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.
Priority Issues and Five-year Goals
Oregon's priority issues and goals based on 2010 Needs Assessment:
Family violence, including intimate partner violence and child abuse
Improve Oregon's systems and services for screening women for domestic and sexual violence (DSV) and for linking those affected by DSV to adequate services.
Alcohol and drug use of women and pregnant women, including accessibility of services (and prevention of Fetal Alcohol Syndrome)
Decrease the risk of lifetime dependence on alcohol for teens and adults.
Mental health of pregnant women including accessibility of services
Improve Oregon's systems and services to identify, treat and support women with perinatal mental health disorders and support their infants and families.
Oral health of young children and early childhood cavities prevention, including accessibility of services
Increase the percent of children aged 4 years and under who have a preventive dental visit each year.
Resources for parent education and skills to support young children’s health, development, safety, and social-emotional health
Improve the state’s capacity for supporting parents in building parent skills and for linking parents to resources.
Overweight and obesity of children and adolescents, including nutrition, food security, physical activity and screen time
Increase the percent of children/adolescents with a healthy body weight.
Access to preventive services for adolescents
Increase access to preventive physical and mental health services for older children and adolescents.
Linkages for CYSHN to mental health services
Increase linkages to mental health services for children and youth with special health needs.
Access to specialized services
Increase access to specialized health and related services for underserved populations of children and youth with special health care needs.
Access to family support services, including knowledge and awareness of support services available for families of children and youth with special health needs
Increase access to family support services among families of children and youth with special health needs
How Title V funds are distributed
The Maternal and Child Health Section 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 Maternal and Child Health Section 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 Public Health Division 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.
MCH Needs Assessment
Every five years, the Public Health Division conducts a comprehensive needs assessment to determine gaps in health statusand 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.
Oregon MCH Block Grant Annual Report and Plan
MCH work force
Other MCH programs
For more information: