With dramatic changes in health, social services, and welfare systems and escalating pressure to increase clinical productivity, midwives need to enhance their capacity to work with federal, regional, and state partners to promote and protect comprehensive, culturally competent, and community-based quality health care for pregnant women and their families. Information about maternal and child health (MCH) regional and state resources is provided, and strategies for obtaining additional MCH resources are suggested, so that midwives and other women's health care providers can more effectively improve health care programs and systems that benefit women and their families. In addition, ways to work with MCH programs at the regional and state levels are described.
I^HE UNITED STATES has 12 accredited schools of public health, 6 public and 6 pri¬ vate. Each is part of a university that operates a medical school. The six public schools are at the Universities of California at Berkeley and Los Angeles and the Universities of Michigan, Minnesota, North Carolina, and Puerto Rico. The six private schools are at Columbia, Harvard, Johns Hop¬ kins, Pittsburgh, Tulane, and Yale Universities. All six of the private schools were included in this study but only five of the public schools. The school of public health of the University of California, Los Angeles, was not included be¬ cause it first became a separate, accredited school during the period covered by this study and its sources of support were not comparable to those of the other schools. Schools of public health have a unique public service function in that their major responsibil¬ ity is to give advanced training to physicians, nurses, and other health workers who are pre¬ paring for or are engaged in public service in Federal, State, and local health agencies, or in public health services in other countries. Since the number of schools is so small, each of the 12 accredited schools has a regional, or indeed a national, role. In addition to training students for work in many geographic areas, the schools through their faculties perform a variety of Mrs. West is chief of the Health Service Require¬ ments Branch, Division of Public Health Methods, Public Health Service. Dr. Gooch and Miss Raup are members of the staff of that branch. Data on students and sources of funds were obtained from the schools of public health in November 1961 by means of a mailed questionnaire.
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