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2009 CityMatCH Urban MCH Leadership ConferenceProgram.Families received two or more referrals for services, 80% received follow up intervention. For cases withfollow up, 91% were connected to services, seven percent didn’t receive the service requested, twopercent were pending at end of the project. Also, 98% of families were connected to at least one service.BARRIERSIt took several months and five drafts to establish protocols across the participating organizations whichdelayed the initiation of services, and therefore, it didn’t meet the target of 200 children. However, oncefamilies were identified and recruited, it worked at full capacity and a total of 99 children (51 families)received services from March through October, 2008.LESSONS LEARNEDThere are many difficulties with linking hard-to-reach families and children to needed services in urbancommunities. Based on what was learned during the short period that the project was implemented, theissue is not so much a lack of services, but more one of comprehensive coordination among services. Byproviding families with accurate information on programs and very concrete support that addressesspecific needs, they can be empowered and motivated to access services on their own. Moreover, manyfamilies, including those with limited education, were available and receptive to learning about theirchild’s development, and in fact, took pleasure in completing the Ages and Stages Questionnaire. All ofthis has far-reaching implications (with high benefit to cost) for positively impacting outcomes for asizable population of children that typically do not receive needed services.INFORMATION FOR REPLICATIONFunding was provided by the CT Children's Trust Fund -state agency for this pilot project.The funding covered salaries and fringes of two (2) FTE care coordinators and program supplies.Additional funding for overhead and indirect cost was provided in-kind by the City of Hartford.The CT Child Development Infoline, the CT Children's Trust Fund, the City of Hartford Health andHuman Services Department, and the University of Hartford were the key organizations in the developingand implementation of this project.106
2009 CityMatCH Urban MCH Leadership ConferenceBorderMACH: A binational approach to building maternal and child health capacity inthe US-Mexico border regionPRIMARY CONTACT:Jill A McDonald, PhDSenior Epidemiologist/MCHEpidemiology AssigneeCDC/NCCDPHP/DRH/ASB4770 Buford Hwy NEMS K-22Atlanta, GA, 30341-3724Phone: (770) 488-6373Fax: (770) 488-6291Email: ezm5@cdc.govCATEGORYChronic disease and MCH (Asthma, Diabetes, Obesity)FOCUSProgram Policy FocusCO-PRESENTER(S)/AUTHOR(S):Laurin Kasehagen, lkasehagen@unmc.edu(Author)ISSUEVital statistics and other health surveillance data from the binational US-Mexico border region showdisparities in prenatal care, adolescent birth, sexually transmitted infections such as congenital syphilis,diabetes, and other outcomes. The population is generally low-income, underserved and of Mexicanorigin.The United States-Mexico Border Health Commission has identified specific MCH (Maternal andChild Health) goals for the region, but community level data are scant and MCH personnel have limitedexperience using data for public health action. Further, binational collaboration in MCH is minimal.SETTINGMost of the region’s 14 million US and Mexican residents live in 14 pairs of highly urbanized andinterdependent sister city communities in 10 border states. Residents cross the border in both directionsfor health services and other reasons, yet US and Mexican health institutions do not share MCH data anddo not collaborate on MCH programs. In addition, MCH partnerships between U.S. or Mexican bordercommunities in different states are rare, as are MCH border resources.PROJECTThrough training, technical assistance, and other activities, the BorderMACH (Maternal And ChildHealth) Initiative aims to develop key competencies among US and Mexican health professionals to workcollaboratively throughout the region and to use local data for MCH decision-making. BorderMACH wasinitiated by CDC in 2007, and has developed in collaboration with Mexico’s Secretariat of Health (SS)and other national, state and local partners. CDC provides modest financial support and both CDC and SSprovide significant in-kind resources.107
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