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Oregon Title V Maternal and Child Health (MCH) Block Grant
What is the Title V MCH Block Grant?
The Maternal and Child Health Services Block Grant (Title V of the Social Security Act) is the only federal program devoted to improving the health of all women, children and families. Title V provides funding to state maternal and child health (MCH) programs, which serve 35 million women and children in the U.S. Since 1935, federal funds have supported state activities that improve the health of pregnant women, children, adolescents, and children and youth with special health needs (commonly called the "MCH population"). These funds are used to address maternal and child health priorities including:
- Surveillance and data about the health status of Oregon’s MCH population;
- Assessment and monitoring of needs to assure health and wellness;
- State and local collaboration to assure access to preventive health services and information; and
- Linkages to health care and other maternal and child health services in the community.
Learn more:
Priority heatlh needs and performance measures
Priority health needs in Oregon:
- Women, infants, children and youth continue to need access to comprehensive and coordinated care across the lifespan for physical health, mental and psychosocial health, and behavioral health.
- Earlier screening and intervention is needed for children and youth to identify with developmental, psychosocial, behavioral delays.
- Families need assurance they will have equitable access to preventive health services and treatment.
- Pregnant women, children, youth, and children with special health needs living in rural and frontier areas of Oregon need improved access to health care and specialty care.
- Women who expect to have babies need improved health services and health care policies to support preventive health practices before they become pregnant.
- Pregnant women and children need access to health insurance coverage that is comprehensive and covers conditions that impact the psychosocial, behavioral and developmental growth of their child.
National and State performance measures (PDF)
How Title V funds are distributed
The Office of Family Health in the Oregon Public Health Division and the Oregon Center for Children and Youth with Special Health Needs (OCCYSHN) at the Oregon Health and Science University are the lead agencies responsible for the MCH Block Grant. Funds are distributed to support statewide and local public health assessment, policy and program development and evaluation, services to assist the public with health resources, and health promotion and education to improve infant, child and perinatal health outcomes.
Approximately $6.3 million is appropriated annually to Oregon by the U.S. Congress. Thirty percent is disseminated to OCCYSHN to support community-based systems of care for families with children with chronic or disabling conditions. State and local non-federal funding matches the Block Grant at the rate of $3 for every $3 of Title V funds. Sources for matching funds include state General Funds, county General Funds, client fees where applicable and third-party insurance payments (non-Medicaid). Federal funding for Title V has been reduced and flat funded since 2005. Visit www.amchp.org/ for more information about Title V funding.
The Title V funds are distributed annually to the following:
Forty-two percent ($2.6 million) is distributed within the Office of Family Health for activities that support the health of the MCH populations through:
- Assistance and linkages with enrollment in the Oregon Health Plan for pregnant women, children and families.
- Early child development and screening through collaborative partnerships with health and early intervention services.
- Nutrition and obesity prevention promotion and education for children and adolescents.
- Preventive health promotion and education for women before and during pregnancy (preconception health).
- Oral health promotion and education for pregnant women, infants and children.
- Injury prevention promotion and education for infants, children and families.
- Client data systems and program evaluation services and consultation for local services and MCH providers.
- Local workforce training, technical assistance, and consultation for public health nursing, program design and evaluation, and community assessment.
Thirty percent ( about $1.9 million) is transferred to the Oregon Center for Children and Youth with Special Health Needs, as required by Title V mandates.
The Oregon Center for Children and Youth with Special Health Care Needs (OCCYSHN) serves children from birth to 21 who have health problems requiring more than routine and basic care, including children with or at risk of disabilities, chronic illnesses and conditions, and health-related educational and behavioral problems. This includes children who have or are at increased risk for chronic physical, developmental, behavioral, or emotional conditions and who also require health and related services of a type or amount beyond that required by children generally.
Title V MCH Block Grant activities at OCCYSHN include working with families, providers and communities to build capacity through training programs, sponsorship of multidisciplinary clinics, public health agencies, and community planning activities.
All Title V MCH Block Grant programs at the Office of Family Health and OCCYSHN coordinate and collaborate on development of systems to deliver services and programs locally.
Twenty-eight percent ($1.8 million) is disseminated through a funding formula through interagency agreements with 34 county health departments and three tribal governments. The funds support health promotion, education, information, referral and direct services for pregnant women, infants, children and adolescents.
Give your input (opens a new window)
We want to hear from you.
- What do you think about the priority health needs identified above?
- Do you have a story about how Title V programs are making a difference in Oregon?
- Click "Give your input" above to share your thoughts and stories.
MCH Needs Assessment
Every five years, the Office of Family Health conducts a comprehensive needs assessment to determine gaps in health status and health system capacity in serving the MCH population. The “Five-Year Needs Assessment” includes research and identification of priorities for the statewide Title V programs to address over the subsequent five-year period.
The assessment includes analysis of public health and other data, surveys of state and local stakeholders and assessment of the state’s system to deliver interventions and programs most effective for the priorities. State performance measures are the indicators used to monitor Title V program progress.
The needs assessment for the 2010-2015 plan is currently in progress.
MCH Block Grant resources
Oregon MCH Block Grant Annual Report and Plan
Title V Information System (TVIS)
Oregon MCH needs assessment
Local Oregon MCH assessment and planning
MCH work force
See more MCH data resources.
Oregon MCH Programs
Contact us for more information:
Telephone: 971-673-0352
E-mail: mch.oregon@state.or.us
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