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Title V Maternal and Child Health Services Block Grant Priority Needs and Linked Performance Measures: Current Patterns and Trends (2000–2015)

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Abstract

Objective As part of the Title V Maternal and Child Health (MCH) Services Block Grant, administered by the Health Resources and Services Administration’s (HRSA’s) Maternal and Child Health Bureau (MCHB), states are required to conduct a comprehensive needs assessment identifying MCH priorities every 5 years. The most current needs assessment (2015) occurred after a transformation of the program, in which a new performance measurement framework was created. This analysis examined current patterns and trends in state MCH priorities and selected performance measures to identify changing needs and inform technical support. Methods Multiple coders categorized: (1) state priority needs from 2000 to 2015 into focus areas and subcategories for examination of current, diminishing, and emerging needs; and (2) the selection of linked national and state performance measures in 2015 for all 59 states and jurisdictions. Results Between 2000 and 2015, the proportion of states with a need around pre- and inter-conception care increased from 19% to 66%. More states had needs in the breastfeeding subcategory (42%) compared with 20% of states or less in previous years. Fewer states had needs around data capacity than in past years. Emerging needs included supporting families/relationships. The most commonly selected national performance measures (NPMs) were around breastfeeding and well-woman visits. The state performance measures (SPMs) analysis also emphasized assets, with measures around community/context and positive development. Teen births and postpartum depression were areas where multiple states had SPMs. Conclusions for practice Increasing and emerging needs may help to inform technical assistance and future national measures for the Title V program.

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Notes

  1. In addition to the 50 states and the District of Columbia, the eight jurisdictions are: American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, Puerto Rico, Palau and Virgin Islands.

  2. While Table 1 and Table 2 appear similar, Table 1 is focused solely on categorizing state priority needs with an unduplicated count of states in each focus area, topic area and subcategory (Part 1) and Table 2 is focused solely on categorizing SPMs and SOMs with a count of measures, which can include the same state multiple times in one focus area if multiple state measures around an issue were present (Part 2).

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Acknowledgements

Coders: Part 1: Jennifer O’Brien, Carolyn Gleason, Ashley Hirai and Veni Kandasamy. Part 2: Ashley Hirai and Veni Kandasamy. Offices/Divisions: Division of State and Community Health Office of Epidemiology and Research.

Funding

This research was supported in part by an appointment to the Postgraduate Research Participation Program at the U.S. Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau administered by the Oak Ridge Institute for Science and Education through an interagency agreement between the U.S. Department of Energy and HRSA.

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Authors and Affiliations

  1. Oak Ridge Institute for Science and Education, Oak Ridge Associated Universities, 100 ORAU Way, Oak Ridge, TN, USA

    Veni Kandasamy

  2. US Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau, Office of Epidemiology and Research, 5600 Fishers Lane, Rockville, MD, USA

    Ashley H. Hirai & Michael D. Kogan

  3. Division of State and Community Health, US Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau, 5600 Fishers Lane, Rockville, MD, USA

    Michele Lawler & Ellen Volpe

  4. Rockville, USA

    Veni Kandasamy

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  1. Veni Kandasamy
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  2. Ashley H. Hirai
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  3. Michael D. Kogan
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  4. Michele Lawler
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  5. Ellen Volpe
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Correspondence to Veni Kandasamy.

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The contents of this manuscript are solely the responsibility of the authors and do not necessarily represent the official views of the Health Resources and Services Administration or the U.S. Department of Health and Human Services.

Appendix

Appendix

See Tables 3 and 4.

Table 3 National performance measure and corresponding population domains
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Table 4 National outcome measures (NOMs) by number, description and short name
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Kandasamy, V., Hirai, A.H., Kogan, M.D. et al. Title V Maternal and Child Health Services Block Grant Priority Needs and Linked Performance Measures: Current Patterns and Trends (2000–2015). Matern Child Health J 22, 1725–1737 (2018). https://doi.org/10.1007/s10995-018-2568-0

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