happy children, mother and child, and expecting mother and father

Goal 2: Diversity and Health Equity

Prepare and empower MCH leaders from diverse communities to promote health equity, wellness, and reduce disparities in health and health care

Strategy 2.1

Support effective approaches that improve recruitment and retention of faculty and trainees of diverse or nontraditional backgrounds to address emerging MCH workforce needs.


  • Increase and support MCH pipeline programs at institutions that have a demonstrated record of training individuals who are from disadvantaged backgrounds (including racial and ethnic minorities) and who are underrepresented in the maternal and child health field.
  • Increase diversity of faculty and trainees in MCHB supported graduate education programs through learning collaboratives and other innovative approaches.
  • Implement recommendations from the diversity learning collaborative evaluation.
  • Ensure that all training programs have a focus on diversity by including activities in program guidances, program reviews and site visits, and strengthen requirements around institutional diversity statements.

Strategy 2.2

Support programs that address disparities and inequities (and their underlying causes including racism and other forms of marginalization) through development of curricula, research, learning and practice environments.


  • Assess current resources available from training programs and partners (e.g., Roots of Health Inequality course, lessons from place-based initiatives) and share with MCH Training Programs.
  • Provide resources to support expansion of curricula that address disparities and inequities.
  • Partner with communities and community-based programs to develop resources to address disparities and inequities, and actively collaborate around place-based initiatives, including Healthy Tomorrows Partnership for Children grantees.
  • Partner with federal agencies to leverage resources and to maximize reach and spread of health equality efforts in DMCHWD programs.
  • Seek experts in the field to advise grantees and the DMCHWD on developing a plan to address disparities and inequities.
  • Support MCHB staff development activities to increase awareness and understanding of disparities and inequities including dissemination of health equity resources.

Strategy 2.3

Support programs that address cultural and linguistic competence through development of curricula, research, learning and practice environments.


  • Ensure that all training programs have a focus on cultural and linguistic competence by including activities in program guidances, program reviews and site visits.
  • Implement culturally competent performance reviews to regularly assess grantee and DMCHWD policies, structures and practices that support cultural and linguistic competence.
  • Develop and disseminate cultural and linguistic competence resources such as assessment tools and guides for practice.
  • Regularly update the DMCHWD web site to provide resources on cultural and linguistic competence for grantees and MCHB staff.
  • Through the MCHB Workforce Development Committee, assure the availability of training for DMCHWD and MCHB staff. Measuring Progress in Diversity and Health Equity (sample measures):
  • By 2020, increase the percent of trainees from underrepresented and diverse backgrounds by 25 percent.
  • Sustain and improve diversity among faculty and trainees in DMCHWD graduate training programs by annually reporting on race/ethnicity data and sharing best practices.
  • Annually assess community-based program efforts to address disparities and inequities through the Healthy Tomorrows for Children Partnership program.
  • Annually, track DMCHWD activities that develop resources on disparities and inequities, such as development of curricula, conferences and training events, and content available through the MCH Navigator and TRAIN.
  • Annually report on the degree to which MCHB-funded programs have incorporated cultural and linguistic competence elements into their policies, guidelines, contracts, and training.
  • Annually report on the degree to which LEAH Programs Incorporate Diverse Adolescents and Parents into the Training Program.
  • By 2015, collaborate with other federal agencies and nonprofit organizations to set targets and measure performance.
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