Maternal and Child Health (MCH) Data Capacity through the National Action Agenda

[摘要]

The American Public Health Association,

Recognizing that the National Action Alliance To Build Data Capacity for the Health of Women, Children and Youth (National Action Alliance) involves 9 organizations working to strengthen MCH data capacity at public health agencies—Association of Maternal and Child Health Programs (AMCHP), the Association of Schools of Public Health (ASPH), Association of State and Territorial Health Officials (ASTHO), Association of Teachers of Maternal and Child Health (ATMCH), National Association of Public Health Statistics and Information Systems (NAPHSIS), CityMatch, Council for State and Territorial Epidemiologists (CSTE), the National Association of County and City Health Officials (NACCHO), Health Resources and Services Administration (HRSA), Centers for Disease Control and Prevention (CDC)¹;

Understanding that National Action Alliance national strategy to strengthen MCH data capacity calls for: (1) Better Data and Information Systems, e.g., surveillance and survey capabilities; (2) Increased Opportunities for Field-Based Capacity Building, with funding and technical assistance; (3) Sufficient, Well-Trained People in the Field, e.g., more training programs and trained professionals; (4) Improved Communication, Coordination and Collaboration among agencies to implement a shared plan; and (5) Improved Knowledge and Evidence-Based Practice through sharing practices, and assuring their implementation¹;

Recognizing that, in thefuture of Public Health (1988), the Institute of Medicine recommends that every health agency have the data capacity to "regularly and systematically collect, assemble, analyze, and make available information on the health of the community, including statistics on health status, community health needs, and epidemiologic and other studies of health problems,” that many Health 2010 objectives involve MCH populations^2,3;

Realizing that, in the past, MCH advocates relied more closely on data for program/policy development as for example has been done successfully to help reduce infant mortality and to advocate for original child health Social Security legislation, and that current efforts to improve MCH data capacity are uncoordinated and limited^4-7;

Recognizing that public health agencies have new reporting requirements for performance measurements and improved surveillance systems^8,9;

Noting that MCH data capacity within public health can be more specially defined in various ways (e.g., University of Illinois, Chicago's (UIC's) objective criteria) and encompasses multiple core functions¹⁰;

Noting that CDC's MCH Epidemiology Program and HRSA's MCH Bureau have supported building MCH data capacity at state and local levels; that local communities can benefit from such efforts as CityMatCH's Periods of Risk project to help urban city and other agencies to identify excess mortality among specific fetal and infant subgroups and to use these data to target potential specific local health services area gaps;

Noting that the UIC has found that state agencies with on-site support have more successfully built data capacity than other states;

Noting that in a University of Alabama survey of stat e and local agencies stated that MCH epidemiology was among the top rated critical unmet needs for MCH professionals with graduate training^10-12; and

Noting that a national survey of local health departments (LHDs) conducted by CityMatCH and NACCHO found MCH health status monitoring a high priority for most LHDs but but data capacity insufficient¹¹;

Acknowledging that in June 2001 CSTE resolved to support the National Action Agenda and partners' efforts and are surveying states' MCH data capacity¹³;

Asserting that strengthening public health infrastructures with MCH data capacity supports APHA initiatives to eliminate health disparities persisting among women, children and youth of varying populations^3,14,15;

Therefore, APHA

Supports and endorses the National Action Agenda process to strengthen state, local, and tribal public health agencies' MCH data capacities, and;
Calls on Congress, the Executive Branch, federal agencies, and partners to provide funding and technical assistance to these agencies to:

• improve common MCH-related data/information systems and practice-based surveillance and research activities to include medical, oral, mental, and behavioral health of women, children, and youth.
• further develop systems and workforce able to translate and use quality information for decision-making;
• enhance and expand the MCH workforce, including those trained in practice-based surveillance/research;
• foster collaborations between public health and academic researchers; and
• enhance communication among public health partners in MCH.
• Determine and develop common multidisciplinary data sets that will provide consistent longitinal local, state and national data regarding morbidity, mortality, and risk factors of adverse health for women, children, and youth.

References

1. Statement of the National Action Alliance To Build Data Capacity for the Health of Women, Children and Youth, August 21, 2001.
2. Committee for the study of the Future of Public Health. Future of Public Health. Division of Health Care Services, Institute of Medicine (IOM). Washington, DC: National Academy Press. 1988:7.
3. U.S. Department of Health and Human Services (HHS). Healthy People 2010. 2nd ed. With understanding and improving health and objective for improving health. 2 vols. Washington, DC: U.S. Government Printing Office (GPO), November 200.
4. Baxendell JE, Guyer B, Klein Walker DK. Back to the future: Reexamining our Title V roots. Opening plenary session presentations at the annual meeting of the Association of Maternal and Child Health Programs, Washington, DC 1999.
5. Achievements in Public Health, 1990-1999: Healthier Mothers and Babies. MMWR October 1, 1999/48 (38);849-857.
6. MacDorman MF, Rowley DL, Iyasu S, Kiely JL, Gardner PG, Davis Ms. Infant morality. In: Wilcox LS, Marks JS eds. From data to action: CDC's public health surveillance women, infants and children. Atlanta, GA: US Department of Health and Human Services, Public Health Service, Public Health Service, Centers for Disease Control and Preventions, 1994:231-49.
7. Rowley DL, Iyasu S, MacDorman MF, Atrash HK. Neonatal and postneonatal morality. In: Wilcox LS, Marks JS, eds. From data to action: CDC's public health surveillance for women, infants and children. Atlanta, GA: US Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, 1994:251-62.
8. Government Performance results Act of 1993, Public Law 103-62. http://www.whithouse.gov/omb/mgmt-gpra/glaw2m.html.
9. Maternal and Child Health Title V Program. Association of Maternal and Child Health Programs, Washington, DC http://www.amchp1.org/titlev/index.htm.
10. Handler A, Geller S, Kennelly J. Effective MCH epidemiology in state health agencies: Lessons from an evaluation of the Maternal and Child Health Epidemiology Program (MCHEP). Mat Child Health J. 1999;3:217-24.
11. Phillips C, Haynatzka V, Sappenfield W. MCH epidemiologic and data capacity in local health departments: Results of the 2001 NACCHO adn CityMatch survey. Presented at the Seventh Annual Maternal, Infant, and Child Health Epidemiology Workshop: Enhancing Competencies for Informed Decision Making in Maternal and Child Health Outcomes, Clearwater Beach, Florida, December 2001.
12. Alexander GR, Petersen DJ, Pass MA, Slay M, Chadwick C. Graduate and continuing education needs in maternal and child health: Report of a national needs assessment, 2000-2001. Maternal and Child Health Leadership Skills Training Institute Technical Report, Department of Maternal and Child Health, School of Public Health, University of Alabama at Birmingham, 2001.
13. Support of the National Action Agenda for Building Data Capacity for Maternal and Child Health. Resolution No. 2001-CD/MCH/OH-01, Passed at the Annual Meeting of the Council for State and Territorial Epidemiologists, Portland, Oregon, June 2001. http://www.cste.org/ps/2001/2001-cd-01.htm
14. American Public Health Association Policy Statement No. 2001-5: Health Status of American Indians and Alaska Natives. In: Policy statements adopted by the Governing Council of the American Public Health Association, November 15, 2000. AJPH 2001;91(3):10-11. http://www.apha.org/legislative/policy/Pols2000_rev.pdf.
15. American Public Health Association Policy Statement No. 2001-5: Health Status of American Indians and Alaska Natives. In: Policy statements adopted by the Governing Council of the American Public Health Association, October 24, 2001. AJPH 2002;92(3):456-7. http://www.apha.org/
16. legislative/policy/01_policy.pdf.

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[发布日期] 2002-11-13

[学科分类] 医学（综合）