The evolution of fetal and infant mortality review as a public health strategy
Autor: | Marjory Ruderman, Ann M. Koontz, Kathleen Buckley |
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Rok vydání: | 2004 |
Předmět: |
Program evaluation
Male medicine.medical_specialty Economic growth Epidemiology Best practice Child Health Services Pregnancy Environmental health Health care Infant Mortality Outcome Assessment Health Care medicine Humans Maternal Health Services Program Development Fetal Death business.industry Maternal and child health Public health Public Health Environmental and Occupational Health Infant Newborn Obstetrics and Gynecology Infant mortality United States General partnership Pediatrics Perinatology and Child Health Accountability Female Public Health business Forecasting Program Evaluation |
Zdroj: | Maternal and child health journal. 8(4) |
ISSN: | 1092-7875 |
Popis: | Infant mortality review (IMR), the forerunner of fetal and infant mortality review (FIMR), emerged at the national level in the mid-1980s as a promising method to improve understanding of local factors contributing to infant mortality and to motivate community response. Building on federal efforts to enhance data capacity and early state and local infant mortality case review studies, the federal Maternal and Child Health Bureau (MCHB) initiated its IMR Program in 1988. Key actions taken to refine and diffuse the IMR/FIMR method include forging a public-private partnership between MCHB and the American College of Obstetricians and Gynecologists in 1990 to develop the National Fetal and Infant Mortality Review Program, recruiting prominent leaders to advocate for FIMR, seeding community projects in geographically dispersed states and localities, and routinely reporting best practices information to the field. In concert with the articulation of core public health functions and a growing emphasis on accountability, attention at the national level has turned to promoting and institutionalizing FIMR in state systems. Efforts are underway in states to build on the FIMR model and coordinate multiple maternal and child health-related review programs. Increasingly, FIMR is recognized as a strategy for contributing to implementation of the core public health functions of assessment, policy development, and quality assurance. The recent national evaluation of FIMR sheds new light on the role of FIMR in community and state maternal and child health systems and marks a new phase in the evolution of FIMR. |
Databáze: | OpenAIRE |
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