TRENDS IN HEALTH LEGISLATION AND ADMINISTRATION

PEDIATRICS ◽  
1948 ◽  
Vol 2 (3) ◽  
pp. 357-360

TWO months ago when some of the salient features of the National Health Assembly were reviewed in this column (July issue), the report of the Maternal and Child Health Section was reserved for more complete presentation. This Section report is far too bulky to be quoted fully here. It includes first a factual summary of the present status of maternal and child health under the heading: "Where are we now in Maternal and Child Health?" Sub-committees, each of which submitted separate reports, were appointed to consider the following topics: 1. Training of personnel 2. Health of the School Age Child 3. Parent Education 4. Program to Raise Standards of Maternity, Newborn, and Pediatric Hospital Care 5. Research Program in Child Life 6. Care of the Handicapped, Including Prevention of Accidents Because other sections of the Assembly considered nutrition, dental care, environmental sanitation, mental hygiene and the chronic diseases common in childhood, these important factors were not considered in detail by the Maternal and Child Health Section. The most important part of the report is a summary entitled: "Goals for Maternal and Child Health." This statement includes the Sub-committee recommendations which were agreed upon as the most significant. This summary is therefore quoted in full as follows: Goals for Maternal and Child Health Whenever stock is taken of achievements designed to increase the chances of a good life and to improve the conditions of living, the people turn to examine the status of public and private action in behalf of children and to assess the extent and quality of care provided. This is natural because we recognize that the good life for mankind and world peace lies in the health and vigor of children, in their capacity to learn, in their ability to grow as thinking, reasoning human beings, and to develop from infancy through childhood and youth until they reach adulthood as fully mature persons, secure in their ability to take their places as citizens and as parents.

2019 ◽  
Vol 6 ◽  
pp. 233339281989235
Author(s):  
Dagim Damtew ◽  
Fikru Worku ◽  
Yonas Tesfaye ◽  
Awol Jemal

Background: Inaccessible, unaffordable, and poor quality care are the key underlying reasons for the high burden of maternal and child morbidity and mortality in low- and middle-income countries. Objective: To assess the availability of lifesaving maternal and child health (MCH) commodities and associated factors in public and private health facilities of Addis Ababa, Ethiopia, 2016. Methods: Institutional-based, descriptive cross-sectional study was carried out in the selected health facilities (29 publics and 6 private) in Addis Ababa. The data were collected through pretested, structured questionnaire, and in-depth interviews. For the quantitative analysis, data were analyzed using SPSS version 20 statistical software, SPSS Inc. Descriptive statistics were used to summarize the variables, and the Spearman correlation test was run to determine the predictors of the outcome variables. For the qualitative data, the data were handled manually and transformed into categories related to the topics and coded on paper individually in order to identify themes and patterns for thematic analysis. Result: The overall availability of the lifesaving MCH commodities in the health facilities was 74.3%. There is a moderate, positive association between the availability of lifesaving MCH commodities with the adequacy of budget ( rs = 0.485, P < .001), use of more than 1 selection criteria during selection ( rs = 0.407, P = .015), and training given to health facilities on logistics management ( rs = 0.490, P = .003). Conclusion: The availability of the lifesaving MCH commodities in the health facilities was within the range of fairly high to high. Adequacy of budget, use of more than 1 selection criteria during selection, and training given on logistics management were the predictors of the availability of the commodities.


PEDIATRICS ◽  
1994 ◽  
Vol 94 (5) ◽  
pp. 695-699
Author(s):  
Vince L. Hutchins

The Maternal and Child Health Bureau has roots that go back over 80 years to the creation of the United States Children's Bureau on April 9, 1912, when President William Howard Taft approved an Act of Congress that created the Children's Bureau and directed it "to investigate and report on all matters pertaining to the welfare of children and child life among all classes of our people." This was the federal government's first recognition that it has a responsibility to promote the welfare of our nation's children. The Bureau's Chief was to be appointed by the President with the advice and consent of the Senate. Originally placed in the Department of Commerce and Labor, it was transferred to the newly formed Department of Labor in March, 1913. The Children's Bureau was a logical sequel to several child-oriented social and public health activities of the late 19th century: the establishment of milk stations; concern with the spread of communicable disease after compulsory school attendance laws were passed; the movement to outlaw child labor; and, the opening of Settlement Houses. Lillian Wald, organizer of public health nursing, an ardent fighter against child labor, and the founder of the Henry Street Settlement in New York City, was the person who first suggested a federal Children's Bureau. A bill, with the support of President Theodore Roosevelt, was introduced in both houses of Congress in 1906 and annually during the next 6 years. It met with fierce opposition both from states which felt that the federal government was usurping their responsibility for the welfare of children and from those who feared that it would give federal employees the right to enter and regulate the homes of private citizens.


PEDIATRICS ◽  
1961 ◽  
Vol 28 (5) ◽  
pp. 838-840
Author(s):  
Samuel M. Wishik

WITH THE RECENT INTEREST in re-evaluation of the practice of pediatrics, it is gratifying to obtain some tangible evidence concerning the demands that are being made upon practicing pediatricians and information on the effectiveness of certain aspects of their work. Such documentation is contained in the fine, thoughtful report on health supervision of young children in California, recently issued by the Bureau of Maternal and Child Health of the Department of Public Health of the State of California.* The comprehensive report presents the combined findings of a child health survey made in 1956 with Children's Bureau support and of other studies on the status of health supervision of infants and preschoolage children in California.


2005 ◽  
Author(s):  
Harold Alan Pincus ◽  
Stephen B. Thomas ◽  
Donna J. Keyser ◽  
Nicholas Castle ◽  
Jacob W. Dembosky ◽  
...  

2019 ◽  
Vol 16 (1) ◽  
pp. 4-14 ◽  
Author(s):  
Rhian L Cramer ◽  
Helen L McLachlan ◽  
Touran Shafiei ◽  
Lisa H Amir ◽  
Meabh Cullinane ◽  
...  

Despite high rates of breastfeeding initiation in Australia, there is a significant drop in breastfeeding rates in the early postpartum period, and Australian government breastfeeding targets are not being met. The Supporting breastfeeding In Local Communities (SILC) trial was a three-arm cluster randomised trial implemented in 10 Victorian local government areas (LGAs). It aimed to determine whether early home-based breastfeeding support by a maternal and child health nurse (MCH nurse) with or without access to a community-based breastfeeding drop-in centre increased the proportion of infants receiving ‘any’ breast milk at four months. Focus groups, a written questionnaire and semi-structured interviews were undertaken to explore the interventions from the perspective of the SILC-MCH nurses (n=13) and coordinators (n=6), who established and implemented the interventions. Inductive thematic analysis was used to identify themes, then findings further examined using Diffusion of Innovations Theory as a framework. SILC-MCH nurses and coordinators reported high levels of satisfaction, valuing the opportunity to improve breastfeeding in our community; and having focused breastfeeding time with women in their own homes. They felt the SILC interventions offered benefits to women, nurses and the MCH service. Implementing new interventions into existing, complex community health services presented unforeseen challenges, which were different in each LGA and were in part due to the complexity of the individual LGAs and not the interventions themselves. These findings will help inform the planning and development of future programs aimed at improving breastfeeding and other interventions in MCH.


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