This paper presents findings from a 5-year research project involving 50 primarily rural families with infants identified neonatally in birth crisis, or shortly thereafter, as having developmental disabilities. Parents were interviewed to gather information on their perceptions of and experiences with the early intervention (EI) process.…

This fact sheet outlines some demographic trends that are influencing the cost and availability of health care for children and making it increasingly necessary to take action to improve the health of the nation's children. In recent years children, as a group, are more likely to be poor, lack health insurance, have working mothers, receive…

WIC, the Special Supplemental Nutrition Program for Women, Infants, and Children, is a federal program operated through state and local agencies. American Indian tribal organizations administer WIC programs on tribal lands. There are currently 32 tribal WIC programs. Tribes often contribute significant resources of their own in the form of office…

This report presents 2001 data on U.S. births according to maternal demographics (age, live-birth order, marital status, race, Hispanic origin, and educational attainment); maternal characteristics (medical risk factors, weight gain, and tobacco and alcohol use); pregnant women's medical care utilization (prenatal care, obstetric procedures,…

This report profiles the 2000 status of and changes (since 1990) in rates of health and health-related measures for racially and culturally diverse populations living in the 100 largest U.S. cities and their suburbs. Data came from the U.S. Census Bureau and Centers for Disease Control and Prevention to identify patterns in race/ethnicity, foreign…

Noting prenatal and early childhood home visitation by nurses has had positive effects on birth outcomes in several at-risk populations, this study examined the impact of weekly home visits by systematically trained visitors on birth outcomes of high-risk pregnant women within the context of a Florida Healthy Start project. Participating were…

Among 41 Mexican immigrant women interviewed soon after giving birth, everyday pregnancy care (often family-influenced) guided maternal behaviors in pregnancy and positively affected birth weight. Interviewees had positive birth outcomes despite low incomes, low education levels, and lack of access to medical care. Discusses implications for…

The paper reviews demographic and health status data for Hispanic communities and relates them to the role of culture in health care, recommending that health promotion programs focus on specific community data, understand the impact of culture and language, develop powerful outreach, and team up with community-based organizations. (SM)

Recent criticisms of Project Head Start have resulted in plans to improve program services and to expand in a more thoughtful manner to make the program more responsive to the needs of children and families. New directions include expansion below and beyond the ages previously served by Head Start. (SLD)

Investigated taboos and beliefs about the nutritional value of foods among pregnant women from Nigeria's Hausa and Yoruba tribes. Found that Hausa women had greater nutritional anemia than Yoruba women; their babies had greater incidence of low birth weights and smaller chest and head measurements. Hausa women learned food-related beliefs from…

The Enhancing Patient Prenatal Education study tested the feasibility and educational impact of an interactive program for patient prenatal genetic screening and testing education. Patients at two private practices and one public health clinic participated (N = 207). The program collected knowledge and measures of anxiety before and after use of…

The Yakima First Steps Mobilization Project for Pregnant Substance Abusers, known as First Steps PLUS, is a demonstration project. The project seeks to improve the health outcomes of pregnant substance abusing women and their infants by enhancing existing perinatal services provided through Washington's First Steps Maternity Care Program and by…

In the early 1980s, the Ford Foundation launched a grants program called Child Survival/A Fair Start for Children (CS/FS) that addressed issues related to birth and infant health and development among families that were poor and underserved by traditional human services. This book reports on each of seven CS/FS projects, describing the concerns…

This Kids Count issue brief details the strides made in Rhode Island over the last 10 years to improve maternal and child health, focusing on efforts to reduce racial and ethnic disparities. The brief notes that Rhode Island has made significant progress in several areas of maternal and infant care, most notably in access to insurance and early…

This report summarizes research on interventions intended to improve four key breastfeeding behaviors: early initiation of breastfeeding, feeding of colostrum to newborns, exclusive breastfeeding for the first 0-6 months, and continued breastfeeding through the second year and beyond. It clarifies what is known about improving these practices in…