Child Health

Home Visiting image: In FY 2015, the Federal Home Visiting Program served approximately 145,500 parents and children in all 50 states, DC and 5 territories.

As children grow, they develop skills that impact the rest of their lives. As such, we created several initiatives and programs to build systems that improve the physical and emotional health of children.

These shared efforts promote best-in-class emergency medical care for children and encourage positive parenting, child development, and school readiness.

What Are Our Goals?

Increase the number of children who receive a developmental screening.

  • Early identification of developmental disorders is critical to the well-being of children and their families. The American Academy of Pediatrics recommends screening tests begin at the nine-month visit.

Decrease the number of hospital admissions for non-fatal injury among children ages zero through nine.

  • Reducing the burden of non-fatal injury can greatly improve the quality of life and cost savings for children and their families.

Increase the number of children who are adequately insured.

  • Inadequately insured children are more likely to lack appropriate and timely care, be without a medical home, and be less likely to receive needed referrals and family-centered care.

Increase access to comprehensive oral health care for MCH populations most at risk for oral disease.

  • Children from mothers with poor oral health develop tooth decay at a higher rate, with 1 in 5 affected in early childhood. When left untreated, tooth decay can harm children’s quality of life and impair academic performance.
  • Learn about HRSA’s School-Based Comprehensive Oral Health Services programExit Disclaimer in the recent Maternal and Child Health Journal article.

Which Programs and Initiatives Help Us Achieve Our Goals?

  • Title V MCH Block Grant
  • Home Visiting
  • National Fetal, Infant, and Child Death Review Program: MCHB provides direction and funding to support states and localities in creating review teams to raise awareness about fetal, infant and child deaths, prevent future deaths, and address emerging issues.

    Fetal and infant mortality reviews (FIMRs) and child death reviews (CDRs) provide insight into gaps in services, systems and modifiable risk factors, helping to create and maintain risk reduction and prevention programs. MCHB currently supports 175 FIMR programs, including multiple Healthy Start programs, by providing technical assistance and support.

    MCHB has provided leadership, training and aid to 1,350 CDR teams and state CDR coordinators in all 50 states and D.C. since 2002, which has led to a standardized data collection form and a cost-free National Case Reporting System Exit Disclaimer into which nearly 200,000 child deaths have been entered.

  • The Emergency Medical Services for Children (EMSC) program is the only federal grant program specifically focused on addressing the distinct needs of children in prehospital and hospital emergency medical systems. The EMSC Program works to ensure that seriously sick or injured children have access to the same high-quality pediatric emergency health care, no matter where they live in the United States.

    Six main investments work to improve the capacity and capability of pre-hospital EMS agencies and hospital emergency departments to improve pediatric health outcomes:

    • Pediatric Emergency Care Applied Research Network: conducts rigorous multi-institutional research in the Emergency Department and prehospital EMS settings to increase the evidence base for appropriate and effective treatment that improves health outcomes for acute illnesses and injuries in children.
    • State Partnership: Expands and improves a state’s capacity and capabilities for delivery of evidence-based, effective pediatric emergency care in alignment with best practice standards.
    • State Partnership Regionalization of Care:  Develops replicable models of regionalized health care that improve access to and quality of pediatric emergency services for children in tribal and rural communities.
    • Targeted Issues: Supports investigator-driven research and innovative crosscutting projects that translate research into practice and contribute to the evidence base for improving pediatric health outcomes related to emergency care.
    • EMSC Data Center: Provides monitoring, data management, bio statistical support and analysis, and consultation to support Pediatric Emergency Care Applied Research Network studies as well as performance measure and statistical support to EMSC grantees.
    • EMSC Innovation and Improvement Center: Helps state prehospital and hospital EMS systems achieve improved health outcomes in pediatric emergency care by testing and scaling improvements.
Date Last Reviewed:  September 2018