Document Detail

Local health departments and specific maternal and child health expenditures: relationships between spending and need.
MedLine Citation:
PMID:  23023288     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: As a part of the Public Health Activities and Service Tracking study and in collaboration with partners in 2 Public Health Practice-Based Research Network states, we examined relationships between local health department (LHD) maternal and child health (MCH) expenditures and local needs.
DESIGN: We used a multivariate pooled time-series design to estimate ecologic associations between expenditures in 3 MCH-specific service areas and related measures of need from 2005 to 2010 while controlling for other factors.
MEASURES: Retrospective expenditure data from LHDs and for 3 MCH services represented annual investments in (1) Special Supplemental Nutrition for Women, Infants, and Children (WIC), (2) family planning, and (3) a composite of Maternal, Infant, Child, and Adolescent (MICA) service. Expenditure data from all LHDs in Florida and Washington were then combined with "need" and control variables.
STUDY POPULATION: Our sample consisted of the 102 LHDs in Florida and Washington and the county (or multicounty) jurisdictions they serve.
RESULTS: Expenditures for WIC and for our composite of MICA services were strongly associated with need among LHDs in the sample states. For WIC, this association was positive, and for MICA services, this association was negative. Family planning expenditures were weakly associated, in a positive direction.
CONCLUSIONS: Findings demonstrate wide variations across programs and LHDs in relation to need and may underscore differences in how programs are funded. Programs with financial disbursements based on guidelines that factor in local needs may be better able to provide service as local needs grow than programs with less needs-based funding allocations.
Betty Bekemeier; Matthew Dunbar; Matthew Bryan; Michael E Morris
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of public health management and practice : JPHMP     Volume:  18     ISSN:  1550-5022     ISO Abbreviation:  J Public Health Manag Pract     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-01     Completed Date:  2013-02-28     Revised Date:  2013-09-19    
Medline Journal Info:
Nlm Unique ID:  9505213     Medline TA:  J Public Health Manag Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  615-22     Citation Subset:  T    
Department of Psychosocial and Community Health, School of Nursing, University of Washington, Seattle, WA 98195, USA.
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MeSH Terms
Health Expenditures / statistics & numerical data*
Health Services Needs and Demand / statistics & numerical data*
Local Government*
Maternal-Child Health Centers / economics*
Retrospective Studies
Grant Support
Erratum In:
J Public Health Manag Pract. 2013 Sep-Oct;19(5):491

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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