Rural Health
Resources by Topic: Maternal health and prenatal care
Arizona Workforce Report: Obstetrician-Gynecologist Physicians and Certified Nurse Midwives
Reports on the availability of maternal health providers in rural Arizona, including an overview of women's health and rural maternal health disparities. Examines maternal health workforce by rural-metro designation, state and county, education, and more using Arizona Medical Board and Arizona Board of Osteopathic Examiners data.
Author(s): B Koch, S Coates, B Brady, et al.
Date: 01/2020
Type: Document
Sponsoring organization: Arizona Center for Rural Health
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Reports on the availability of maternal health providers in rural Arizona, including an overview of women's health and rural maternal health disparities. Examines maternal health workforce by rural-metro designation, state and county, education, and more using Arizona Medical Board and Arizona Board of Osteopathic Examiners data.
Author(s): B Koch, S Coates, B Brady, et al.
Date: 01/2020
Type: Document
Sponsoring organization: Arizona Center for Rural Health
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Medicaid's Role in Financing Maternity Care
Examines the characteristics of births financed by Medicaid and other payers in 2018. Describes the demographics and health status of pregnant women by insurance type, including urban versus rural residence. Provides state-by-state data on births by payer as well as the location of birth, access to prenatal care, and birth outcomes among Medicaid beneficiaries.
Date: 01/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Examines the characteristics of births financed by Medicaid and other payers in 2018. Describes the demographics and health status of pregnant women by insurance type, including urban versus rural residence. Provides state-by-state data on births by payer as well as the location of birth, access to prenatal care, and birth outcomes among Medicaid beneficiaries.
Date: 01/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Expecting More: Addressing America's Maternal and Infant Health Crisis
Provides recording and witness testimony from the U.S. House of Representatives' Joint Subcommittee on Health, Employment, Labor, and Pensions and Workforce Protections Hearing on maternal mortality and disparities in maternal and infant care. Testimony includes some discussion of maternity care in rural areas.
Additional links: Joia Crear Perry Testimony, Stacey D. Stewart Testimony, Video of Hearing
Date: 01/2020
Type: Website
Sponsoring organization: U.S. House of Representatives
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Provides recording and witness testimony from the U.S. House of Representatives' Joint Subcommittee on Health, Employment, Labor, and Pensions and Workforce Protections Hearing on maternal mortality and disparities in maternal and infant care. Testimony includes some discussion of maternity care in rural areas.
Additional links: Joia Crear Perry Testimony, Stacey D. Stewart Testimony, Video of Hearing
Date: 01/2020
Type: Website
Sponsoring organization: U.S. House of Representatives
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Maternal Morbidity among Women in Medicaid
Provides an overview of severe maternal morbidity and mortality (SMMM) among Medicaid beneficiaries. Presents data on SMMM rates by insurance payer, race/ethnicity, and geography, including differences among rural and urban residents. Presented by Dr. Katy Kozhimannil, director of the University of Minnesota Rural Health Research Center, at the January 2020 MACPAC meeting.
Author(s): Katy B. Kozhimannil
Date: 01/2020
Type: Presentation Slides
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of severe maternal morbidity and mortality (SMMM) among Medicaid beneficiaries. Presents data on SMMM rates by insurance payer, race/ethnicity, and geography, including differences among rural and urban residents. Presented by Dr. Katy Kozhimannil, director of the University of Minnesota Rural Health Research Center, at the January 2020 MACPAC meeting.
Author(s): Katy B. Kozhimannil
Date: 01/2020
Type: Presentation Slides
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Border Health Status Report of the 44 U.S. Counties at the U.S.- Mexico Border
A review of selected 20 topic health indicators using public use data obtained from 44 counties, mostly rural, located along the U.S.-Mexico border region and within the states of Arizona, California, New Mexico, and Texas. Offers health indicator data for selected measurable objectives having baseline data on overall mortality, and mortality rates for diabetes, heart disease, cervical cancer, breast cancer, unintentional injuries, and road traffic-related. Health indicator data is also provided for non-measurable objectives, due to a lack of baseline data, on asthma, maternal mortality, gonorrhea, and congenital syphilis.
Author(s): Nicole Baker, Nicole Baker, Juan Albertorio, Alfonso Rodríguez-Lainz
Date: 2020
Type: Document
Sponsoring organization: United States-México Border Health Commission
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A review of selected 20 topic health indicators using public use data obtained from 44 counties, mostly rural, located along the U.S.-Mexico border region and within the states of Arizona, California, New Mexico, and Texas. Offers health indicator data for selected measurable objectives having baseline data on overall mortality, and mortality rates for diabetes, heart disease, cervical cancer, breast cancer, unintentional injuries, and road traffic-related. Health indicator data is also provided for non-measurable objectives, due to a lack of baseline data, on asthma, maternal mortality, gonorrhea, and congenital syphilis.
Author(s): Nicole Baker, Nicole Baker, Juan Albertorio, Alfonso Rodríguez-Lainz
Date: 2020
Type: Document
Sponsoring organization: United States-México Border Health Commission
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Striving for Birth Equity: Family Medicine's Role in Overcoming Disparities in Maternal Morbidity and Mortality
Policy position paper examining disparities in maternal morbidity and mortality, and offering recommendations for ways in which family physicians, educators, and policy makers can facilitate and advocate for change. Mentions rural throughout.
Date: 2020
Type: Document
Sponsoring organization: American Academy of Family Physicians
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Policy position paper examining disparities in maternal morbidity and mortality, and offering recommendations for ways in which family physicians, educators, and policy makers can facilitate and advocate for change. Mentions rural throughout.
Date: 2020
Type: Document
Sponsoring organization: American Academy of Family Physicians
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Determinants of Rural-Urban Differences in Health Care Provider Visits Among Women of Reproductive Age in the United States
Uses nationally representative data to investigate whether rural and urban women of reproductive age experience differences in healthcare provider visits. Features rural/urban comparisons on individual- and county-level characteristics and medical provider visits by type of healthcare professional.
Author(s): Hyunjung Lee, Ashley H. Hirai, Ching-Ching Claire Lin, John E. Snyder
Citation: PLos One, 15(12), e0240700
Date: 2020
Type: Document
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Uses nationally representative data to investigate whether rural and urban women of reproductive age experience differences in healthcare provider visits. Features rural/urban comparisons on individual- and county-level characteristics and medical provider visits by type of healthcare professional.
Author(s): Hyunjung Lee, Ashley H. Hirai, Ching-Ching Claire Lin, John E. Snyder
Citation: PLos One, 15(12), e0240700
Date: 2020
Type: Document
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2020 Navajo Nation Maternal and Child Health Needs Assessment
Report documenting a Maternal and Child Health (MCH) Needs Assessment for the Navajo Nation reservation. Describes health status, healthcare system strengths and weaknesses, and uses a Navajo-specific cultural framework to discuss health outcomes in relation to environmental, community, family, and individual health. Offers data on demographics, environmental health, women's health, maternal health, perinatal and infant health, child health, and adolescent health.
Date: 2020
Type: Document
Sponsoring organizations: Arizona Department of Health Services, Navajo Nation Department of Health, Navajo Native American Research Centers for Health
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Report documenting a Maternal and Child Health (MCH) Needs Assessment for the Navajo Nation reservation. Describes health status, healthcare system strengths and weaknesses, and uses a Navajo-specific cultural framework to discuss health outcomes in relation to environmental, community, family, and individual health. Offers data on demographics, environmental health, women's health, maternal health, perinatal and infant health, child health, and adolescent health.
Date: 2020
Type: Document
Sponsoring organizations: Arizona Department of Health Services, Navajo Nation Department of Health, Navajo Native American Research Centers for Health
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Birth Settings in America: Outcomes, Quality, Access, and Choice
Examines factors that influence maternal and newborn care in the United States, including social determinants such as geographic variability in access to birth settings. Explores challenges faced by women in rural and underserved areas. Includes statistics on infant mortality rates in 2014 with breakdowns by rural or urban locations, and county-level maps showing access to providers and hospitals offering obstetric services.
Additional links: Read Online
Author(s): Board on Children, Youth, and Families
Date: 2020
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Examines factors that influence maternal and newborn care in the United States, including social determinants such as geographic variability in access to birth settings. Explores challenges faced by women in rural and underserved areas. Includes statistics on infant mortality rates in 2014 with breakdowns by rural or urban locations, and county-level maps showing access to providers and hospitals offering obstetric services.
Additional links: Read Online
Author(s): Board on Children, Youth, and Families
Date: 2020
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Rural-Urban Differences In Severe Maternal Morbidity And Mortality In The US, 2007–15
Analyzes severe maternal morbidity and mortality among rural and urban residents during childbirth. Examines data from the 2007-2015 National Inpatient Sample with breakdowns according to age, insurance type, race/ethnicity, income, Census region, and rurality. Discusses policy implications and strategies to reduce maternal morbidity and mortality.
Author(s): Katy Backes Kozhimannil, Julia D. Interrante, Carrie Henning-Smith, Lindsay K. Admon
Citation: Health Affairs, 38, 12
Date: 12/2019
Type: Document
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Analyzes severe maternal morbidity and mortality among rural and urban residents during childbirth. Examines data from the 2007-2015 National Inpatient Sample with breakdowns according to age, insurance type, race/ethnicity, income, Census region, and rurality. Discusses policy implications and strategies to reduce maternal morbidity and mortality.
Author(s): Katy Backes Kozhimannil, Julia D. Interrante, Carrie Henning-Smith, Lindsay K. Admon
Citation: Health Affairs, 38, 12
Date: 12/2019
Type: Document
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