Rural Health
Resources by Topic: Maternal health and prenatal care
Access to Maternity Providers: Midwives and Birth Centers
Provides an overview of the role of certified nurse-midwives and birth centers in Medicaid and how beneficiaries use these services. Describes policy issues and barriers to expanding access to midwives and birth centers, including payment policies; contracting with managed care organizations; licensure, certification, and accreditation; scope of practice; and limited supply. Includes rural considerations throughout.
Date: 05/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of the role of certified nurse-midwives and birth centers in Medicaid and how beneficiaries use these services. Describes policy issues and barriers to expanding access to midwives and birth centers, including payment policies; contracting with managed care organizations; licensure, certification, and accreditation; scope of practice; and limited supply. Includes rural considerations throughout.
Date: 05/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Evaluation of the Maternal Opioid Misuse (MOM) Model Second Annual Report (Implementation Year 1)
Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's first implementation year, July 1, 2021–June 30, 2022. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 04/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's first implementation year, July 1, 2021–June 30, 2022. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 04/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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National Advisory Committee on Rural Health and Human Services Meeting Summary, Bend, Oregon, April 26-28, 2023
Summarizes the 92nd meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Bend, Oregon. Presents an overview of national, tribal, and state perspectives on the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program.
Date: 04/2023
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Summarizes the 92nd meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Bend, Oregon. Presents an overview of national, tribal, and state perspectives on the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program.
Date: 04/2023
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Wisconsin Perinatal Periods of Risk (PPOR) Analysis, 2015–2019: Understanding Inequities in Fetal and Infant Mortality Impacting American Indian and Alaska Native Communities
Provides an overview of fetal and infant mortality in American Indian/Alaska Native (AI/AN) populations in Wisconsin from 2015-2019. Includes data on 4 perinatal periods of risk (PPOR) and comparisons between the AI/AN population and the general Wisconsin population. Discusses prevention areas and needs for culturally competent care related to sudden unexpected infant death (SUID), factors of low birthweight, and delivery complications and mortality related to low birthweight.
Additional links: Summary
Date: 04/2023
Sponsoring organization: Wisconsin Department of Health Services
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Provides an overview of fetal and infant mortality in American Indian/Alaska Native (AI/AN) populations in Wisconsin from 2015-2019. Includes data on 4 perinatal periods of risk (PPOR) and comparisons between the AI/AN population and the general Wisconsin population. Discusses prevention areas and needs for culturally competent care related to sudden unexpected infant death (SUID), factors of low birthweight, and delivery complications and mortality related to low birthweight.
Additional links: Summary
Date: 04/2023
Sponsoring organization: Wisconsin Department of Health Services
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Midwives: Information on Births, Workforce, and Midwifery Education
Presents data on midwife-attended births, the midwifery workforce, and challenges to obtaining midwifery care. Discusses midwifery education programs, the number of students in these programs, midwifery educational challenges, and available federal financial support through the Health Resources and Services Administration (HRSA) and the Indian Health Service (IHS). Describes challenges to measuring the quality of maternal healthcare, including midwifery care.
Additional links: Full Report
Date: 04/2023
Sponsoring organization: Government Accountability Office
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Presents data on midwife-attended births, the midwifery workforce, and challenges to obtaining midwifery care. Discusses midwifery education programs, the number of students in these programs, midwifery educational challenges, and available federal financial support through the Health Resources and Services Administration (HRSA) and the Indian Health Service (IHS). Describes challenges to measuring the quality of maternal healthcare, including midwifery care.
Additional links: Full Report
Date: 04/2023
Sponsoring organization: Government Accountability Office
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Nevada 2022 Rural Behavioral Health Profile: Elko, Eureka, Humboldt, Lander, Pershing, and White Pine Counties
Summarizes the behavioral health for 6 counties defined as rural in Nevada as of 2022. Includes general population statistics for the area as well as a discussion of mental health including suicide; substance use and misuse; and prenatal substance use and neonatal abstinence syndrome, among other topics.
Date: 04/2023
Sponsoring organization: Nevada Department of Health and Human Services
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Summarizes the behavioral health for 6 counties defined as rural in Nevada as of 2022. Includes general population statistics for the area as well as a discussion of mental health including suicide; substance use and misuse; and prenatal substance use and neonatal abstinence syndrome, among other topics.
Date: 04/2023
Sponsoring organization: Nevada Department of Health and Human Services
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Disparities in Health and Health Care: 5 Key Questions and Answers
Defines health and healthcare disparities and discusses the social and economic inequities that drive them. Provides details on the current status of health disparities in the U.S., the importance of addressing them, and what the federal government is doing to alleviate health disparities. Includes discussion of rural health disparities.
Author(s): Nambi Ndugga, Samantha Artiga
Date: 04/2023
Sponsoring organization: KFF
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Defines health and healthcare disparities and discusses the social and economic inequities that drive them. Provides details on the current status of health disparities in the U.S., the importance of addressing them, and what the federal government is doing to alleviate health disparities. Includes discussion of rural health disparities.
Author(s): Nambi Ndugga, Samantha Artiga
Date: 04/2023
Sponsoring organization: KFF
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Biopsychosocial Contexts of Timely and Adequate Prenatal Care Utilization among Women with Criminal Legal Involvement and Opioid Use Disorder
Examines utilization patterns of rural pregnant women with criminal legal involvement and opioid use disorder (CL-OUD) and adequate prenatal care utilization (APNCU). Analyzes medical records from 317 women with CL-OUD between 2015 and 2022 according to several social, health, and demographic factors, including rural versus non-rural prenatal location.
Author(s): Milan F. Satcher, Martha L. Bruce, Daisy J. Goodman, Sarah E. Lord
Citation: BMC Public Health, 23, 729
Date: 04/2023
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Examines utilization patterns of rural pregnant women with criminal legal involvement and opioid use disorder (CL-OUD) and adequate prenatal care utilization (APNCU). Analyzes medical records from 317 women with CL-OUD between 2015 and 2022 according to several social, health, and demographic factors, including rural versus non-rural prenatal location.
Author(s): Milan F. Satcher, Martha L. Bruce, Daisy J. Goodman, Sarah E. Lord
Citation: BMC Public Health, 23, 729
Date: 04/2023
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American Indian and Alaskan Native Maternal Mental Health
Report discusses the rates of maternal mental health conditions experienced by American Indian and Alaska Native women. Highlights correlations and contributing factors driving mental health disparities among native mothers.
Date: 03/2023
Sponsoring organization: Policy Center for Maternal Mental Health
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Report discusses the rates of maternal mental health conditions experienced by American Indian and Alaska Native women. Highlights correlations and contributing factors driving mental health disparities among native mothers.
Date: 03/2023
Sponsoring organization: Policy Center for Maternal Mental Health
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Opioid Use Disorder & Rural Resiliency Symposium 2023
Recordings of presentations at Opioid Use Disorder & Rural Resiliency Symposium in March 2023. Presentation topics include harm reduction, prevention for youth, farmworkers, resources for libraries and extension programs, medication treatment, marijuana use, and maternal health. Captions are available in the video players.
Date: 03/2023
Sponsoring organization: Southeast Rural Opioid Technical Assistance Regional Center
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Recordings of presentations at Opioid Use Disorder & Rural Resiliency Symposium in March 2023. Presentation topics include harm reduction, prevention for youth, farmworkers, resources for libraries and extension programs, medication treatment, marijuana use, and maternal health. Captions are available in the video players.
Date: 03/2023
Sponsoring organization: Southeast Rural Opioid Technical Assistance Regional Center
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