Beginning with its enactment in 1935 as part of the Social Security Act, the goal of Title V echoes that of the U.S. Maternal and Child Health Bureau (then the Children's Bureau), "to serve all children, to try to work out standards of care and protection which shall give to every child [a] fair chance in the world" (Julia Lathrop, first Chief of the Children's Bureau, 1912). This allows for specific MCH programs to provide a base to build upon, with the goal of improving the health of all women, children, youth, and families; indeed, Title V remains the only Federal program with this broad of a mandate. These topics reflect the diversity of the scope of Title V services:
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