Thirty years of maternal-child health policies in the community.
This article reviews outcomes, indicators, and challenges for building evidence-based practice in community maternal-child health (MCH), and includes promising new design and analytical strategies. In addition, 10 topic areas are listed, which are the foundation of community MCH evidence: (1) evidence of health behavior on mortality/morbidity; (2) theoretical underpinnings of public policy interventions; (3) evidence of growing health disparities; (4) the potential of exploding information technologies; (5) data on aging, maternity, employment, and lactation; (6) data on the changing face of HIV/AIDS; (7) data on the changing way we give birth; (8) drug safety registries; (9) antibiotic-resistant organisms; and (10) environmental pollutants and health. In addition, evidence of indirect and global influences on community MCH is reviewed and the principles of lifestyle change and health promotion are emphasized.
Tiedje
Linda Beth
LB
Department of Epidemiology, School of Human Medicine, Michigan State University, East Lansing, USA. tiedje@msu.edu
D002648:Child; D002662:Child Health Services / Q000458:organization & administration; D002669:Child Welfare; D003152:Community Health Nursing / Q000458:organization & administration*; D003153:Community Health Services / Q000458:organization & administration; D003625:Data Collection; D019317:Evidence-Based Medicine / Q000458:organization & administration*; D005260:Female; D015438:Health Behavior; D006291:Health Policy; D006292:Health Priorities; D006293:Health Promotion; D006305:Health Status Indicators; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D008019:Life Style; D008427:Maternal Health Services / Q000458:organization & administration; D008428:Maternal Mortality; D008429:Maternal Welfare; D016389:Maternal-Child Nursing / Q000458:organization & administration*; D009017:Morbidity; D020380:Needs Assessment; D015403:Nursing Evaluation Research; D017063:Outcome Assessment, Health Care; D011159:Population Surveillance; D011247:Pregnancy; D014481:United States / Q000453:epidemiology