual, in-person qualitative interview. Results indicated that COs’ perspectives on MCH policies and programs were generally positive. Most COs strongly approved of the prison’s doula program and the practice of not restraining pregnant women. COs reported that MCH policies and programs did not interfere, and in some cases helped, with their primary job task of maintaining safety and security. Conclusions Findings support expansion of MCH programs and policies in prisons, while underscoring the need to offer more CO training and to gather more CO input during program development and implementation. MCH services that provide support to pregnant women that are outside the scope of COs’ roles may help reduce CO job demands, improve facility safety, and promote maternal and child health.


2021 ◽  
Author(s):  
Thamires Soares Bicalho ◽  
Ana Paula Ferreira ◽  
Larissa Azevedo da Hora ◽  
Roberta Lastorina Rios ◽  
Thaís Aparecida de Castro Palermo ◽  
...  

Deaths that occur up to 27 days of life are related to maternal and child health. However, the health of the mother-child binomial is built from the beginning of family planning, the responsibility of prenatal care; the technical conduction of childbirth and postpartum with a sensitive observation of the first hours of life. In professional practice, death is classified as earlyand late depending on the postpartum survival time, with Brazilian indicators revealing 53.2% of occurrences related to the first 6 days of life. Given the negative context, this study aimed to reveal the epidemiological profile of neonatal mortality in the state of Rio de Janeiro and relate the causes that may have corroborated the occurrences. This was a descriptive cross-sectional study with cuts between the years 2008 to 2018 (11 years) which, after the data collected from the federal platform TabNet, were distributed in frequency tables for descriptive statistical analysis using the SPSS software version 24.0. From the data collected, it can be stated that the largest proportion of deaths occurred in the early neonatal stage, especially in the city of Rio de Janeiro, which over the years had the highest number of occurrences of all states, but with a pending period of average investigation of the last triennium of 16%. The majority of deaths occurred in the hospital environment, in premature male babies, born by cesarean delivery, low birth weight, of brown race/color with causes of death from conditions originating from the perinatal period such as pneumonia, born to women aged between 20 to 29 years, with study time of 12 years or more. Maternal and child health is a priority within public health policies, however, the population suffers from the reduction or stagnation of investments that optimize the strengthening of the policy by expanding the network of access to consultations, tests, treatment, andmonitoring of puerperal needs. The overload of health professionals working in the unit can also make it difficult to provide care since there is productivity to be achieved, which can interfere with the quality and time of listening and observation of consultations. Given the detailed work, it is concluded that municipal health policies should use their finances to mitigate risk events from prenatal care, turning their eyes to the quality of access to health that it provides in relation to the physical structure, diagnostic equipment, waiting for time and updating of health professionals.


2019 ◽  
pp. bmjsrh-2018-200184
Author(s):  
Tanmay Bagade ◽  
Catherine Chojenta ◽  
Melissa L Harris ◽  
Smriti Nepal ◽  
Deborah Loxton

BackgroundCurrent global maternal and child health policies rarely value gender equality or women’s rights and are restricted to policies addressing clinical interventions and family planning. Gender equality influences the knowledge, autonomy and utilisation of contraception and healthcare, thereby affecting maternal and child health. This systematic review aims to analyse the concurrent effect of gender equality and contraception on maternal and under-5 child mortality.MethodsA systematic review was conducted to investigate the current evidence. Studies were eligible if three themes—namely, indicators of gender equality (such as female education, labour force participation, gender-based violence), contraception, and maternal or child mortality—were present together in a single article analysing the same sample at the same time.ResultsEven though extensive literature on this topic exists, only three studies managed to fit the selection criteria. Findings of two studies indicated an association between intimate partner violence (IPV) and infant mortality, and also reported that women’s contraceptive use increased the risk of IPV. The third study found that the mother’s secondary education attainment significantly reduced child mortality, while the mother’s working status increased the odds of child mortality. The researchers of all included studies specified that contraceptive use significantly reduced the risk of child mortality.ConclusionImprovement in gender equality and contraception concurrently affect the reduction in child mortality. These findings provide strong support to address the research gaps and to include a gender equality approach towards maternal and child health policies.


1970 ◽  
Vol 27 (4) ◽  
pp. 135-139
Author(s):  
J Daire ◽  
D Khalil

The question of why most health policies do not achieve their intended results continues to receive a considerable attention in the literature. This is in the light of the recognized gap between policy as intent and policy as practice, which calls for substantial research work to understand the factors that improve policy implementation. Although there is substantial work that explains the reasons why policies achieve or fail to achieve their intended outcomes, there are limited case studies that illustrate how to analyze policies from the methodological perspective. In this article, we report and discuss how a mixed qualitative research method was applied for analyzing maternal and child health policies in Malawi. For the purposes of this article, we do not report research findings; instead we focus our dicussion on the methodology of the study and draw lessons for policy analysis research work. We base our disusssion on our experiences from a study in which we analyzed maternal and child health policies in Malawi over the period from 1964 to 2008. Noting the multifaceted nature of maternal and child health policies, we adopted a mixed qualitative research method, whereby a number of data collection methods were employed. This approach allowed for the capturing of different perspectives of maternal and child health policies in Malawi and for strengthening of the weaknesses of each method, especially in terms of data validity. This research suggested that the multidimensional nature of maternal and child health policies, like other health policies, calls for a combination of research designs as well as a variety of methods of data collection and analysis. In addition, we suggest that, as an emerging research field, health policy analysis will benefit more from case study designs because they provide rich experiences in the actual policy context.


Sign in / Sign up

Export Citation Format

Share Document