Introduction: Challenges in Reducing Disparities in Reproductive and Perinatal Outcomes Through Evidence-Based Public Health
Over the past decade, there has been an increased focus on the use of “evidence” to enhance practice in the delivery of health and human service. While there are multiple reasons for the advent of evidence-based public health (EBPH), the pressure for increased accountability in public health has arisen in part because of the increasing focus on the generation and use of evidence in the field of clinical medicine (Evidence-Based Medicine), public health’s major partner in improving health status. As a book about the potential of public health approaches to reduce racial/ethnic disparities in reproductive and parinatal health outcomes, the reviews of the variety of interventions discussed within are subject to some of the unique challenges of evidence-based public health in cantrast to those presented by evidence-based medicine (EBM). The focus of this chapter is to briefly discuss the difference between EBPH and EBM and to delineate some of the global and specific challenges that researchers and practitioners face when engaging in EBPH.
KeywordsPrenatal Care Public Health Intervention Public Health Approach Perinatal Health Improve Health Status
Acknowledging these caveats does not preclude making the best possible decisions given the current state of knowledge about any particular public health intervention. However, to maximize the ability of public health practice to improve health outcomes, future efforts to develop and implement public health interventions based on the evidence must synergistically consider the evidence as well as the context of both evidence generation and implementation.
- Briss, P. A., Zaza, S., Pappaioanou, M., Fielding, J., Wright-De Agüero, L., Truman, B. I., et al. (2000). The Task Force on Community Preventative Services. Developing an evidence-based Guide to Community Preventive Service-Methods. American Journal of Preventative Medicine, 18(1 Suppl.), 35–43.CrossRefGoogle Scholar
- Brownson, R., Baker, E., Leet, T., & Gillespie, K. (Eds.). (2003). Evidence-based public health. Oxford, New York: Oxford University Press.Google Scholar
- Brownson, R., Gurney, J., & Land, G. (1999). Evidence-based decision-making in public health. Journal of Public Health Management Practice, 5(5), 86–97.Google Scholar
- Institute of Medicine, Committee on the Assuring the Health of the Public in the 21st Century. (2002). The future of the public’s health in the 21st century. Board on Health Promotion and Disease Prevention. Washington, DC: National Academics Press.Google Scholar
- U.S. Department of Health and Human Services. (2000). Healthy people 2010: Understanding and improving health (2nd ed.). Washington, DC: U.S. Government Printing Office.Google Scholar
- Zaza, S., Wright-de Agüero, L., Briss, P. A., Truman, B. I., Hopkins, D. P., Hennessy, M. H., et al. (2000). Data collection instrument and procedure for systematic reviews in the Guide to community Preventative Services. American Journal of Preventative Medicine, 18(1 Suppl.), 44–74.CrossRefGoogle Scholar