Title V Maternal and Child Health Block Grant
The Title V Maternal and Child Health Block Grant is the federal program that provides core funding to California to improve the health of mothers and children. The Title V Block Grant is federally administered by the Health Resources and Services Administration.
The California Title V Block Grant Program is a partnership between the Maternal, Child and Adolescent Health Program (MCAH) of the Department of Public Health and the Systems of Care Division (formerly referred to as Children’s Medical Services or CMS) of the Department of Health Care Services.
Special populations served through Title V-funded programs include reproductive age women, pregnant women and mothers, infants, children, children with special health care needs (CSHCN), and adolescents.
Title V: An Efficient and Effective Use of Public Funds
Each year California reports plans for the proposed use of Title V funds and progress towards federal- and state-developed MCAH outcomes, health status indicators and program capacity. California’s Title V Maternal and Child Health Block Grant Application/Report is shared publicly and used for federal budgeting purposes.
The HRSA Title V Maternal and Child Health Block Grant is one of a small number of federal programs that received the highest rating on the White House Office of Budget and Management’s Performance Assessment Rating Tool. Highest rated programs set ambitious goals, achieve results, are well managed and improve efficiency.
California Title V Block Grant Application/Report
2016-2020 Title V Needs Assessment
Every five years, the MCAH Division completes a statewide needs assessment of the health status and system capacity for the entire maternal, child and adolescent health population in California. In addition to satisfying federal Title V requirements, the Needs Assessment identifies priorities that will guide MCAH and the Systems of Care Division (formerly CMS) from 2016 through 2020. Each local health jurisdiction (LHJ) completes a local needs assessment every five years and uses the results to plan local programs. The MCAH Division compiles information from the local needs assessments and uses other statewide data to develop the statewide needs assessment.
2011-2015 Title V Needs Assessment
Every five years, California completes a statewide needs assessment of the health status and system capacity for the entire maternal, child and adolescent health population. In addition to satisfying federal requirements, the needs assessment identifies priorities that will guide MCAH and CMS through 2015.
Prior to submitting California’s Title V Annual Application/Report, the public is invited to provide comment on an abridged draft. This stakeholder input ensures that the MCAH Program is responsive to the needs of California’s diverse population. The period to provide comment to the current draft document is currently closed. Please e-mail your comments to CaliforniaTitleV@cdph.ca.gov to receive alerts for future comment periods or unsubscribe, please contact CaliforniaTitleV@cdph.ca.gov.
Guiding Frameworks for the MCAH Program
Life Course Framework
The Life Course Framework seeks to explain persistent differences in maternal and infant health across racial/ethnic groups, despite improvement in clinical care. Viewing health through a life course perspective highlights the influence of chronic stress on health and of experiences during sensitive developmental periods on health outcomes later in life.
Social Determinants of Health
The health of families starts where they live, work and play. The conditions in these environments also shape the choices individuals make that impact their health. Public health programs have increasingly focused on these ‘root causes’ to achieve greater success in improving maternal, child and adolescent health.
Health equity focuses on achieving the highest level of health for all people. In this view, systematic differences in health for certain groups are seen as preventable and targets for public health action.
Ten Essential Services of Public Health
The Ten Essential Services represent the full range of public health responsibilities that enhance and protect the health of the entire MCAH population. These services are delivered in collaboration with multiple partners.
MCH Pyramid of Services
MCH Pyramid of Services is the framework used to describe Title V Maternal and Child Health Block grant service categories. At the foundation is infrastructure-building services, which support population-based services, enabling services that link vulnerable populations to care, and direct health services that fill gaps in the service delivery system.
California MCAH Program Integration of Frameworks
The California MCAH Program has integrated these frameworks in order to improve the health and well-being of the entire MCAH population in California.