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Improving Maternal and Child Health Care

A Blueprint for Community Action in the Pittsburgh Region

Cover: Improving Maternal and Child Health Care

By: Harold Alan Pincus, Stephen Thomas, Donna Keyser, Nicholas G. Castle, Jacob W. Dembosky, Ray Firth, Michael D. Greenberg, Nancy Pollock, Evelyn Reis, Veronica Sansing, Sarah Scholle

Community leaders in the Pittsburgh region have long recognized the critical importance of the health and well-being of mothers, infants, and young children and have made intensive efforts to develop effective community-based early childhood interventions and support services. Despite these efforts, in several key areas, mothers and young children in this community are not receiving the health care services they need, and the result is premature illness and preventable death. In 2002, The Heinz Endowments commissioned the RAND Corporation and the University of Pittsburgh, in partnership with the Department of Health and Department of Human Services in Allegheny County, Pennsylvania, to establish a learning collaborative of local stakeholders to (1) catalyze new thinking around the best evidence and practice for maternal and child health care; (2) assess the strengths, weaknesses, and barriers to improvement in the current system; (3) identify targets for local policy reform; and (4) develop a blueprint for action. This report provides an overview of the community-based approach through which this work was undertaken, highlights key study findings, and outlines a vision, strategy, and action plan for achieving systemwide improvements in maternal and child health care processes and outcomes.

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Paperback Cover Price: $20.00

Discounted Web Price: $18.00

Pages: 78

ISBN/EAN: 0-8330-3717-X

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Contents

Chapter One:
Introduction

Chapter Two:
Mobilizing a Community Collaborative for Change

Chapter Three:
Barriers and Issues Faced by Families in the Community

Chapter Four:
Barriers and Issues Faced by Local Providers and Program Staff

Chapter Five:
Lessons Learned from Promising National and Local Programs

Chapter Six:
Potential Policy Levers for Enhancing Local Improvement Efforts

Chapter Seven:
A Blueprint for Community Action

Appendix A:
Members of the Learning Collaborative

Appendix B:
Local Providers and Payers Interviewed

Appendix C:
Model National and Local Programs Interviewed

The research described in this report was sponsored by The Heinz Endowments conducted by RAND Health.

This product is part of the RAND Corporation monograph series. RAND monographs present major research findings that address the challenges facing the public and private sectors. All RAND monographs undergo rigorous peer review to ensure high standards for research quality and objectivity.

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