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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 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.

More information about the Needs Assessment


Resources

Oregon MCH Block Grant Application and Report documents

MCH work force
Other MCH programs

For more information:

E-mail: mch.oregon@state.or.us