American Public Health Association
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Maternal and Child Health
Section Newsletter
Summer 2004

From the Chair

Greetings and thanks to all who attended the midyear meeting. It was quite productive with respect to organizing the Annual Meeting program for the fall and continuing to address and define the advocacy agenda for the Section. The Fall MCH program is shaping up to be quite impressive with a substantial number of high quality submitted abstracts.

The Martha Elliot Forum will focus on childhood obesity, specifically addressing the issue in the African American community. It being organized by Dot Browne, and we hope to have David Satcher participating.

The advocacy discussion focused on strategies for the presidential campaign and we should have updates for all of you on potential activities to promote MCH issues. We will be working with other MCH groups in this process.

On another more personal note, I have been nominated to run for Executive Board this fall and as a result have asked Jan to step in early to help with Section acitivities during the Annual Meeting as I will need to be meeting with other sections as part of my campaign. I would appreciate all of your
help in this process and ask that you contact people in other sections to support my candidacy. I thank all of you in advance for any help and support you can offer.

See all of you in November.

Accommodations for Breastfeeding in the Workplace

Since the Surgeon General’s Workshop in 1984, much has happened to advance the protection, promotion, and support of breastfeeding for families in the United States. These efforts include the American Academy of Pediatrics Policy Statement on Breastfeeding and the Use of Human Milk (1997), the introduction of the Maloney Bill in 1998, the Maternal and Child Health Bureau (MCHB) State Performance Measures, the National Breastfeeding Policy Conference (1998) and the establishment of the United States Breastfeeding Committee (USBC) as recommended in the Innocenti Declaration (1990).

Although the promotion of breastfeeding has well-established public health goals stated in the Healthy People 1990, 2000, and 2010 National Health Objectives, progress toward these goals has been slow, and disparities remain. As a result of these disparities, the Surgeon General of the United States issued a call to action -- Health and Human Services (HHS) Blueprint for Action on Breastfeeding (2000). The Blueprint called for breastfeeding facilitation and support in the health care system, the workplace, the family and community and research agencies.

The USBC Strategic Plan Protecting, Promoting, and Supporting Breastfeeding in the United States: A National Agenda, and the HHS Blueprint for Action on Breastfeeding are linked to provide a synergistic approach that will benefit America’s mothers and children. The USBC has developed a comprehensive strategic plan and well-defined implementation strategies. Goal IV of the USBC Strategic Plan, to increase protection, promotion and support for breastfeeding mothers in the work force, has been the focus of the USBC Work Place Breastfeeding Support Work Group (WBSWG). Members of this group represent the American Academy of Pediatrics (AAP), Association of Military Surgeons of the United Stares (AMSUS), Best Start Social Marketing, Human Milk Banking Association of North America (HMBANA), Food and Drug Administration (FDA), Indian Health Service (IHS), National Association of Pediatric Nurse Associates and Practitioners (NAPNAP), National Business Group on Health (NBGH), National WIC Association (NWA), UCLA School of Public Health, and the World Alliance for Breastfeeding Action (WABA).

With support from the MCHB, the USBC produced an issue paper, Workplace Breastfeeding Support, that proposed certain basic, enhanced, and comprehensive components of a workplace breastfeeding support program in terms of facilities, policies, and staff education.

The WBSWG researched evidence-based practices for as well as business models that provided workplace breastfeeding support. After literature, expert opinions and testimonials were reviewed, the need for evaluating components of workplace breastfeeding support programs became evident. What was found to be lacking were details of components that each model featured as well as a more quantitative evidence of the impact of these components from a corporate and public health perspective.

Therefore, a checklist of components was developed by the expert panel to be used as a uniform tool for describing and evaluating work place breastfeeding support programs. Using this checklist, individual employees or employers could rate their own programs. Researchers and advocates would be able to compare the components and effectiveness of different programs.

This USBC Workplace Breastfeeding Support issue paper is available at <www.usbreastfeeding.org>. The checklist, Accommodations for Breastfeeding in the Workplace, is available by e-mailing <wbswg@usbreastfeeding.org>.

Infant Adoption Awareness Training Program

The Infant Adoption Awareness Training Program is offering health care professionals (nurses, counselors, social workers) across the United States the opportunity to be trained on how to offer the adoption option to their clients facing unplanned pregnancies. This is a federally funded grant project awarded to the National Council For Adoption by the Health and Human Services Department. Registration is free and meals and hotel accommodations are provided. All participants are awarded 20 contact hours and will be given $250 to cover evening meals and travel expenses after completion of the three-day session. Visit <http://www.infantadopt.org/trainingdates.html> to register. PLEASE NOTE: All candidates will be screened for eligibility. Eligibility requirements can be found on our Web site at <http://www.infantadopt.org/qualifications.html>.

CityMatCH Annual Urban Maternal and Child Health Conference

CityMatCH Annual Urban MCH Conference logo 
We invite your participation in the CityMatCH Annual Urban Maternal and Child Health Conference, Expedition 2004: Exploring the Boundaries of Urban MCH. What a wonderful opportunity to be inspired, challenged and rejuvenated! We will come together to grow, learn, exchange ideas and build
relationships.

Empowering communities through knowledge, action and influence is what Expedition 2004 is all about. Learn new and creative ways to address the constantly shifting challenges in MCH. In 2004, we will offer an additional day of pre-training for public health leaders. An exceptional array of exciting and challenging experts will offer in-depth preparation on
critical leadership issues. Stimulating action breakouts, dynamic skills-building sessions and workshops will provide cutting-edge information for implementing change in your community.

Take the next step toward undoing racism and eliminating social
disparities. Find out how to ask questions that result in a process that strengthens your organization's ability to realize its full potential. Come and learn about community-based participatory research, childhood nutrition, building relationships with foundations and funders and how faith can positively impact health. Join us as we explore the boundaries of urban MCH.

All you heroes of public health, this conference is for you! Don't let budget cuts, travel restrictions or the many obstacles you may be facing stop you. Contact the CityMatCH office or visit the Web site at <www.citymatch.org> to discover creative ways for reducing costs. Join our expedition and be refreshed and renewed.

See you in September at the Hilton Portland and Executive Tower, downtown and close to the water in beautiful, breathtaking Portland!

ATMCH Events at Fall Annual Meeting

ATMCH would like to invite their section colleagues to two events they will be sponsoring at the 2004 APHA Annual Meeting:

(1) "The Future Research Agenda for MCH,” a panel that will be offered at APHA featuring the following topics and speakers:

-Women's Health - Stacey Geller & Trude Bennett
-Perinatal Health - Michael Lu
-Child Health - Bernie Guyer
-Children with Special Health Care Needs - Debbie Allen
-Adolescent Health - Clair Brindis
-Moderator – Stella Yu
-Discussant - Milt Kotelchuck

Participants will speak on the following three issues in their respective area:

1. What are the major data sets and sources now and likely to be in the future?
2. What are the current key issues facing researchers?
3. What are the future questions that will arise?


2) Continuing Education Session: ATMCH will sponsor for the second time a continuing education session on "Teaching the MCH Competencies." This session will focus on how to teach: “MCH management and communication;” "The Scientific Basis of MCH;” and “MCH Ethics" and will feature Drs. Kay Perrin and Donna Petersen among others.

Expanded Access to Annual Meeting Sessions

 
APHA is expanding the educational experience of both presenters and attendees at the APHA Annual Meeting by investing in LCD projectors, computers and new Web-based technology for all scientific sessions. This new technology will enable voice and PowerPoint presentations to be recorded and uploaded to the APHA Web site following the meeting, thus extending the life of the meeting and providing access to hundreds of actual scientific session presentations that Annual Meeting registrants may have missed while attending other sessions.

Annual Meeting attendees can receive full access to these expanded sessions by registering for E-ssentialLearning on the Annual Meeting registration form. Special introductory discounted fees are $25 for Annual Meeting session presenters, $50 for APHA members (who are not session presenters), and $100 for non-members and are in effect for anyone registering for the full APHA Annual Meeting by the Oct. 1 pre-registration deadline. These fees will increase substantially for anyone registering on-site at the Annual Meeting in Washington.

Log-in information and password access to these E-ssentialLearning sessions will be provided to registrants immediately following the Annual Meeting.

NEW! Presenters Able to Upload PowerPoint Presentations in Advance

LCD projectors and computers are now included as part of the standard audiovisual package in each session room. This new technology will enable presenters to upload their PowerPoint presentations in advance of the meeting and have them pre-loaded on the APHA session computers. Individual presentations then begin with a click of the mouse. The cost and inconvenience of bringing a computer to the Annual Meeting has been eliminated for presenters, allowing them to take advantage of new technologies and be a part of the E-ssentialLearning experience.

Innovations in Maternity Health Services Committee Update

As this newsletter is being prepared for the Section membership, each committee has just finished working on their presentations for the Annual Meeting. This leaves a momentary pause to reflect on the “bigger picture” – like what is Maternal and Child Health really about these days (daze?). The world seems very involved in destruction, making it difficult to assert the priorities of well baby and positive maternity health services. Yet, this is truly what it is all about!

The need to reconsider constantly the needs of the most vulnerable populations, pregnant women and their families, must be reestablished as a high ranking priority. This is the future, and what happens during these formative nine months can mark an individual’s entire life. These issues, while very global and philosophical, permeate the daily activities of numerous public health workers in every community. How does this particular patient/client receive the care and assistance which she needs to provide adequately for her child?

The Innovations in Maternity Health Services Committee has chosen to focus on evidence based practice as an example of improving patient-centered health care. The group continues to address the issues of access to quality care for all pregnant women as the primary goal for all MCH programs. The growing impact of increased malpractice costs in the United States has further limited care to women across the nation.

Yes, there must be answers, and there must be time for such discussions….online, in committee meetings, and at the Annual Meeting. The members of the MCH section must support each other through these trying times. Together there can be improved access to services and quality of care, which will enhance satisfaction with such services for both for patients and providers.

Barb Levin
Barb11@aol.com

Carol Nelson
cpmcnel@usit.net

American College of Nurse-Midwives Address Change

Please note the American College of Nurse-Midwives Address Change Information:

American College of Nurse-Midwives
8403 Colesville Road, Suite 1550
Silver Spring, MD 20910-6374
240-485-1800
240-485-1818 (fax)
www.midwife.org