MCH Problem Statement
In 2017, African Americans had a 2.3 times infant mortality rate as compared to whites in the United States.
Produce a 2 page, single-spaced memo of a program or policy addressing the Maternal and Child Health problem you defined in your MCH Problem Statement. The memo should include six sections:
1. The problem statement/definition and additional contextual information.
2. A summary of 3 program OR 3 policy options that would address the problem statement
3. Your proposed intervention, which will stem from one of the program/policy options outlined in section B
4. A discussion of stakeholders who may oppose the proposed intervention, and the reasons;
5. A discussion of stakeholders who would support the proposed intervention, and the reasons;
6. Your final recommendation based on your proposed intervention. A policy maker should be able to guess what your final recommendation is based on the sections on the proposed intervention and discussion of stakeholders who would oppose and support it.
7. Citations should be formatted using APA Formatting and Style Guide:
8. CORRECT CITATIONS/REFERENCES ARE ABSOLUTELY MANDATORY
1. MCH problem statement
As revealed by Lorenz, Ananth, Polin, & D'alton, (2016) Infant Mortality Rate (IMR) is the death of infants under 1 year age. It is the death of the child under 1 year of age for every 1000 live births (Lorenz, Ananth, Polin, & D'alton, 2016). In context to the US, the infant mortality rate of African American people is found to be 2.3 times higher than the white Americans due to inequality of healthcare services, poverty, lack of education and support to the mother.
2. Policy options
As the death of the newborn or infants are caused due to the lack of support of the health visiting programs, social and economic barriers, and unequal access to health services. Hence, the policies are required which will allow addressing the above-mentioned issues.
1. Home visiting: As argued by Novoa, & Workman (2019) the universal home visiting models and programs such as ‘Family Connects’ are helpful to support the new-born babies and their parents. The home visiting will provide specialized support to the families who belong to the low-income group, or young parents or have less idea to care for the newborn. Through home visiting, the queries of the parents regarding their infants will be directly solved, the alignment between community agencies will be established and the development of the infant will be monitored (Novoa, & Workman, 2019).
2. Social and economic equity: African-American is deprived of their social and economic rights and opportunities (Anderson, 2019). They are discriminated against due to their social and cultural background. They are less educated, the mothers have to work for money instead of taking intense care of the newborn, eventually, and they are unable to care for their new-born.
3. Equal access to quality health care service: The people belonging to the African- American community are discriminated; hence, they have less access to quality healthcare services (Kruk, et al., 2018). Hence, to reduce the IMR, it is required to diminish the inequity of rights and ensure access to quality health care services to the discriminated people regardless of their background or income.
4. Intervention: Home visiting is found to be effective to ensure a better response to the issue. Home visits will reduce the process loopholes and delays and will effectively monitor progress.
5. Stakeholders opposing:
The people who are racist to the African American people might not support the policies. The health workers who discriminate against the African American people based on their race and social and economic might also oppose the policy as they have to visit the house of the people whom they hate.
6. Stakeholders supporting:
The government of the USA would support it. The discriminated African-Americans would also appreciate the policies. The people who are open-minded and oppose the inequality in the society would also support the policy as it could ensure equality. The healthcare system would support. Apart from them, the policy will be supported by the social workers, common people and the legislation.
7. Final recommendations
Considering the stakeholders supporting and opposing, it could be found that most of the stakeholders will support the policy. The policy will not only support the infants, mother and the entire African American community, but it will also protect the social rights, justice, and equality of social rights. It is recommended that small groups of health staff will be assigned to visit the home of the considered people to educate them regarding the health and wellbeing of both mother and child and directly solve their queries or support them economically and socially (Novoa, & Workman, 2019).
Anderson, L. A. (2019). Rethinking Resilience Theory in African American Families: Fostering Positive Adaptations and Transformative Social Justice. Journal of Family Theory & Review, 11(3), 385-397.
Kruk, M. E., Gage, A. D., Joseph, N. T., Danaei, G., García-Saisó, S., & Salomon, J. A. (2018). Mortality due to low-quality health systems in the universal health coverage era: a systematic analysis of amenable deaths in 137 countries. The Lancet, 392(10160), 2203-2212.
Lorenz, J. M., Ananth, C. V., Polin, R. A., & D'alton, M. E. (2016). Infant mortality in the United States. Journal of Perinatology, 36(10), 797-801.
Novoa, C., & Workman, S., (2019). How Universal Home Visiting Models Can Support Newborns and Their Families – Center for American Progress. (2019). Retrieved 7
April 2020, from https://www.americanprogress.org/issues/early- childhood/reports/2019/09/26/474946/universal-home-visiting-models-can-support- newborns-families/