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Rural Health
Resources by Topic: Maternal health and prenatal care

Arizona Health Improvement Plan Summary Document 2021-2025
Describes state efforts to address health priorities in Arizona, including health equity, social determinants of health, mental well-being, and rural and urban underserved health. Notes visions and strategic plans for each priority area.
Date: 06/2021
Type: Document
Sponsoring organization: Arizona Department of Health Services
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Texas Women and Women's Health Providers: Metro v. Non-Metro
Report on the number of women's health providers in rural and urban areas of Texas. Includes a county-level breakdown of the ratio of providers per 100,000 people as well as counties with no providers. Also includes a comparison of the number of types of providers and average ages between rural and urban areas.
Date: 05/2021
Type: Document
Sponsoring organization: Texas Health and Human Services
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HHS Maternal-Child Health Emergency Planning Toolkit
Toolkit developed for healthcare providers, public health professionals, and social services providers focused on improving and addressing maternal and child health during emergencies. Provides resources, promising practices, and case studies related to planning for emergency preparedness, response, recovery, and mitigation for women who are pregnant or postpartum, infants, and young children. Includes discussion on the needs of underserved and rural populations during emergencies.
Date: 05/2021
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Impact of Socioeconomic Status, Race and Ethnicity, and Geography on Prenatal Detection of Hypoplastic Left Heart Syndrome and Transposition of the Great Arteries
Results of a study of 1,862 prenatal and postnatal patients from 21 North American cardiology centers, to determine whether socioeconomic and geographic factors were correlated with lower rates of prenatal detection of hypoplastic left heart syndrome (HLHS) and transposition of the great arteries (TGA). Also compares social determinants of health between the U.S. and Canada due to different healthcare systems. Features demographics and statistics with breakdowns by rural or nonrural location.
Author(s): Anita Krishnan, Marni B. Jacobs, Shaine A. Morris, et al.
Citation: Circulation, 143(20), 2049-2060
Date: 05/2021
Type: Document
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Comparison of Maternity Care Training in Family Medicine Residencies 2013 and 2019: A CERA Program Directors Study
Results of a study to examine the effects of the Accreditation Council for Graduate Medical Education's 2014 update requiring obstetrical experience during family medicine residency training to be changed from a volume-based to a competency-based requirement of 200 hours. Features statistics with breakdowns by 6 levels of community size, ranging from less than 30,000 to more than one million.
Author(s): Julia Fashner, Christina Cavanagh, Aimee Eden
Citation: Family Medicine, 53(5), 331-337
Date: 05/2021
Type: Document
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Evaluation of the Rural Maternity and Obstetrics Management Strategies Program: First Annual Report
Reports on the Rural Maternity and Obstetrics Management Strategies (RMOMS) program awardees' planning year 2019-2020. Introduces the program, the need for increased access to maternal and obstetric care in rural areas, and the program's strategic goals. Offers an overview of the 3 RMOMS awardees in Texas, Missouri, and New Mexico and rural maternal health challenges in each area.
Additional links: Executive Summary
Date: 04/2021
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Medicaid and Rural Health
Provides an overview of rural residents, including socioeconomic characteristics, insurance status, and health status. Explores the availability of healthcare providers in rural areas, with a focus on primary care providers and hospitals. Discusses the role of Medicaid in rural health, as well as Medicaid policies and services that are important for providing healthcare in rural communities.
Date: 04/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Maternal Mortality and Morbidity: Additional Efforts Needed to Assess Program Data for Rural and Underserved Areas
Provides an overview of maternal health disparities in rural and underserved areas, as well as health system, socioeconomic, and patient factors that can contribute to maternal health outcomes. Includes information on Centers for Disease Control and Prevention (CDC) and Health Resources and Services Administration (HRSA) programs implemented to reduced maternal morbidity and severe maternal mortality. Describes how CDC and HRSA use the data they collect and offers recommendations to improve the utilization of this data and coordination across federal agencies.
Additional links: Full Report
Date: 04/2021
Type: Document
Sponsoring organization: Government Accountability Office
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Illinois Maternal Morbidity and Mortality Report 2016-2017
Examines maternal morbidity and mortality in Illinois between 2016 and 2017. Identifies statewide patterns in maternal health and discusses factors that influence maternal health outcomes and disparities. Explores data by demographics, including race, age, and rural county residence. Presents policy recommendations aimed at preventing maternal morbidities and mortalities.
Additional links: Summary
Date: 04/2021
Type: Document
Sponsoring organization: Illinois Department of Public Health
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Trends in Singleton Preterm Birth by Rural Status in the U.S., 2012-2018
Policy brief showing variations in preterm birth by demographics, payment method, and participation in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) during pregnancy. Features statistics with breakdowns by 5 levels of population density.
Author(s): Maria J. Perez-Patron, Robin L. Page, Samson Olowolaju, Brandie D. Taylor
Date: 04/2021
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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