About the Maternal and Child Health Bureau (MCHB)

MCHB is part of the Health Resources and Services Administration (HRSA), an operating division of the U.S. Department of Health and Human Services.

Mission

To improve the health and well-being of America's mothers, children, and families.

Vision

An America where all mothers, children, and families are thriving and reach their full potential.

Approach

To achieve our vision, we rely upon evidence-based strategies to implement our programs and monitor their effectiveness through data-driven means.

Our commitment aligns with the broader goals of HRSA:

Improve access to quality health care and services

MCHB supports patient-centered, evidence-based programs that improve healthcare access and quality for families.

  • In 2018, the Maternal and Child Health Block Grant Program funded 59 states and jurisdictions to provide health care and public health services for an estimated 55 million people (including pregnant women, infants, children, and children with special needs), and their families in the United States: 91% of all pregnant women, 99% of infants, and 54% of children nationwide benefitted from a Title V-supported service.  Included in the over 47 million children served, Title V supported direct and/or enabling services for 1.6 million children with special health care needs.
  • The Emergency Medical Services for Children (EMSC) program works to ensure that all children in America, when they are seriously sick or injured, have access to the same high-quality pediatric emergency care.

Strengthen the health workforce

We support the next generation of interdisciplinary leaders in maternal and child health.

MCH Workforce Development grants develop trainees for leadership roles in teaching, research, clinical practice, public health administration and policymaking, and community-based programs. In FY 2014, the grant programs supported more than 33,000 trainees.

Build healthy communities

We partner with states, communities, and families to respond to the unique health needs of mothers and children throughout the nation.

Through the Healthy Start program, we reduce racial and ethnic disparities in infant mortality to improve birth outcomes. The program focuses on women’s health before, between, and beyond pregnancies; improving the quality of care provided to pregnant women; making families strong; and strengthening father involvement.

At the community level, Healthy Start gives families the opportunity to make the choices that allow them to live long, healthy lives, regardless of their income, education, or racial or ethnic background. Healthy Start grantees help coordinate other perinatal health activities in their communities.

Improve health equity

We aim to give every child and family a fair shot at reaching their fullest potential.

  • The Maternal, Infant, and Early Childhood Home Visiting Program serves many of the nation’s most vulnerable families. In FY 2016: 74% of participating families had household incomes at or below 100% of the Federal Poverty guidelines ($24,300 for a family four), and 44% were at or below 50% of those guidelines.
  • The MCH Research Program supports research that addresses the needs of underserved populations, including families and children:
    • living in poverty,
    • in rural and urban areas,
    • from diverse ethnic and racial backgrounds,
    • with special health care needs, and/or
    • at high risk of poor health and/or developmental outcomes.

Strengthen program operations

Engaging stakeholders at all levels, we transformed the Title V Block Grant Program to ensure continued effectiveness and readiness to respond to current and future needs facing the Nation’s mothers and children, including children with special health care needs.

We aimed to reduce state burden, maintain flexibility for states in meeting their individual needs, and improve accountability.

Our areas of expertise

MCHB programs (PDF - 2.7 MB) seek to ensure the health and well-being of women and children across their lives:

  • when a woman is of childbearing age;
  • when a woman is pregnant;
  • when a child is born;
  • if the child has special health care needs; and
  • as a child grows.

Primarily, we support states and jurisdictions through the Title V Maternal and Child Health Block Grant. Title V complements the our portfolio of discretionary and appropriated grant programs.

Along with partners from other federal agencies, states, communities, professional groups, and family organizations, MCHB’s divisions and offices collaborate to support MCHB’s overall mission.

To ensure optimal health and development across the lifespan of the MCH population, all programs and efforts focus on the following five areas:

How our programs and policies span across a child's life

Each step in a child’s growth is crucial to their physical, emotional, and social well-being.

Our programs and policies allow states and communities to do the following:

  • Recommend immunizations
  • Improve and maintain oral health
  • Reduce obesity through access to information and programs that promote proper nutrition and physical activity
  • Prevent tobacco use

How we prioritize research and training

To put research into practice and policy, we take an integrative and transdisciplinary approach to investigate and address maternal and child health problems.

We provide access to data on a wide range of key child health indicators — at both the state and national levels — through our National Survey of Children’s Health and by supporting original research on the most pressing challenges facing American children and their families.

Complementing this research, our investments in training supports the practicing MCH workforce and the next generation of MCH leaders.

How we measure success

We tie each of our efforts to specific measurements that monitor performance and outcomes to most effectively improve health for U.S. mothers, children, and families.

Use the Title V Information System (TVIS) and the Discretionary Grants Information System (DGIS) to search for data.

Date Last Reviewed:  December 2019


Contact Us

Associate Administrator
Michael Warren, MD, MPH, FAAP
301-443-2170

Deputy Associate Administrator
Laura Kavanagh, MPP
301-443-2170

Key Staff

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Fast Facts

Headquarters
5600 Fishers Lane
Rockville, MD 20857

Staff
198 employees as of 03/05/18

Funding
$1.33 billion in FY 2019

History
Maternal & Child Health Timeline