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Title V Maternal & Child Health Needs Assessment, 2011

Title V of the Social Security Act of 1935, as amended, provides funding to states to "improve the health of all mothers and children, including children with special health care needs."  Known as the Maternal and Child Health Block Grant, Title V allocates funding to states in proportion to their percentage of children in poverty. For fiscal year 2010, Michigan receives $18.8 million for our MCH Block Grant allocation. For an overview of the MCH Block Grant uses in Michigan, see the AMCHP Michigan State Profile.

Title V Regulations require a statewide needs assessment every 5 years that identifies the need for: 

  • Preventive and primary care services for pregnant women, mothers and infants 
  • Preventive and primary care services for children (1-21), and 
  • Services for children with special health care needs (CSHCN). 

The needs assessment must include a list of up to ten maternal and child health priorities for the period 2011-2016. 

The following priorities for the period 2011-2016 were established:

  • Increase the proportion of intended pregnancies
  • Increase the proportion of Children with Special Health Care Needs population that has access to a medical home and integrated care planning
  • Reduce obesity in children, including children with special health care needs, and women of childbearing age
  • Address environmental issues (asthma, lead poisoning, second-hand smoke) affecting children, youth and pregnant women
  • Reduce African American and Native American infant mortality rates
  • Decrease the rate of sexually transmitted diseases among youth 15-24 years of age
  • Reduce intimate partner and sexual violence
  • Increase access to early intervention services and developmental screening within the context of a medical home for children
  • Increase access to dental care for pregnant women and children, including children with special health care needs
  • Reduce discrimination in health care services in publicly-funded programs

The full text of the needs assessment is available for review and comments.

References of interest:

Michigan Uninsured at a Glance 

Characteristics of the Uninsured and Individuals with Select Health Insurance Coverage in Michigan 

Putting Women's Health Care Disparities on the Map 

Children's Health Fact Sheet 

County Health Rankings 

Children's Special Health Care Services Strategic Planning 2008 

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