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Maternal and Child Health

Maternal and Child Health Block Grant

Mother lifting up smiling baby.The Maternal and Child Health Services Block Grant, Title V of the Social Security Act, is the only federal program devoted to improving the health of all women, children and families. Title V provides funding to state maternal and child health (MCH) programs, which serve 35 million women and children in the U.S. To learn more about Title V, visit The Official Website of the U.S. Social Security Administration or The Association of Maternal & Child Health Programs.

MCHBG 2017 Application & 2015 Annual Report

The final version of the MCHBG 2017 Application & 2015 Report was submitted on September 30, 2016.

The initial version was submitted on July 15th, and staff from the Maternal and Child Health Section (MCHS) met with a HRSA review panel on August 11, 2016.  The MCHS then had until September 30th to add any additional information and clarification detail requested by the panel.

This document builds upon information submitted for last year's application and report.  Updates have been added to cover any activities and changes since that time (7/15/15).  The updated sections are open for public comment.  Please submit comments to: MCHBlockGrant@mt.govA summary of Public Input received as of 9/23/16 is available here.

County Public Health Contractor Materials - SFY17

MCH Newsletters

2017 MCHBG Newsletters:

- April 2017, topics include:  National Women's Health Week, MT Guide to Turning 18, Child ATV Injuries, Youth Suicide and Self-Harm Prevention Resource Guide, Rural Health Information Hub, and Medicaid's Role in the Delivery & Payment of Substance Use Disorder Services

- February 2017, topics include:  The Art of Saving a Life (stories & photos telling the positive impact of vaccines), Human Trafficking of U.S. Teenagers, E-Cigarettes & Youth Don't Mix, HPV Vaccine Champion Toolkit 

2016 MCHBG Newsletters:

 - December 2016, topics include: Drug & Alcohol Facts Week, Addiction Treatment & Recovery PSAs, Agriculture Hazards to Youth, Smoking Cessation in Pregnancy Training, MT Health & Disease Data Infographics

 - October 2016, topics include: Crisis Text Line for Teens, Concussion Safety Resources, Strollers and Baby-Carriers Safety, Drowsy Driving, Kitchen Safety Zones

 - August 2016, topics include:  HPV-Related Cancer in Men, Effects of Provider Communication Style, Laundry Detergent Packet Poisoning, Personal Rights to Medical Records, Opioid Crisis Intervention

 - May 2016, topics include: How Teens Seek Health Info Online, Lawn Mower Safety, Child Medicine Poisoning, Online Safety

 - March 2016, topics include: Adolescent Health Promotion, Distracted Driving, ATV Safety for Children, In-Home Drowning, Targeted Audience Smoking Quit-Lines  

 - January 2016, topics include: Guide to Using Insurance, Suicide Prevention App, Teen's STI Awareness Campaign, Anti-Bullying Campaign, E-Cigarette Poisoning

2015 MCHBG Newsletters:

 - November 2015, topics include:  BCBS Immunization Care Van, Tips from Pediatricians at HealthyChildren.Org, Dangers of Ingesting Hand Sanitizer, Winter Weather Slips & Falls Prevention

 - September 2015, topics include:  MT Community Health Program Guide, Halloween Safety, Raising of America Documentaries, Shaken Baby Syndrome

 - May 2015, topics include: Red Cross Childcare Training, Tween Seat Belt Campaign, Anchoring Furniture & Appliances

 - March 2015, topics include: Public Health Week Toolkit, Maternal Heart Benefits of Breastfeeding, Children's Fire Safety Program, Effective Policy Communications

 - February 2015, topics include: Preventable Accidents, Bullying & Harassment Civil Rights, Teen Decision Making, Internet Safety, Domestic Violence Services

2014 MCHBG Newsletters:

 - September 2014, topics include: Tobacco Cessation, Breastfeeding at Work

 - November 2014, topics include:  Text4Baby App, Domestic & Interpersonal Violence and Bullying, Birth to 5 - Watch Me Thrive

 - December 2014, topics include:  MT 5th Grader's Flu Prevention Video, Dangers of Foot-Powered Scooters, Violence Prevention Course, Safe Sleep

MCHBG Federal Funds to Montana

 

FY 2014

FY 2015

FY 2016

Total Federal Funds Received**

$2,154,629

$2,219,096

$2,284,817

Children’s Special Health Services*

$646,389

$665,729

$685,445

Local Health Departments

$997,661

$980,128

$1,033,694

Administration & State Programs

$460,579

$499,864

$565,678

*Children’s Special Health Services receives 30% of the MCH Block Grant

**States must provide a three dollar match for every four Federal dollars allocated.

Funds are awarded to local health departments to address one of the National Performance Measures or State Performance Measures.

Montana's 2016 - 2020 National and State Performance Measures

People Served by the Montana MCH Program

People Served by the Montana MCH Program*

  •     4,083 pregnant women
  •   12,529 infants under one
  •   28,998 children and adolescents
  •     6,763 children with special health care needs
  •   55,296 others (especially women ages 22-44)

           107,669 total served

*2015 State/Jurisdiction Annual Reports Submitted to the Maternal and Child Health Bureau.

The Maternal and Child Health Services Block Grant provides financial support to county health departments and state MCH programs. For fiscal year 2016, county public health departments are addressing national and state performance measures in the following areas:

  • Access to Care and Public Health Services
  • Breastfeeding
  • Family Support and Health Education
  • Immunizations
  • Smoking During Pregnancy and in Household
  • Teen Pregnancy Prevention

State programs which receive funding support include:

  • Children's Special Health Services
  • Fetal, Infant, Child and Maternal Mortality Review
  • Newborn Metabolic and Hearing Screening
  • Family Planning
  • Maternal and Child Health Coordination
  • Office of Epidemiology and Scientific Support

MCHBG Needs Assessment

The federal Title V Maternal and Child Health Block Grant legislation requires the state to prepare and submit a statewide Needs Assessment every five years which identifies the specific needs for:
(1) Preventive and primary care services for pregnant women, mothers and infants up to age one;
(2) Preventive and primary care services for children; and
(3) Services for children with special health care needs (CSHCN).

The findings of the State Five-year Needs Assessment are expected to serve as the “drivers” in determining state Title V program priorities, and in developing a five-year Action Plan to address them. They should indicate where the greatest needs are for its MCH and CSHCN populations, and support services which can have a direct positive impact.

Based on its priority needs, as identified in the Five-year Needs Assessment, the State was directed select eight of 15 possible National Performance Measures (NPMs) for programmatic emphasis over the five-year reporting period. In addition, the state was required to develop five State Performance Measures to address unique needs not addressed by any of the NPMs.

The DPHHS Maternal and Child Health (MCH) Section began work on the 2015 Needs Assessment in December 2013. The workgroup identified information gathered for the 2012 State Health Improvement Plan and the 2013 Public Health and Safety Division Strategic Plan as a good foundation. In order to facilitate additional stakeholder input, an online survey was created for the County Health Departments to complete during May 2014. Other organizations with an interest in maternal and child health were also asked to complete a similar survey as a part of the process, and key stakeholder interviews were held.

A summary of the 2015 Statewide 5-Year Needs Assessment is included in the 2016 Annual Application & 2014 Report, on pages 14 - 39.

County Health Department Needs Assessment Survey Example, May 2014

Montana 2010 MCH Needs Assessment

Promising Pregnancy Care Information

Promising Pregnancy Care Training: 

July 2016 Conference - Presentation Documents for Download:

Introduction to Promising Pregnancy Care

Brush, Book and Bed: Oral Health

Coming of the Blessing

Neonatal Abstinence Syndrome - Handout

Neonatal Abstinence Syndrome - Presentation

Tobacco Use and Pregnancy

Safe Sleep & Sudden and Unexplained Infant Deaths

Integrating Cultural Traditions into Group Prenatal Care

Promising Pregnancy Care is an evidence-based health care delivery system that combines the prenatal visit with group education.  It is a joint collaboration between Montana Medicaid and Family Community Health Bureau to allow state approved Medicaid providers to be reimbursed for group prenatal care. This particular training in July is specifically to work with providers who service our Native American population to incorporate culturally appropriate education into a group pregnancy care program. Each program must include specific elements and must report defined data elements to the department.

A 2007 study showed low risk women who participated in group care are 33% less likely to deliver a preterm infant. The women also reported improvements in pregnancy knowledge, readiness for labor, satisfaction with care, and breastfeeding initiation rates. A 2012 study performed at Greenville Memorial Hospital in South Carolina showed a higher mean gestational age for women who participated in centering care than those who participated in traditional care. The mean birth weight for the women in the centering group was also higher than that of the traditional care group. This study showed an overall 47% reduction in preterm birth for low-risk women involved in group care in comparison to traditional care.

The Promising Pregnancy Care training is designed for individuals providing direct prenatal care, i.e. Direct Entry Midwife, Certified Nurse Midwife, Nurse.  See the Registration Form for a more extensive list of healthcare providers for whom the training is targeted.   

Conferences, Funding Opportunities, Resources

~ Practical Steps to Tackle Montana's Substance Abuse Problems - Montana can take practical and cost-effective steps to address its growing substance abuse crisis, according to a new report released on March 21, 2017, by the Montana Healthcare Foundation and the Montana Department of Public Health and Human Services, and authored by national experts at Manatt Health.

~ Montana Perinatal Conference - On behalf of the Montana Perinatal Association and Kalispell Regional Medical Center/Kalispell Regional Healthcare, you are welcome to participate in the upcoming Annual Montana Perinatal Conference. This conference takes place April 28-29, 2017 at Chico Hot Springs Resort in Pray, Montana.

The target audience for The Annual Montana Perinatal Association Conference is primary care providers, nurses and therapists that care for pregnant women and infants. Click here for a draft brochure listing the speakers, agenda, and learning objectives for the conference.

~ ChildWise Institute Spring Conference - May 12, 2017, Great Falls:  Jim Sporleder will present his new Administrative Guide "The Trauma-Informed School." This is a step-by-step guide for administrators and school personnel. A conference overview is available for download.

~ Montana Independent Living Project - provides direct, one-on-one orientation and mobility instruction to Montana's children who are blind or have low vision.

For More Information Contact:
Ann Buss, MPH
Maternal Child Health Coordination Section Supervisor
Family and Community Health Bureau
Phone: (406) 444-4119
E-mail: abuss@mt.gov