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Looking to the future, states are improving access to care, providing subsidies for tuition costs, expanding hours of licensed facilities, increasing access, and meeting the needs of both parents and children.

ASTHO interview with Elizabeth Harvey, PhD, MPH, a CDC Senior Maternal and Child Health Epidemiology Program assignee to the Tennessee Department of Health. Harvey shares her thoughts on the progress Tennessee has made on opioid use disorder throughout the state’s maternal and child health population.

Multi-State Network of Linked PRAMS and Clinical Outcomes Data for Patient-Centered Outcomes Research Shannon Vance, Stephany Strahle, Shanna Cox, Sowmya Kuruganti, Lauren Kipling Multi-state network of linked Pregnancy Risk Assessment Monitoring System (PRAMS) and clinical outcomes data ASTHO, with support from the CDC’s Division of Reproductive Health and HHS’ Office of the Assistant Secretary for Planning and Evaluation, convened the Linking Pregnancy Risk Assessment Monitoring System (PRAMS) and Clinical Outcomes Data Multi-Jurisdiction Learning Community. Through this work, state health departments conducted data linkages between PRAMS and a variety of maternal and child health clinical outcomes and administrative datasets. This report highlights data linkage activities from each state, capacity building and TA offerings from the project, lessons learned, and future recommendations. Get the Report (PDF) website yes

Learn about recent public health legislation in the islands areas related to access to nutritional foods, deterring substance use, and promoting healthy aging.

Surveillance data allow public health practitioners and researchers to track changes in the burden of ACEs by collecting data on previous exposure, health conditions that may impact or be impacted by exposure, and other related topics.

The National School Lunch Program, a federally-assisted meal program run by USDA, has provided millions of children with nutritionally balanced, low-cost or no-cost lunches each school day.

USDA has proposed a final rule for long-term school nutrition standards and is seeking public input on the proposed changes through April 10, 2023.

A Framework for Linking PRAMS with Administrative Data ASTHO, Association of State and Territorial Health Officials, prams frameworks, prams data, PRAMS, administrative data, data linkages, pregnancy risk assessment monitoring system prams, pregnancy risk assessment monitoring system, data sources, prams jurisdictions, maternal and child health, health equity, health outcomes, maternal and child health issues, social determinants of health, data analysis, linkage preparation, data linkage readiness assessment, data linkage process map, data linkage process list, public health linkages, data preparation, data linkage, research dataset creation and analysis, public health challenges, documenting processes, secure storage, appropriate linkage methods, standardizing and aligning processes, public health data Jared Parrish, Stephany Strahle, Shannon Vance This five-phase framework for linking PRAMS data can help in the preparation, execution, and analysis of linked PRAMS data and the establishment of sustainable linkage. This report offers a framework for integrating the Pregnancy Risk Assessment Monitoring System (PRAMS) with administrative data sources. Comprised of in-depth tools and resources, it can help jurisdictions create a robust systematic approach to linkages, increasing understanding of maternal and child health outcomes. The framework is broken into five main phases: linkage preparation, data preparation, data linkage, research dataset creation and analysis, and sustainability. By following its guidance, public health agencies and researchers will be able to optimize integrated data to address pressing public health challenges effectively. Get the Report (PDF) website yes

Polysubstance Use During Pregnancy and the Benefits of Universal Verbal Screening polysubstance use, universal verbal screening, health equity, polysubstance use during pregnancy, public health, substance use disorder, health problems, health care, health outcomes, prescription medications, increase the risk, risk of overdose, pregnant women, treatment programs, health service, illicit drugs, birth defects, increased risk, neonatal abstinence syndrome nas, fetal alcohol spectrum disorder, prescription drugs, multiple substances, risk factors, prescription opioids Shannon Vance Polysubstance Use During Pregnancy and the Benefits of Universal Verbal Screening Polysubstance use, the use of two or more substances, during pregnancy is common and can result in negative outcomes for both mothers and infants. This report explores the occurrence of polysubstance use in pregnancy, details the advantages of universal verbal screening in pregnancy, and emphasizes the importance of health equity in providing this care to patients. Get the Report (PDF) website yes