In recent years, the health care system in the United States has undergone close scrutiny and marked changes. Major transformations are occurring in the public and private sectors of the nation's health care financing and delivery systems. As these systems evolve and change, several key functions remain the critical means by which local, state, and federal agencies can fulfill their responsibility to protect and promote the nation's health.
A 1988 Institute of Medicine (IOM) Report, The Future of Public Health, characterized the core functions of public health as assessment, policy development, and assurance. In a 1994 document entitled Public Health in America, the Public Health Service, in collaboration with the Institute of Medicine and the leadership of national public health organizations, subsequently identified 10 "Essential Public Health Services" which implement the core functions.
The Public MCH Program Functions Framework: Essential Public Health Services to Promote Maternal and Child Health in America was created as a tool for state, local, and federal MCH programs as they serve their communities, provide leadership in addressing public health problems, create linkages and partnerships with other agencies and organizations, educate policymakers, and prepare strategic plans for the future. The Framework is composed of "Ten Essential Public Health Services to Promote Maternal and Child Health in America."
This document was developed through a partnership between the WCHPC and the:
Since the publication of the Public MCH Program Functions Framework: Essential Public Health Services to Promote Maternal and Child Health in America, more than 15,000 copies of the full framework document and the Summary have been disseminated nationally. The framework has been the topic of national and regional conference presentations, has been incorporated into curricula, and is serving as a guide for state and local MCH programs in outlining their roles and priorities amidst the shifting landscape of the service delivery system for women, children and families.
Public MCH Program Functions Framework: Essential Public Health Services to Promote Maternal and Child Health in America -- State Applications was prepared in response to requests from state and local MCH programs for examples of how to apply the MCH functions on a day-to-day basis, also providing examples that are useful when State Title V programs are proposing budgets for new or revised programs.
Again initiated at the request of State MCH programs, Capacity Assessment for State Title V Programs (CAST-5) provides a process for articulating program vision, mission, and strategies for reaching population health goals; assessing performance of core functions; identifying organizational resources necessary for optimal performance, and; developing a capacity-building action plan. For more information about CAST-5, please click on the link above, or visit the Association of Maternal and Child Health Programs (AMCHP) website.