Maternal and Child Health Cate Wilcox MPH Maternal

Maternal and Child Health Cate Wilcox, MPH Maternal and Child Health Manager Title V Director PUBLIC HEALTH DIVISION Maternal and Child Health Section

Maternal and Child Health Every child born has an opportunity to reach their full potential by experiencing a childhood that sets them on a trajectory of life-long health and wellbeing. How the public health system supports healthy pregnancies and childhood can impact that trajectory. PUBLIC HEALTH DIVISION Maternal and Child Health Section 2

Maternal and Child Health • The goal of the MCH Section is that every mother, child and family has the best opportunity to reach their greatest potential life-long health and well-being. • Our work addresses both universal and targeted approaches that promote protective factors and resilience in the early years for life -long health. 3

MCH and Public Health Modernization • Foundational Capabilities: – Policy, Systems and Social Determinants of Maternal, Child and Family Health – Community, Caregiver and Provider Linkages and Capacity – Surveillance, Assessment, and Evaluation • Foundational Program Outcomes: – Safe, Supportive Environments – Resilient and Connected Communities and Families – Nutrition and Healthy Development – Oral health In. Brief: The Foundations of Lifelong Health. Center on the Developing Child; Harvard University; http: //developingchild. harvard. edu/science/deep-dives/lifelong-health/ 4

Policy, Systems and Social Determinants of Maternal, Child and Family Health • Social determinants and population conditions for health (economic security and opportunities, food/nutrition, equity/Culturally and Linguistically Appropriate Services (CLAS), trauma/ Adverse Childhood Experiences (ACEs)) • Targeted life course policy (infant mortality reduction, violence and injury prevention, preconception health, childcare, maternal mental health, community water fluoridation) • Systems alignment and integration (early childhood, trauma informed care, childcare, family violence prevention, oral health) 5

Community, Caregiver and Provider Linkages and Capacity • Workforce development (child care, oral health, home visiting professionals and community partners) • Screening and referrals to services (Oregon Mothers. Care, EHDI, home visiting, family violence prevention, pregnancy intention) • Program guidance, training and technical assistance for LPHA, Tribes, and partners (Title V, MIECHV, oral health, home visiting) • Assurance (Dental Sealant Program, Title V, home visiting) • Partnerships (child injury prevention, tobacco prevention, nutrition, medical and dental homes) 6

Surveillance, Assessment, and Evaluation • Surveillance (Birth Anomalies Surveillance System (BASS), Early Hearing Detection and Intervention (EHDI), Oregon Oral Health Surveillance System) • Surveys (PRAMS, PRAMS-2, Smile, Healthy Growth, BRFSS Oral Health/ACES) • Needs Assessments (Title V, MIECHV) • Program CQI and Evaluation (MIECHV, Tracking Home visiting Effectiveness in Oregon (THEO), Rape Prevention and Education) • Data and Informatics 7

Title V MCH Block Grant: $6. 1 mill annually, ~1/3 to LPHA/Tribes • • • Maternal and Women's Health Perinatal and Infant Health Child Health Adolescent Health Children and Youth with Special Health Needs • Cross-cutting/Lifecourse • Toxic stress/Trauma/ACE • Food Insecurity • Culturally/Linguistically responsive services 8

Home Visiting • Public Health Nurse Home Visiting ($1. 2 mill/biennium GF--$1 mill to LPHA) – Expanded Babies First! – Nurse Family Partnership – Targeted Case Management • Maternal, Infant and Early Childhood Home Visiting (MIECHV) ($8. 4 mill annually— 75% to local implementing agencies for services) – Services – Systems PUBLIC HEALTH DIVISION Maternal and Child Health Section 9

Oral Health • School-based Programs -- Dental sealants, Dental sealant certification, Fluoride varnish/tablets • Workforce -- Dental Pilots, HRSA Workforce grant • SHIP -- connections with Chronic Disease prevention • Statewide Oral Health Strategic Plan • Title V • Surveillance--Smile Survey, OH Surveillance System PUBLIC HEALTH DIVISION Maternal and Child Health Section 10

Other Programs Important to our Populations • Early Hearing Detection and Intervention (EHDI) • Rape Prevention and Education (RPE) PUBLIC HEALTH DIVISION Maternal and Child Health Section 11

Collaborations and Partnerships. . • • Local Public Health Tribes Coordinated Care Organizations Early Learning Hubs State Agencies Non-Profits Universities National Organizations PUBLIC HEALTH DIVISION Maternal and Child Health Section 12

Budget: 15 -17 Biennium Total = $34, 867, 571 • Federal funds: • State GF: • Other: $30, 555, 104 (88%) $ 3, 655, 497 (10%) $ 656, 969 (2%) Distribution: • LPHA/Tribes: $16, 746, 483 (48%) • State: $10, 587, 889 (30%) • Other contracts: $ 7, 533, 198 (22%) 13

Federal and State Issues • President’s Proposed Budget: Title V MCH Block Grant proposed to increase by $30 million nationally (~5% increase); $130 million to be cut in categorical MCH funding (e. g. EHDI) • State Budget: Possible elimination of Babies First! General Fund • Local implications: LPHAs may need to put forward more local GF for the Targeted Case Management match. 14

Questions? Cate Wilcox, MPH MCH Section Manager cate. s. wilcox@state. or. us 971 -673 -0299 PUBLIC HEALTH DIVISION Maternal and Child Health Section 15