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Maternal and Child Health
Section Newsletter
Winter 2008

MESSAGE FROM THE CHAIR -- MOMENTUM: KEEPING THE ENERGY DIRECTED

Walking out of a hotel in Rockville, Maryland in the middle of February, the icy blast of morning is a real wake up call.  The mid-year meeting for the Maternal and Child Health Section is less than two weeks away.  Why am I here now and what am I doing?  I am here for a directors’ meeting for a new grant in which I am involved.

 

Since the APHA Annual Meeting in November, I have had the excitement of putting together a new project for mothers and their children.  The Women’s Wellness and Maternity Center received one of the ASSIST 2010 grants from the Federal Office of Women’s Health to encourage women in the two counties in which I am health officer “to eat better and move more.”  GET WITH IT (Getting East Tennessee Women Involved in Their Health – Interactive Teaching/Training) is getting up and moving, and so are the women in the area.  In this first year, the project focuses on post-partum women – those who have had babies during the past two years, who have a BMI over 27, and who are at an appropriate stage of change.  The target populations are the WIC mothers and other patients at the Maternity Center.  The team of three personal trainers, two health educators, and support staff has already produced a schedule of more than 50 hours of community-based activities and exercise classes.  And the women in the area are really getting with it.  Check things out at www.getwithitwomen.org.

 

Of course, one must be careful about what one asks for, or in this case writes a grant to fund.  While I have really enjoyed the involvement in this new area of public health, it has been yet another distraction to getting the job done for the MCH Section.  Luckily, Marti Coulter of ATMCH heeded my clarion call by organizing a meeting in Tampa last week for the various MCH groups.  (Gillian Silver has written a report about this session, which appears below.)

The time has clearly come for all of us in MCH to work together to develop a national agenda to clarify the needs of women and their children in a politically astute manner, leading to directed interaction with the presidential candidates.

 

The mid-year meeting presents another opportunity for the MCH Section to come together and to focus on shared goals.  Planning for the Annual Meeting is only one of the missions of the Section; others include the need to focus on both the organizational and section strategic plans and the need to develop specific measurable objectives for the Section.  These action plans need to transcend the two-year term of the Section chair, and they need to define measurable work for the entire section.  The Intersectional Council has presented us with a framework for an annual work plan that requires such effort.  The people who came to the midy-ear meeting began this process, and more will be done online.   

 

Improving communication within the Section has made this project achievable.  The infrequency of face to face meetings has always been a major barrier.  The challenge of national advocacy groups, such as APHA, is the need to meet local, state and regional needs while presenting a coherent national set of goals.

 

The MCH Section has always taken on policy issues of great consequence, such as breastfeeding support, children with special health care needs and access to maternal care services.  As we get closer to the Annual Meeting in San Diego, we must again commit ourselves to setting definable goals and objectives, and clarifying the national agenda for MCH.  The challenges remain great, but the momentum is building.   The message for this newsletter is that the MCH Section not only has to “get with it,” but we also must “stick with it” if our mission is to be successful.

 

-- Barb Levin

MCH SECTION WINS SECOND PRIZE FOR BOOTH AT ANNUAL MEETING

Organized by JoAnne Fischer and funded by many generous members of the MCH Section, our Section Booth won second prize in the section competition, and a picture of the booth appeared in APHA's newspaper, The Nation’s Health. The booth will also be set up at the upcoming AMCHP conference, so if you are going to be there and you want to help staff this extraordinary booth, make sure you contact JoAnne Fischer at jfischer@momobile.org.

MATERNAL & CHILD HEALTH AWARDS & NOMINATIONS: THE YOUNG PROFESSIONAL AWARD 2008

The Young Professional Award is given by the APHA Maternal and Child Health Section to someone 40 years of age or younger who has made a significant contribution to the field of maternal and child health.  This contribution can be through a specific, particularly creative endeavor or through outstanding achievement over a number of years in the areas of administration, advocacy, clinical care, community service, education or research.  Potential for continuing impact on the field is also important. 

 

Nominations and supporting statements should be submitted to the Awards Committee chair, accompanied by the nominee's current curriculum vitae. Nominators shall provide a minimum of two and a maximum of four supporting statements, in addition to their own. The nominees are judged on the quality of their contributions to the field, not on the quantity of supporting statements and letters. Nominations are due by May 1 of each year for the next Annual Meeting.  Contact Awards Committee Chair Jan Weingrad Smith at smithjw@chc1.com for copies of the nomination form and to submit nominations.  

 

2007 WINNER OF THE YOUNG PROFESSIONAL AWARD

Tyan Parker Dominguez

 

Previous Awardees

1976--Fred Seligman                    1992--Paul W. Newachek

1977--Peter van Dyck                  1993--Jeffrey Brown

1978--Peter Dawson                    1994--Patricia O’Campo

1979--Linda Randolph                   1995--Donna Petersen

1980--Phyllis Stubbs                    1996--Steven Buka

1981--Albert Chang                     1997--Laura Kann

1982--Allan S. Noonan                 1998--Laura Kavanagh

1983--Philip Darney                     1999--Anne Schuchet

1984--Claude Earl Fox                  2000--Karen VanLandeghem

1985--Jonathan B. Kotch              2001--Timothy D. Dye

1986--Mary Peoples-Sheps           2002--Nonzwakazi Sogaula

1987--Dorothy Howze Brown         2003--Bao-Ping Zhu

1988--Paul Wise                         2004--Michael Lu

1989--Woodie Kessel                   2005--Marjory Ruderman

1990--Magda G. Peck                  2006--Sion Kim Harris

1991--Judith N. Wasserheit

 

 

BECOME A LEADER IN APHA -- DEADLINE IS MARCH 31

Have you ever wanted to get more involved in APHA activities?  APHA has 16 Association boards and committees that need YOU!!  For more information, visit the Leadership Appointment Web page at http://www.apha.org/about/gov/leadership/ or contact APHA Member Appointments Manager Natalie Raynor at Natalie.raynor@apha.org.   The deadline to apply is March 31, 2008, so do it TODAY!!

MATERNAL AND CHILD HEALTH SECTION 2007 PROGRESS REPORT

The Maternal and Child Health Section had a productive and energetic year in 2007.  The Section embraced a strategic planning process at their expanded mid-year meeting in March.  The group also focused on four primary goals:

1)     Increase membership.

2)     Improve communication within leadership and with membership.

3)  Involve members in policy development and advocacy.

4)     Continue interaction with the Student Assembly and students in general.

 

The new leadership group, Barbara Levin as chair, Jane Pearson as secretary, JoAnne Fischer as chair-elect, and Karen VanLandingham as secretary-elect, took on their new roles in November of 2006.  The secretary-elect role has always been designated as the individual to work with students in the Section and develop the student fellows program.  The group decided to expand the role of the chair-elect to oversee membership efforts; JoAnne Fischer agreed to this increased responsibility. 

 

During the first two months, a conference call system was established to involve Section councilors in monthly Section meetings.  On these calls a decision was made to extend the mid-year meeting and invite a facilitator to develop a Section work plan.  Dee Jeffers of the Chiles Center at the University of South Florida agreed to take the role of facilitator.  The meeting was successful, and an action plan was adopted.

 

Membership:  Jessie Richardson Hood is chair of this committee and works with JoAnne Fischer.  This was determined to be the first priority for the Section as the membership had dropped significantly.  This loss affected the number of Governing Councilors allotted to the Section.  A membership survey and marketing plan were developed with the help of Jessica Murray, student intern in the APHA Section Affairs office.  Both current and lapsed members were surveyed.   Letters went out to all non-renewed members.  There was a 10 percent increase in membership during this period.

 

A new booth with a new design was also planned by JoAnne Fischer.  The membership of the Section donated the funds for this project.  The booth won second place honors at the recent APHA Annual Meeting.  It will be used for recruiting at the AMCHP meeting. Efforts have been made to develop joint membership with certain related organizations, such as ACNM and AMCHP.  Discussions are in an early phase.

 

Elections and Nominations:  The Section had an active leadership development program this year and elicited personal response from members to fill positions throughout the larger APHA organization.

 

Nominations Chair Mary Rose Tully worked closely with the Executive Committee to develop a slate for this year’s elections.  Only Governing Councilor and Section Councilor positions were open.  Candidates from diverse backgrounds and experience were sought.

 

Unfortunately, only 20 percent of the membership chose to be involved in the election.  A goal for the next year is to improve communication regarding leadership roles and opportunities for membership to be involved.  The nomination process also needs to be improved.  These issues were discussed at the Annual Meeting.  One option is to change the by-laws to have a slate nominated by the Nominations Committee and then voted on without elections.  At present, an election is required.

 

Two additional members, Joan Kennelly and Margie Sable, will join Mary Rose Tully in preparing both the slate and the process changes for the Section.  Better communication regarding the election is planned.

 

Leadership Development:  The Section chair and chair-elect have worked closely over the first year of their term.  The monthly conference calls have increased participation of the broader Section leadership in Section activity.  The strategic plan, which was developed at the mid-year meeting, deals with areas of leadership development.   In particular, the need to improve communication and follow through was discussed.

 

The committee structure and role of the Section Councilor is one that has been discussed within the MCH group in the past.  There continue to be committees that are very active and others that exist only to produce Annual Meeting presentations.  This difference has not been seen as negative, but does need clarification within the Section. 

 

Communication:  The Section has put a lot of work into this effort, not all of which has come to fruition.  Claire Feinson is newsletter chair and has been very successful in getting three informative newsletters organized and distributed both in print and online. She has continued to work in this capacity with a new co-chair, Caprice Knapp.

 

Jane Pearson as secretary has worked with Laura Kavanaugh and Shalini Tendulkar to recreate the Web site and become part of the APHA e-communities effort. This has been a bit tedious and has not been entirely successful.  The Section continues to use an old listserv that was developed through Emory University. 

 

Annual Meeting:  This year’s presentations by the MCH Section at the Annual Meeting were well attended and received position response.  Carol Nelson as program chair did an excellent job, even though she was not able to attend the meeting herself. The Section redesigned their leadership and membership meetings to improve communication and use of time of members at the Annual Meeting.  While these changes had a good response from the membership, there were some conflicts in scheduling with the Governing Council group. 

 

The Section worked with the Council on Affiliates (COA) and held a special session for representatives of states to meet and discuss issues of access to prenatal health care. The group met with Dr. Charles Mahan of the Chiles Center, with representatives from about 22 states in attendance at the session.  Follow-up is planned with the COA to develop a group of active MCH supporters in each state to advocate for issues, such as SCHIP, etc.

 

The Section chair is responsible for the Martha May Eliot (MME) forum, which focused on the future of maternity care in the United States.  Four previous MME winners met and discussed the strengths and the weaknesses of the present system.   The session was well received and was recorded for future use. 

 

The awards chair for the Section is Jan Weingrad Smith.  She and her committee met and selected Tyan Parker Dominguez as the Young Professional for the Year.  Greg Alexander was presented with the Martha May Eliot award posthumously.  At the same time the Section decided to rename the Student Papers Session in honor of Dr. Alexander.

 

The Section had four business meetings, three socials and numerous scientific sessions at the recent Washington meeting.  Debbie Klein Walker, past president of APHA, had served as MCH chair previously and invited the Section to a special reception at the President’s Suite, which was attended and enjoyed by many of the members.

 

Policy Development:  The MCH Section is active in the policy arena. This year the Breastfeeding Committee authored a resolution on breastfeeding, which was passed by the Governing Council.   In addition, Holly Grason represents the Section on the Action Board.  Working with the student liaisons, she has reviewed many of the older MCH policies in the APHA policy structure.  At present, a complete review of child health policies is ongoing.

 

Joseph Telfair is the Governing Council Whip and has worked closely with the other Governing Councilors to review proposed resolutions.  The GC group was well prepared for their responsibilities.  Telfair also planned and carried out a candidate’s review session before the elections in Washington.  

 

Student Involvement:  This is an area of great strength for the section.  MCH has had student fellows, who receive paid stipends to come to the Annual Meeting, for the past several years.  The program was supported initially by the Kellogg Foundation and more recently by the Colgate grant.   Karen VanLandingham has worked with an active committee to select the 10 fellows and to involve them in a mentoring program with Section members.   Laura Chiyu, a student at UCLA, served as senior student fellow in her second year of involvement with the Section.  Students have also been involved in the development of the new Web site and the review of the policies for the Action Board.  

 

Tom Vallin and his committee put out a call for student papers, which were reviewed, and monetary awards given for the best submissions.  This session has been held by the Section for the past several years.  In the future it will be named for Dr. Greg Alexander.  This program is supported by AMCHIP as well.

 

Conclusion:  The MCH Section is preparing for its 2008 mid-year meeting with plans to follow up on the issues described above, including membership, nominations, leadership development, and the policy process.   Continuing to improve communication is key in all these efforts.

SUCCESSFUL SUMMIT OF MCH ORGANIZATIONS LEADS TO SHARED ACTIVITIES, AGENDA

On Tuesday, Feb. 5, the Association of Teachers of Maternal and Child Health (ATMCH) convened representatives from some of the nation’s essential MCH organizations to develop viable collaborative strategies to address key MCH priority issues. The meeting was held in Tampa, Fla., at the USF Lawton and Rhea Chiles Center for Healthy Mothers and Babies.

 

Meeting attendees were from ATMCH, the Association of Maternal and Child Health Programs (AMCHP), the APHA MCH Section, CityMatCH, the Association of Schools of Public Health MCH Council, and the Chiles Center, as well as the HRSA Maternal and Child Health Bureau, the CDC Division of Reproductive Health, and the National Center on Birth Defects and Developmental Disabilities.

 

The groups are sharing responsibility to carry out an agreed upon list of priority activities, which include:

·       Developing a national MCH agenda.

·       Collecting and making available MCH stories and anecdotes, for advocacy purposes.

·       Generating and posing MCH-focused questions to presidential candidates.

·       Developing a mechanism to quickly generate evidence-based responses to policy questions.

·       Facilitating MCH work force mentorship of MCH students.

·       Facilitating ability of MCH students to work with state/local MCH agencies.

·       Nominating MCH representatives for the boards of public health accreditation and credentialing organizations such as the Council on Education for Public Health, the Public Health Accreditation Board, and the National Board of Public Health Examiners.

·       Gathering MCH data sets available on one Web page, and developing a way of presenting (mapping, if possible) data sets across the lifespan.

·       Developing an online portal of MCH training resources.

 

The groups will widely disseminate the resulting products or information as soon as they are available.  Watch this newsletter for more updates in the coming year.

BAN THE BAGS! -- OREGON SUPPORTS BREASTFEEDINNG MOTHERS

A recent study, which appeared in the February edition of the American Journal of Public Health, found that two-thirds of Oregon breastfeeding women receive free formula in a discharge pack as they are leaving the hospital. Women who get the free formula are less likely to be exclusively breastfeeding by the time the baby is 10 weeks old than the women who do not get the free formula. The major birthing hospitals in the Portland area have banned the bags, and the Oregon legislature has taken steps to guarantee workplace accommodations for breastfeeding mothers.

 

DISCHARGE PACKS ARE STILL A PROBLEM:  In Marketing Infant Formula through Hospitals:  the Impact of Commercial Hospital Discharge Packs on Breastfeeding, Authors Ken Rosenberg, Carissa Eastham, Laurin Kasehagen, and Alfredo Sandoval used data from almost 4,000 post-partum women surveyed by the 2000 and 2001 Oregon Pregnancy Risk Assessment Monitoring System (PRAMS) to evaluate the relationship between exclusive breastfeeding and the receipt of commercial hospital discharge packs in Oregon women who initiated breastfeeding before newborn hospital discharge.  Two-thirds of these women received discharge packs, and women who received the packs were far more likely to exclusively breastfeed for fewer than 10 weeks.  The authors concluded that commercial hospital discharge packs are one of several factors that influence breastfeeding duration and exclusivity, but the distribution of these packs to new mothers at hospitals is part of a longstanding marketing campaign by infant formula manufacturers and implies hospital and staff endorsement of infant formula. Commercial hospital discharge pack distribution should be reconsidered in light of its negative impact on exclusive breastfeeding.    

 

BAN THE BAGS:  All of the major birthing hospitals in the Portland area have discontinued giving free formula to postpartum women. The national Ban the Bags campaign is encouraging people to pressure hospitals to stop giving out free infant formula in discharge packs. For more information, visit www.banthebags.org.

 

MOMS WHO PUMP PROTECTED UNDER NEW LAW:  Legislative Support for Working Breastfeeding Mothers

We found that many women stopped breastfeeding when they went back to school or work. The Oregon legislature passed the Breastfeeding and Return to Work Law, which went into effect Jan. 1, 2008.  This law guarantees workplace accommodation for breastfeeding mothers.  The law applies to pumping breast milk, addresses time and space needs and provides a remedy for non-compliance.  It covers 70 percent of the Oregon work force and applies to ful-l and part-time workers.

CELEBRATE NATIONAL PUBLIC HEALTH WEEK 2008 -- "CLIMATE CHANGE: OUR HEALTH IN THE BALANCE"

The health effects of climate change will take center stage during National Public Health Week, April 7-13, 2008. As part of the weeklong observance, themed "Climate Change: Our Health in the Balance," APHA will lead the charge in helping people, communities and families recognize that adapting to climate change and mitigating its impact is critical not just for the health of our planet, but for the health of the people in our nation and around the world.

 

Changes in our climate are causing more severe weather events. Extreme weather conditions such as heat waves, high winds, snowstorms, floods, and hurricanes have the potential to dramatically affect the health and safety of both individuals and our communities. Changing ecosystems allow for emerging or re-emerging infectious diseases such as dengue or malaria, which are changing the spectrum of disease risks affecting populations. In poorer parts of the world, drought and floods often force people to move away from lands no longer producing enough food, often resulting in hunger and malnutrition. Moreover, contaminated drinking water can result in outbreaks of diarrheal diseases, leading to dehydration or death.

 

Few Americans will ever see the melting Greenland ice cap up close, or interact with an Arctic polar bear facing extinction as its habitat melts.  But local public health professionals around the country increasingly will be dealing with the impact of climate change on the ground, every day. Join APHA as we work to create a healthier planet. Visit the official National Public Health Week Web site at www.nphw.org to check out the climate change blog and brochure, sign up to be a National Public Health Week partner, or add your local events to the national calendar.  For more information about National Public Health Week, contact Kaitlin Sheedy at kaitlin.sheedy@apha.org.   

JOIN THE NEWLY FORMED GENOMICS FORUM

Members of the Maternal and Child Health Section are invited to join the new Genomics Forum of APHA. This Forum will be one of the first to represent a new structure within APHA that was created to address cross-cutting issues and facilitate communication across Sections and Special Primary Interest Groups (SPIGs). When joining the Genomics Forum, APHA members retain their affiliation with their Sections.

 

Genomics is the study of genes and how they relate to each other and with the environment.  The importance of genomics to public health is becoming more pronounced. Expanding research and new applications of genomics in clinical and public health settings provide challenges and opportunities for public health professionals to promote equitable access to genetic services, and prevent misuse of genetic information and technology. For example, multiple government agencies are allocating substantial funds into clinical applications such as pharmacogenomics (e.g. personalized medicine) without assessing this agenda from a public health perspective and its relative impact on individual rights and community health. To ensure that personalized medicine means public medicine, APHA must be at the forefront of conversations about how genomics will be used in relationship to population health in the United States and worldwide. This Forum will contribute to the realization of that goal.

 

With the generous support of your section and the Community Health Planning and Policy Development Section, the Genomics Forum was approved as an official APHA component in November 2007. Over 130 APHA members have currently enrolled in the Genomics Forum, representing a growing, interdisciplinary group of individuals including practitioners, researchers, students and community members from state and federal governmental agencies, advocacy groups, academia and health care organizations. The Forum is committed to a diverse membership from APHA Sections, SPIGs, and Caucuses and hopes to work with the Maternal and Child Health Section and its members on issues of mutual interest.

 

The Forum will communicate via listserv, regular conference calls, and through the development of a Web site. The Forum is currently accepting abstracts for the 2008 Annual Meeting and is working through its Policy, Membership and Communications, Special Projects, and Program Committees on activities in work force development, policy development, advocacy, research and other areas. Activities are based on the needs and interests of our members. All are invited to participate in one of the general membership calls and to join any of the Forum's committees.  

 

Please visit our Web site to see a schedule of upcoming activities and to sign-up for the Forum: http://www.GenomicsForum.org.

COMMUNITY-CAMPUS PARTNERSHIPS FOR HEALTH INVITES YOU TO JOIN!

Community-Campus Partnerships for Health (CCPH) promotes health (broadly defined) through partnerships between communities and higher educational institutions. We are a growing network of over 1,600 communities and campuses from across the United States, Canada and, increasingly, the world that are collaborating to promote health through service-learning, community-based participatory research, and other partnership strategies. CCPH members are affiliated with colleges and universities, community-based organizations, health care delivery systems, K-12 schools, foundations and governmental agencies.

 

Why join CCPH?

·         Be the first to hear about funding opportunities and other important news through CCPH electronic discussion groups, twice-monthly e-Newsletter and customized e-mails tailored to your interests.  Check out the latest newsletter issue at http://depts.washington.edu/ccph/PM_080307.html.

·         Pursue professional development opportunities at discounted rates. Our conferences and institutes consistently get rave reviews!

·         Receive useful publications for free or at a discount. CCPH members receive substantial discounts on books published by Jossey-Bass, Wiley, Fieldstone, and Johns Hopkins University Press, among others.  Details at http://depts.washington.edu/ccph/books.html.

·         Connect with colleagues who share similar interests through our online member directory.

·         Access low cost, high-quality training and technical assistance through the CCPH Consultancy Network of trainers and consultants.  Details at http://depts.washington.edu/ccph/mentor.html.

·     Influence policy on issues you care about, including funding for community-campus partnerships, the elimination of health disparities, health work force diversity, and faculty promotion and tenure.

 

Join online at www.RegOnline.com/8776. 

 

To learn more about CCPH, membership benefits, categories and opportunities for involvement, visit http://depts.washington.edu/ccph/members.html.

 

Questions? Contact CCPH at ccphuw@u.washington.edu, or (206) 543-8178, or visit us at www.ccph.info

 

We hope to welcome you as our newest member soon!

THE POLITICS AND POLICIES OF UNINTENDED PREGNANCIES: INDIANA'S SUCCESS IN FINDING COMMON GROUND

Unintended pregnancy is a complex issue that can have far reaching impacts on the health of individual women, infants and entire communities.  Efforts by communities to address this emotional issue can be further complicated by competing social, political, cultural, religious and medical factors.  The Indiana Perinatal Network recently completed a yearlong, statewide consensus building process, which culminated in a comprehensive Call to Action policy document.  This unique document includes actionable and measurable 10-year goals for the state and specific recommendations for the general public, health care providers, community organizations and public policy-makers. Specific position statements and the importance of striving for common ground for success with this issue are also highlighted in the document.  The Indiana Perinatal Network used a unique set of strategies to convene and maintain cohesion among a disparate group of public and private health care professionals, clergy, human service providers and family planning providers throughout the state.  The Indiana Section of ACOG and the Indiana Chapter of AAP have endorsed the document.  The Call to Action has also played a key role in promoting legislation to implement a Medicaid family planning waiver and convening a two-day statewide summit to explore solutions to this issue in more detail.

 

A copy of the document can be downloaded at

http://www.indianaperinatal.org/files/Unintended_CTA_120507.pdf

For more information, contact:

Larry Humbert, Executive Director

Indiana Perinatal Network

(317) 924-0825  x 4224

lhumbert@indianaperinatal.org

STATES ADVANCE CERVICAL CANCER PREVENTION EFFORTS

A recent report by Women in Government shows that states are making progress in the fight against cervical cancer, but still face barriers in terms of racial and socio-economic disparities in cervical cancer incidence, mortality and a lack of access to care. These findings are from Turning Challenges Into Opportunities: the ‘State’ of Cervical Cancer Prevention in America 2008, the fourth annual state-by-state comparison report by Women In Government, a non-profit, bi-partisan organization representing women state legislators.

 

The report looked at current data for each state on: cervical cancer incidence and mortality rates; screening rates, including for low-income women; women’s access to screening using the most up-to-date technology; rates of uninsured women; and, the legislative priority being put on this issue, particularly with the availability of the new HPV vaccine, approved by the FDA in 2006.

 

To date, all 50 states have introduced and/or enacted bills and resolutions targeting cervical cancer elimination. However, only one state and the District of Columbia have passed a vaccine requirement for school, and only five states passed laws requiring insurance coverage for the HPV vaccine. In many states, legislation has focused on HPV public education efforts.

 

To access a copy of Turning Challenges Into Opportunities: the ‘State’ of Cervical Cancer Prevention in America 2008, please visit www.womeningovernment.org/prevention/statereport/.

ONLINE MPH AT THE UNIVERSITY OF MINNESOTA

The program: The Maternal and Child Health Program in the School of Public Health at the University of Minnesota has an accredited online MPH program for professionals who want to attain leadership roles in MCH or related fields.  The program focuses on social justice and ensuring the health of vulnerable populations. Students will gain expertise in developing evidence-based advocacy, rigorous public health assessment, accessible and appropriate health education, and effective and innovative programs and policies that promote the health and well being of women, children, adolescents and families. 

 

The coursework: The online curriculum was developed for professionals who are comfortable with self-learning.  Web-based courses were designed to facilitate adult learners in enhancing, or developing, their expertise in MCH content and public health practice.  Students also participate in 1-2 one week, on-campus courses on cutting edge issues that are held every spring on the Twin Cities campus.  The on-campus courses provide an intensive training experience and an opportunity to network with other students, faculty and public health professionals.  Every student will be assigned to a faculty advisor who will guide the student’s academic choices, field experience and final written MPH project.

 

Tuition: Minnesota in-state tuition, regardless of state or country of residence.

 

Eligibility: Individuals with an advanced degree (e.g., MD, MSW, MSN, MS, PhD) OR individuals without an advanced degree who have three or more years of work experience in MCH or a related field.

 

For more information: Please contact Kathryn Schwartz at gradstudies@epi.umn.edu or (612) 626-8802 or http://www.sph.umn.edu/education/mch/curriculum/online.

For general information about the University of Minnesota MCH program, visit our Web site at www.epi.umn.edu/mch.

UNIVERSITY OF CINCINNATI SEEKS ECONOMICS PROFESSOR FOR CHILD HEALTH POLICY

Associate Professor/Professor

Child Policy Research Center,

Cincinnati Children’s Hospital Medical Center

Institute for the Study of Health, University of Cincinnati

 

The Child Policy Research Center, Department of Pediatrics and the Institute for the Study of Health are seeking a mid/senior level health economics faculty member interested in a research career in the study of the intersection of costs and quality in the delivery of care to children and adolescents. The successful applicant would hold a joint appointment in the Child Policy Research Center (CPRC), joining six research faculty and a multi-disciplinary staff, as well as the Institute for the Study of Health (ISH), a multi-disciplinary research unit at the academic health center with approximately 50 faculty, affiliated faculty, fellows and research support staff. The CPRC, directed by Lisa Simpson, MB, BCh, MPH, is dedicated to providing policy-makers, public health leaders and health care managers with information, ideas and strategies to improve the quality of health care for children and families. The ISH is dedicated to the discovery of innovative solutions to contemporary health care challenges.

 

The position of health economist is to provide health economic expertise to the faculty within the Center and Institute, and to develop an independent portfolio of extramurally supported research consistent with the goals of the CPRC and ISH. Responsibilities may also include teaching one or more health economics courses at the academic health center, and collaborating, as appropriate, in the mentoring clinical research faculty and fellows.

 

Candidates must possess a doctoral degree in economics or health economics, and have an established record of scholarly achievement, publication and external grant funding in health services research, preferably in the areas of the impact of market forces and/or public policy on the quality of care, the intersection of costs and quality, econometric modeling, as well as cost benefit, and/or cost-effectiveness analyses. The candidate should also understand the business of health care and be able to foster collaboration in a multi-disciplinary group between academic and clinical departments and across the medical center, university, private health systems and public health institutions.

 

Interested candidates should send their curriculum vitae and letter of interest to:

Teresa L. Nangle

Director, Physician and Faculty Recruitment

Cincinnati Children’s Hospital Medical Center

3333 Burnet Avenue ML 9008

Cincinnati, Ohio 45229-3039

Phone: (513) 636-0503

Cell: (513) 706-6219

E-mail: Teresa.Nangle@cchmc.org

MCH MEMBERS IN THE NEWS

·         Cornelia van der Ziel, MD, and Jacqueline Tourville have published Big, Beautiful, and Pregnant, a pregnancy guide for the plus-size woman.  Almost half of all pregnant women in the United States today are considered overweight or obese. They have a special set of challenges during pregnancy, from facing an elevated risk for certain medical complications to finding trendy maternity clothes. Big, Beautiful & Pregnant, authored by van der Ziel, a practicing obstetrician, and Tourville, a childbirth educator, is one of the few books that addresses these issues and more for the plus-size woman. The book has been praised by Ina Mae Gaskin, author of Spiritual Midwivery, and Ann Douglas, author of The Mother of All Pregnancy Books. The Library Journal has named it one of the best consumer medical books of 2006 and has endorsed it as an essential part of every public library's pregnancy section. Big, Beautiful & Pregnant is available at most local and online book stores, including Borders and Amazon as well as through the publisher at www.perseusbooksgroup.com. More information is available at www.bigbeautifulandpregnant.com.

·        Section member Cassandra Joubert has published Losing Control:  Loving a Black Child with Bipolar Disorder, the true story of her struggle with her daughter's mental illness. The book is a courageous discussion of the difficulties in managing her child's symptoms, the lack of social and emotional support, and her grief when the diagnosis is finally determined. 

·        Linda J. Smith of the Bright Future Lactation Center in Dayton, OH has published Comprehensive Lactation Consultant Exam Review, for those contemplating the exam to become a lactation consultant.  The book is available through Jones and Bartlett Publishers at http://www.jbpub.com/catalog/9780763740290/.  Linda also contributed the article Impact of Birthing Practices on Breastfeeding, in the November/December issue of the Journal of Midwifery and Women’s Health.  Continuing education credits are available from ACNM for parts of that issue of the journal.  The journal is available at http://www.jmwh.com/issues/contents.  Linda herself can be contacted at www.bflrc.com.

·         Fredrica Kumah was inducted into the National Scholar Honor Society when she received her MPH from the University of South Carolina Arnold School of Public Health in December 2007.  The focus of her degree was health service policy and management.  Congratulations, Fredrica!

MCH RESOURCES

·         Historical Publications from the U.S. Children’s Bureau :  The  Maternal and Child Health Library at Georgetown University has posted approximately 450 documents published by the U.S. Children’s Bureau between the years of 1912, when the Children’s Bureau was established, and 1969, when the Bureau’s functions were divided up among several agencies. These publications, available electronically for the first time, give an historical perspective on such topics as child health, infant mortality, child labor and pubic health services for mothers and children, including services for children with physical and cognitive disabilities. This collection is available at http://www.mchlibrary.info/history/childrensbureau.html. 

In addition to this historical collection, the MCH Library provides up-to-date information on MCH research and publications in its MCH Alert, a weekly electronic newsletter available at no charge. The library also offers access to state-of-the-art distance-learning curricula on well-child care and the Medicaid Early and Periodic Screening, Diagnostic, and Treatment Program (EPSDT), oral health, healthy mental development and other topics. These resources can be found at http://www.mchlibrary.info.

·         National Sudden Infant Death Resource Center:  Georgetown University has been awarded a three-year cooperative agreement for the National Sudden Infant Death Resource Center. The center, co-located with the MCH Library at the National Center for Education in Maternal and Child Health, provides access to the latest professional and consumer information, including research, training materials, and sources of help for families affected by Sudden Infant Death Syndrome, miscarriage, stillbirth and other infant death.  The Web site for the Center is located at http://www.sidscenter.org. The toll free information line is (866) 866-7437.

·         mch leadership  skills development series web site now available:  The Women's and Childrens's Health Policy Center is pleased to announce the availability of the MCH Leadership Skills Development Series at www.jhsph.edu/wchpc/MCHLDS.  This set of leadership skills training modules allows users to implement their own leadership skills training programs, bringing concepts to life in an MCH context through video, interactive group discussion questions and exercises, case study, and individual self-reflection and planning exercises.  Three modules are available online now:  1)Tapping into your leadership potential; 2) Creating clarity and shared vision; and 3) Building and supporting teams.  A fourth module on negotiation and conflict resolution will be available in the spring. 

·         adding TB content to multidisciplinary curricula:  The University of Michigan School of Nursing has a grant to create free TB educational products for inclusion in health professional training programs.  These products are suitable for BSN, Advance Practice Nursing, Medical, Public Health, PA, Respiratory, and other health professional training programs.  The products include PowerPoint presentations, case studies, x-rays, and other media products, and are available on the Web portal of the National Tuberculosis Curriculum Consortium at http://ntcc.ucsd.edu/.  A quick and easy registration process is required to access the products, which are all free.

·         RED CROSS AND PUBLIC HEALTH NURSING:  Sisters Nancy Gilien and Anna Gentile won the Lucille Westbrook prize for local history for their paper The Introduction of Public Health Nursing to Pope County, Arkansas: the Pioneering Work of Celeste Campbell, Red Cross Public Health Nurse.  The paper explores the role of the nurse leaders of the American Red Cross in trying to bring universal health care to all through public health nursing.  At its height, over 1,200 communities were served by the Red Cross.  The paper is under consideration for publication in the Arkansas Historical Quarterly.  For more information, contact Nancy Gilien at ngilien@sbcglobal.net or (707) 253-7447.

·         CULTURE AND HEALTH LITERACY MODULE:  Inequalities in the generation, manipulation and distribution of health information, and the capacity to act on health information, are associated with health disparities.  Dr. Rhonda Jones-Webb and colleagues have developed an online training module on health literacy for public health professionals, students, health journalists and others.  Its purpose is to define health literacy, identify health information gaps among social groups, and share strategies to improve health literacy.  The module is free and can offer 1.0 continuing education contact hours.  Register online at www.cpheo.sph.umn.edu/mclph/healthlit.  The module was developed with resources from two HRSA-funded centers at the University of Minnesota:  the Center for Leadership Education in Maternal and Child Public Health and the University of Minnesota Midwest Center for Life-Long Learning in Public Health.

HEADLINES FROM MEDPAGE TODAY

·         Children in United States Grossly Under-Served by the Health Care System :  The New England Journal of Medicine reports that children in the United States get less than half the medical care recommended for them.  A review of medical records in 12 metropolitan areas revealed that kids receive only abut 46.5 percent of the care indicated as appropriate by quality standards.  MCH Section Member James Perrin, MD, and his colleagues at the Harvard Medical School called this “shocking” in an accompanying editorial, and called for substantial performance improvement.  http://www.medpagetoday.com/Pediatrics/GeneralPediatrics/dh/6928

·         Improving Diversity in Medicine One Student at a Time:  On Friday nights in the Bronx, college students in the Mentoring in Medicine program gather in the Montefiore Medical Center emergency department. There, Lynne Holden, MD, cofounder of the program, helps them navigate the obstacles that prevent many minorities from becoming health care professionals. http://www.medpagetoday.com/tbindex2.cfm?tbid=8036

·         Nasal Irrigation Best for Kids:  Nasal irrigation with a saline solution of processed seawater may clear up children's cold symptoms faster than standard medication alone and prevent them from returning, Czech researchers found.  http://www.medpagetoday.com/tbindex2.cfm?tbid=8040

·         Schizophrenia Traced to Mother’s Stress in Early Pregnancy:  Researchers in Denmark determined that about 0.3 percent of schizophrenia cases can be attributed to stress caused by the death of a family member of the mother during the first trimester of pregnancy.  A national health registry allowed the researchers to examine records associated with 1.38 million Danish births from 1973 to 1995.  The researchers pointed out that other maternal stressors may also have an impact on schizophrenia.  http://www.medpagetoday.com/tbindex2.cfm?tbid=8224

·         Kids Near Ground Zero on 9/11 Prone to Behavioral Problems:  Preschoolers who witnessed the collapse of the World Trade Center or other high intensity events on Sept. 11, 2001 were at increased risk of behavioral problems long afterwards, especially if they had experienced other traumatic events.  http://www.medpagetoday.com/tbindex2.cfm?tbid=8223

·         Lack of Physician Training Leaves Kids Vulnerable to Dosage Errors:  A British study in the journal Archives of Disease in Childhood shows that physician training in calculating medication dosages for children is inadequate, and there are no validated tools to assess the effectiveness of individual learning in this area.  As a result, there is much room for error in medicating children, especially since many physicians are unfamiliar with which medications are appropriate in a pediatric setting. http://www.medpagetoday.com/tbindex2.cfm?tbid=8005

·         Breast Milk Studies Show Promise in Reducing Mother-to-Child Transmission of HIV:  A study in Tanzania showed that nursing mothers with high levels of certain fatty acids in their breast milk were up to 79 percent less likely to pass the HIV virus to their children through this route than women with lower levels of the same fatty acids.  More study is required to determine causation, but if a link is found, “the public health implications could be substantial,” researchers said.  http://www.medpagetoday.com/HIVAIDS/HIVAIDS/dh/6618

·         Mother’s Milk Does Not Reduce Risk of Asthma or Allergies:  In Montreal, researchers found no evidence that exclusive breastfeeding reduced the risk of asthma, hay fever or eczema, and that children who were exclusively breastfed for at least three months were actually 2-3 times more likely to experience a positive skin prick test.  http://www.medpagetoday.com/Pediatrics/GeneralPediatrics/dh/6669

·         Testing Toddler Cholesterol Levels Screens Parents as Well:  Screening children for elevated cholesterol at 15 months, when they come in for scheduled immunizations, also identifies 95 percent of parents with a major risk for coronary heart disease.  Investigators reporting in BMJ said that at that stage of a child’s development, parents are especially receptive to preventive strategies for their children and may, therefore, be more open to a family-based intervention that would save both generations.  http://www.medpagetoday.com/Cardiology/Dyslipidemia/dh/6685

·         No Evidence of Benefits of Amniotomy During Spontaneous Labor:   Amniotomy during spontaneous birth does not reduce time of labor or improve the condition of the newborn.   A systematic review of the Cochrane database, the gold standard in meta-analysis, showed that intentional rupturing the amniotic membranes, one of the most commonly performed obstetric procedures, should not be used in standard labor unless there is a good clinical reason to do so.  http://www.medpagetoday.com/OBGYN/Pregnancy/dh/7010

·         Tonsillectomy for Snoring Also Improves Behavior in Kids:  Children in Kansas City, Kan., who underwent surgery for sleep-disordered breathing also improved significantly for oppositional behavior, inattention and hyperactivity.  Researchers theorize that the surgery itself did not cause behavioral change, but that improving sleep may significantly influence daytime behavior.  http://www.medpagetoday.com/Surgery/Otolaryngology/dh/6983

·         Infection Early in Life May Be Sign of Increased Risk of Asthma:   Doctors in Copenhagen found that if bacteria colonize the throat of a one month old infant, the child has an increased risk of asthma later in life.  The most likely explanation is that the early bacterial colonization may reflect an innate immune defect that also promotes the development of asthma.  http://www.medpagetoday.com/AllergyImmunology/Asthma/dh/6943

 

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