Maternal and Child Health Journal

, Volume 19, Issue 2, pp 236–239 | Cite as

Challenges and Opportunities Facing Maternal and Child Health (MCH) Professionals

  • Laura Kavanagh

The challenges facing today’s maternal and child health (MCH) professionals will require leaders who can adapt to a dramatically changing public health and health care landscape, and also make decisions and move forward with incomplete information [1]. The Patient Protection and Affordable Care Act (the Affordable Care Act) outlines promising new opportunities for seamlessly moving between personal health care and population health, which are critical if as a nation we are to achieve the triple aim of health reform of improved quality, increased emphasis on population health, and decreased costs [2, 3]. However, challenges also abound. Areas of concern include shrinking public health budgets, an aging workforce, reorganizations, furloughs, and vacant public health positions for which health agencies are not recruiting [4, 5]. MCH professionals have a long and rich history of successfully overcoming challenges to assure the health of the nation’s mothers and children, as evidenced from...


Leadership Development Workforce Development Title Versus Public Health Workforce Public Health Position 
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  1. 1.
    Browning, HW., Torain, DJ., and Enright Patterson Browning, T. (September 2011). Collaborative Healthcare Leadership: A Six Part Model for Adapting and Thriving During a Time of Transformative Change. Center for Creative Leadership, Greensboro, NC. Retrieved from
  2. 2.
    Patient Protection and Affordable Care Act Legislation. Retrieved from
  3. 3.
    Berwick, D. M., Nolan, T. W., & Whittington, J. (2008). The triple aim: Care, health, and cost. Health Affairs, 27(3), 759–769.PubMedCrossRefGoogle Scholar
  4. 4.
    Association of State and Territorial Health Officials. (2014). ASTHO Profile of State Public Health, 3. Retrieved from
  5. 5.
    ASTHO Budget Cuts Impact Research Brief Update. (November 2013). The association of state and territorial health officials. Retrieved from
  6. 6.
    U.S. Congress (1912). PL 92-116: The Children’s Bureau Act.Google Scholar
  7. 7.
    U.S. Congress (1935). PL 74-271: The Social Security Act, Title V grants to states for maternal and child welfare, part 1—Maternal and child health services, part 2—Crippled children’s services.Google Scholar
  8. 8.
    Health Resources and Services Administration. (n.d). Understanding Title V of the Social Security Act: A Guide to the Provisions of the Federal Maternal and Child Health Block Grant. Retrieved from
  9. 9.
    Athey, J., Kavanagh, L., Bagley, K., & Hutchins, V. (2000). Building the future: The maternal and child health training program. Arlington, VA: National Center for Education in Maternal and Child Health. Retrieved from
  10. 10.
    Lesser, A. J. (1985). The origin and development of maternal and child health programs in the United States. American Journal of Public Health, 75(6), 590–598.PubMedCentralPubMedCrossRefGoogle Scholar
  11. 11.
    Richardson, M., Kuehn, M., Powell, J., Sells, C. J., Burns, C., Rues, J., et. al. (1988). Leadership training: The report of two MCH-sponsored workshops.
  12. 12.
    Athey, J., Kavanagh, L., & Bagley, K. (2001). The MCH training program: An evaluation. Arlington, VA: National Center for Education in Maternal and Child Health. Retrieved from
  13. 13.
    Mouradian, W. E., & Huebner, C. E. (2007). Future directions in leadership training of MCH professionals: Cross-cutting MCH leadership competencies. Maternal and Child Health Journal, 11, 211–218.PubMedCrossRefGoogle Scholar
  14. 14.
    MCH Leadership Competencies Workgroup (Editors). (2009). Maternal and Child Health Leadership Competencies, version 3.0. Retrieved from
  15. 15.
  16. 16.
    Grason, H., Kavanagh, L., Dooley, S., Partelow, J., Sharkey, A., Bradley, K., & Handler, A. (2010). Findings from an assessment of state Title V workforce development needs. Maternal and Child Health Journal, 16, 7–20.CrossRefGoogle Scholar
  17. 17.
    Health Resources and Services Administration. (2013). The maternal and child health workforce development centers program funding opportunity announcement. Retrieved from
  18. 18.
    Public Health Accreditation Board (PHAB) accreditation standards for workforce development. Standards and Measures Version 1.5.
  19. 19.
    Centers for Disease Control and Prevention. (August 2013). Modernizing the Workforce for the Public’s Health: Shifting the Balance. Public Health Workforce Summit Report from December 1314, 2012 Summit. Retrieved from:
  20. 20.
    Association of Schools of Public Health. (2014). Master of Public Health Degree for the 21st Century: Key Considerations, Design Features, and Critical Content of the Core, Final Report 1/19/14. Association of Schools of Public Health Web site.
  21. 21.
    Petersen, D., & Weist, E. J. (2014). Framing the future by mastering the new public health. Journal of Public Health Management Practice., 20(4), 371–374.PubMedCentralPubMedCrossRefGoogle Scholar
  22. 22.
    Frenk, J., Chen, L., Bhutta, Z. A., et al. (2010). (November 29, 2010). Health professionals for a new century: Transforming education to strengthen health systems in an interdependent world. Lancet, 376(9756), 1923–1958.PubMedCrossRefGoogle Scholar
  23. 23.
    Gloor, P. (2005). Swarm creativity: Competitive advantage through collaborative innovation networks. New York, NY: Oxford University Press.Google Scholar

Copyright information

© Springer Science+Business Media New York (outside the USA) 2015

Authors and Affiliations

  1. 1.Health Resources and Services AdministrationMaternal and Child Health BureauRockvilleUSA

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