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MCH Primer: An Angle on MCH Systems

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Date Developed: 1/1/2011. Source: Maternal and Child Health-Public Health Leadership Institute . Presenter(s): Lew Margolis, MD, MPH. Type: Narrated Slide Presentation. Level: Introductory. Length: 43 minutes.


This 43-minute presentation demonstrates how MCH systems are linked in the U.S. Dr. Margolis uses the WHO health system framework as a comparison tool to examine the MCH system. This framework includes Service Delivery, Health Workforce, Information, Medical Products, Financing, and Leadership/Governance. Four important legislative milestones in MCH history are also discussed: 1) the U.S. Congress established the Children’s Bureau in 1912, 2) passage of Titles IV and V, 3) creation and evolution of Medicaid (Title XIX of the Social Security Act), and 4) the passage of IDEA (Individuals with Disabilities Education Act). The presentation also touches on the framework of the MCH Pyramid of Health Services, including infrastructure-building services, population-based services, enabling services, and direct health care services.

Learning Objectives

• Learn the WHO Health Systems Framework.

• Describe the MCH Pyramid of Health Services.

Special Instructions

To access this learning opportunity, scroll down on the landing page to “MCH Primer: An Angle on MCH Systems” leadership module and click on “View Module Presentation.” No audio. Requires Flash in your web browser.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UE8MC25742; MCH Navigator for $180,000/year. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.