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Rural Health
Resources by Topic: Maternal health and prenatal care

Tracking The Elusive Medicaid Workforce To Improve Access
Discusses challenges to evaluating Medicaid enrollees' access to primary care providers. Describes how the Fitzhugh Mullan Institute for Health Workforce Equity used the Transformed Medicaid Statistical Information System (T-MSIS) to examine the primary care workforce providing healthcare to Medicaid enrollees. Outlines Medicaid workforce policy challenges, including federal regulations, workforce composition and supply, and community and market factors.
Author(s): Candice Chen, Qian "Eric" Luo, Mandar Bodas, et al.
Citation: Health Affairs Forefront
Date: 08/2023
Type: Document
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Where You Live Matters: Maternity Care Deserts and the Crisis of Access and Equity
Provides interactive state-by-state data on maternity care deserts in the U.S. Focuses on access, distance to maternity care, availability of family planning services, disparities in prenatal care, chronic health conditions and preterm birth, policy solutions, and more. Includes county-level maps of data as well as accompanying state summaries, infographics, and downloadable reports.
Date: 08/2023
Type: Website
Sponsoring organization: March of Dimes
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Racial and Rural-Urban Disparities in Maternal Cardiac Disease Care in North Carolina: A Call to Action
Analyzes cardiac-specific severe maternal morbidity of rural and urban, as well as Black and White, populations using data from the 2019 North Carolina State Inpatient Database. Provides statistics on delivery hospitalizations in North Carolina, including births with preexisting maternal cardiac disease, maternal cardiac disease outcomes, and patient characteristics. Discusses disparities in comorbidities, cardiac categories, and health outcomes.
Author(s): Julia M. Moyett, Linda M. Zambrano Guevara, Divya P. Mallampati, et al.
Citation: North Carolina Medical Journal, 84(4), 249-256
Date: 07/2023
Type: Document
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Montana Healthcare Foundation Annual Report, 2022
Provides an overview of the Montana Healthcare Foundation's work in 2022. Features sections on grantmaking, American Indian health, behavioral health, Medicaid and health policy, public health, school-based health centers, housing, and grant application assistance.
Date: 07/2023
Type: Document
Sponsoring organization: Montana Healthcare Foundation
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New Mexico State-Tribal Collaboration Act Agency Report 2023
Summarizes collaboration between New Mexico state agencies and tribal nations in New Mexico regarding current public health priorities, including COVID-19, substance use disorder, homelessness, and cancer. Identifies resources available for American Indians from each New Mexico department and activities and funding for the fiscal year 2023, covering community health workers, cancer, diabetes, suicide prevention, and more.
Date: 07/2023
Type: Document
Sponsoring organization: New Mexico Department of Health
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Developing a National-Scale Exposure Index for Combined Environmental Hazards and Social Stressors and Applications to the Environmental Influences on Child Health Outcomes (ECHO) Cohort
Discusses the process of building an index to assess environmental hazards and social stressors on pregnancy. Utilizes factors such as pollution, lack of green space, social economic status, social vulnerability, race/ethnicity, metro versus non-metro location, and more to define exposure risk.
Author(s): Sheena E. Martenies, Mingyu Zhang, Anne E. Corrigan, et al.
Citation: International Journal of Environmental Research and Public Health, 20(14), 6339
Date: 07/2023
Type: Document
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Predictive Risk Factors for Childbirth-Associated Breast Infections in the United States: A 10-Year Perspective
Analyzes factors associated with breast infections in mothers by type of infection, type of hospital admission, and associated length of stay (LOS) in hospital. Utilizes 2005-2014 National Inpatient Sample (NIS) data to examine infection according to demographic factors, comorbidities, severity of illness, and hospital location, such as teaching urban, non-teaching urban, and rural.
Author(s): Klaudia J. Koziol, Abbas Smiley, Rifat Latifi, Maria T. Castaldi
Citation: International Journal of Environmental Research and Public Health, 20(14), 6333
Date: 07/2023
Type: Document
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A Multi-Year Look at Maternal Mortality in Missouri 2018-2020 Pregnancy-Associated Mortality Review
Provides an overview of maternal mortality in Missouri, with a focus on maternal health, demographic disparities, context surrounding maternal mortality, and prevention strategies. Includes county-level map as well as rural versus urban comparisons of mortality rates.
Date: 07/2023
Type: Document
Sponsoring organization: Missouri Department of Health and Senior Services
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Tackling the Maternal and Infant Health Crisis: A Governor's Playbook
Provides an overview of maternal morbidity and mortality trends, including racial and geographic disparities, as well as the underlying causes of poor maternal health in the United States. Outlines 32 recommendations across five priority areas that can be implemented in coordination with critical stakeholders, such as industry and community leaders, community-based organizations, faith-based organizations, and people with lived experience. Priority 3 covers recommendations related to disparities affecting Black and American Indian/Alaska Native individuals. Includes rural references throughout.
Date: 07/2023
Type: Document
Sponsoring organizations: Afton Bloom, Boldly Go Philanthropy, National Governors Association
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State Differences in Recommended Components of Care Received During Postpartum Visits for Rural and Urban Residents, 2016-2019
Policy brief measuring state-level differences in receipt of recommended postpartum care components for urban and rural residents, using data from the Pregnancy Risk Assessment Monitoring System. Features statistics on the median number of postpartum care components with breakdowns by state and rurality, and state-level maps with shadings showing frequency of screening for depression, smoking, abuse, and counseling for contraception, eating and exercise, and birth spacing.
Author(s): Julia D. Interrante, Phoebe Chastain, Katy Backes Kozhimannil
Date: 07/2023
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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