MCHB Knowledge Base




  • Within the field of Maternal and Child Health, the PPC (and several other MCHB –funded training programs) focus on a subset of MCH, “Children with Special Healthcare Needs” (CSHCN).
  • Overall, MCH often focuses on issues in early life, including perinatal issues, infant mortality, and prematurity.
  • Those who focus on CSHCN focus on“…those who have or are at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who also require health and related services of a type or amount beyond that required by children generally.”

How the fields of PH, MCH, and CSHCN inter-relate

Venn diagram showing a large blue circel labeled "Public Health." Inside the blue circle is a smaller green circle labeled "Maternal and Child Health" with a smaller overlapping red circle labeled "Children with Special Healthcare Needs."

MCHB’s Six Outcome Measures for CSHCN

  1. Families will partner in decision making at all levels and be satisfied with services.
  2. All children will receive comprehensive, coordinated care within a medical home.
  3. Families of CSHCN will have adequate public and/or private insurance.
  4. All children will receive early and continuous screening.
  5. Community‐based services are organized so families can use them easily.
  6. Youth with special health care needs will receive the services to transition to all aspects of adult life.


Participants will:

  1. Define MCH and MCHB
  2. Discuss the history and current structure of  MCH programs
  3. Discuss the MCHB competencies
  4. Describe and explain the need for MCHB  core values
  5. Describe How programs that serve MCH populations work synergistically to help the health of the nation
  6. Discuss what it means to be an MCH Leader
  7. Define the life course perspective and discuss the advantages of using this perspective
  8. Use data to identify issues related to the health status of a particular MCH population group
  9. Describe health disparities within MCH populations and offer strategies to address them.
  10. Demonstrate the use of a systems approach to explain the interactions among individuals, groups, organizations and communities.
  11. Assess the effectiveness of an existing program for specific MCH population groups.

Core Seminar

Self-Directed Learning

  • Review the MCHB website and timeline
  • Data assignment, e.g.:
    • Provide data on what percent of CSHCN in Florida are children with asthma? How does this compare with New York?
    • Provide data on how many CSHCN vs. healthy children demonstrate at-risk behaviors

Community Activity

Develop or participate in a program that addresses a clinical condition in the community, e.g.

  • Health fair
  • Educational module for school
  • Website
  • Advocacy activity
  • Tobacco Coalition

Note: This is an activity that covers several modules

Participation in Faculty Activities

Join faculty in activities related to national MCH projects, e.g.:

  • Vitamin D committee
  • MCHB Strategic planning Workgroup
  • MCHB Family-Centered Care Workgroup

Leadership Journal & Portfolio

  • Reflect on the values and mission of MCHB-do you agree with them? Has anything been left out?
  • How do the fields of MCH, PH, and CSHCN interact?  Which do you feel you could impact the most? How?

Clinical Preparation

  • Trainees will attend the clinic and analyze
    • How care is most effectively delivered
    • The role of the interdisciplinary team: Benefits and shortcomings
  • Trainees will apply concepts learned about MCH and a population based approach to care delivery
  • Trainees will report on how care delivery relates to disparities in healthcare
  • Trainees will identify the systems of care that impact patients/families in clinic
  • Trainees will assess the structure and function of the healthcare systems