D Kroelinger PhD Team Lead Maternal and Child Health Epidemiology Program June 2011 Integrating Science Policy and Practice The Maternal and Child Health Epidemiology Program MCHEP ID: 275812
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Charlan D. Kroelinger, PhD
Team LeadMaternal and Child Health Epidemiology ProgramJune 2011
Integrating Science, Policy, and Practice: The Maternal and Child Health Epidemiology Program (MCHEP) in States
National Center for Chronic Disease Prevention and Health Promotion
Division of Reproductive HealthSlide2
Introduction: Data to Support the Evidence2009 Assessment of Capacity: MCH Epidemiology in States2004: 43% of states reported at least substantial MCH epi capacity
2006: 47% reported at least substantial capacity2009: 55% reported at least substantial capacity2004: 25% of states reported minimal to no capacity in MCH epidemiology2006: 23% reported minimal to no capacity2009: 12% reported minimal to no capacityMCH Epi capacity in top 3 (Infectious = 92%; Bioterrorism/Emergency Response = 73%)Slide3
Introduction: Data to Support the EvidenceMCH Epidemiologists collaborate across disciplines:Chronic disease (63%)Oral health (59%)
Injury (53%)MCH Epidemiologists work to impact science, program, and policyLinking data systems (57%)Translating data findings to program and policy (69%)Priority setting (73%)Performance measurement (67%)Program planning (67%)Needs assessments (82%)Program evaluation (53%)Slide4
Maternal and Child Health Epidemiology Program (MCHEP)MCHEP initiated in 1986 by the Centers for Disease Control and Prevention, and the Health Resources and Services Administration / Maternal and Child Health Bureau
Request for Applications to provideDirect assistance to statesTime-limited assignmentsEnvisioned as a mechanism to promote collaboration between federal agencies and states35+ senior MCH epidemiologists to more than 33 states and 6 other public health organizationsSlide5
Maternal and Child Health Epidemiology Program (MCHEP
)Mission:
Promote and improve the health and well-being of women, children and families by building MCH epidemiology and data capacity at the state, local, and tribal levels to effectively use information for public health action. Slide6
Previous Evaluation of MCHEP1999, University of Illinois at ChicagoCase-study evaluation of program; N=9 states (5
MCHEP; 4 non-MCHEP)MCHEP contributed to:Epi capacity building as a state priorityAdequately trained personnel to support MCH epi activitiesIntegrated information systemsAnalytic leadership for MCH
epi activities2010 MCH epidemiology capacity follow-up studyInterview with all 50 states and Washington DCMCH epi capacity contributed to:Doctoral level key staffAgenda-setting by consensus processOrganizational position of MCH epidemiology effortSlide7
Methodology: MCHEP StructureMinimum qualifying criteria for applicantsPhD or MD with a MPH in epidemiology or related field
Intermediate knowledge or experience in epidemiology, statistics, and programmingExperience working in MCH or on MCH issuesIntermediate experience in communicating effectively to leaders, staff, communities, colleagues, and audiencesExperience working on a multi-disciplinary teamPotential to become a MCH epidemiology leaderBi-annual submission process:Review
/ ScreeningInterviewMatchingSlide8
Methodology: MCHEP StructureProposal requirements for a host state / agencyPurpose of the assignment
Funding mechanism for the assignmentJustification for the assignmentAssignment structureFirst year projects to be completed by the assigneeProposals are accepted throughout the year, matching occurs two times per yearSlide9
Maternal Child Health Epidemiology Program: Team
StructureAtlanta Members (11)Provide overall support and leadership in the national context with the field and in connection with partners
Field Assignees (12) Lead a state agenda to develop MCH Epidemiology capacity20% time on CDC activitiesSlide10
MCHEP Sponsored Regions, States, and Public Health Agencies, October 2010Slide11
What we do:
Develop MCH Epidemiology LeadersAdvance MCH Epidemiology Data and Analytic CapacityEvaluate, Train, and Educate in the Field of MCH
Create Peer Exchange OpportunitiesPromote MCH Partnerships
Maternal and Child Health Epidemiology Program (
MCHEP
) GoalsSlide12
Results: Assignee StatisticsAssignments in place for > 5 years42%Assignments in place for 1 – 5 years33%
Assignments in place for < 1 year25%Slide13
Develop
MCH Epidemiology Leaders
Provide direct assistance to public health agencies In collaboration with HRSA/MCHBState assignments
National, state, regional trainingAcademic training grants
Foster the next generation of MCH Epidemiologists
Council of State and Territorial Epidemiologists
7 current MCH CDC/
CSTE
Fellows
HI, OH, OR, PA, SD, TX, US/Mexico
6 new MCH CDC/
CSTE
Fellows for 2010
WI, VA, LA, MA, MO, MI
Epidemic Intelligence Service (
EIS
) Officers
1 Atlanta-based, 2 Field-based (FL, TX)Slide14
Data Capacity
Data assessment and quality improvementDeveloping surveillance systems Data linkage projectsGIS
Analytic CapacityYear long distance-based advanced epidemiology analysis
University of Illinois at Chicago (UIC)Harvard/CDC Evaluation Practicum
CDC/HRSA Epidemiology Training
Regional training
MCHEPI
preconference training
MCH Certificate training
Advance
Data
and Analytic CapacitySlide15
State Title V MCH Needs Assessment
Facilitated by preconference trainings (AMCHP) MCH Data Tools
Perinatal Periods of Risk (PPOR) CityMatch Urban MCH DaTA Institute CSTE MCH Epidemiology Capacity Assessment
State Infant Mortality ToolkitLeadership Training
CityMatCH City LeadersCityMatCH Data Use Institute
Evaluate, Educate,
and TrainSlide16
Annual MCH Epi ConferenceMore than 500 MCH professionals
National MCH Epidemiology AwardsNational Best Manuscript AwardRegional MCH Epi Conference
More than 200 MCH professionalsMCH Epi List ServeOver 400 members nationally/ internationally MCH Epi Grand Rounds 7 interactive Web casts per year
DataSpeak
Web conferences on MCH related topics
Create Peer Exchange
OpportunitiesSlide17
Promote Partnerships Among Over 20 MCH Agencies
In order to:Appropriately provide evidence-based data to those providing direct services
Effectively translate research into policy to improve healthDevelop relevant researchSlide18
Integrating Science, Policy and Program – State ExamplesSupporting data linkageMA Pregnancy to Early Life Longitudinal (PELL) databaseDE Registry for Improving Birth Outcomes
Investigating trends in infant mortalityWI focus on differing trends in IM regionallyIncreasing research capacityDE Center for Family Health Research and EpidemiologySlide19
Integrating Science, Policy and Program – State ExamplesDeveloping a strategic planOH Statewide Strategic Planning in MCHExamining regionalized systems of care
GA focus on volume of births in Level I, II, and III hospitalsCollaborating across disciplinesWY integration of MCH, injury, and diabetes program analysesSlide20
CDC Programs for Full-time Field Staff Epidemiologists
Career Epidemiology Field Officer (CEFO) Program Strengthen state, local, and territorial epidemiologic capability for public health preparedness and response
Office of Science and Public Health Practice / Office of Public Health Preparedness and ResponseMaternal & Child Health Epidemiology Program (MCHEP) Build capacity and increase infrastructure in maternal and child health epidemiology in states, localities, and tribes
Division of Reproductive Health / National Center for Chronic Disease Prevention and Health Promotion
State-Based Epidemiology for Public Health Program Support (STEPPS) Program
Jump-start the process of building chronic disease epidemiology capacity by providing health departments with resources (funding and/or FTE) to secure the full-time services of a fully trained chronic disease epidemiologist for a period of about four years
Division of Adult and Community Health / National Center for Chronic Disease Prevention and Health Promotion
Slide21
ConclusionDecreasing resources in statesDecreasing resources at federal agenciesHow do we continue to increase capacity?
Partnership, collaboration, and leverage of resources (in-kind) – to include CSTE fellowships; co-sponsorship of activities – joint trainings, pre-conference trainings, access to dataSlide22
Questions
MCHEP http://www.cdc.gov/reproductivehealth/MCHEpi/index.htmAnnual MCH Epi Conference
http://www.cdc.gov/reproductivehealth/MCHEpi/2008/ AboutConference.htmMCH Epi Grand Rounds http://www.uic.edu/sph/cade/mchepi/index.htm
DRH
Website
http://www.cdc.gov/reproductivehealth/index.htm