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H H S Department of Health and Human Services
Health Resources and Services Administration
Maternal and Child Health

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Maternal & Child Health Block Grant Transformation

Logic ModelWe are working, in partnership with State Title V leaders, families and other stakeholders, to make the Maternal and Child Health Block Grant better – to reduce burden, maintain flexibility and improve accountability. We expect the transformation of the block grant to help achieve our mission to improve the health and well-being of all of America’s mothers, infants, children, and youth – including children and youth with special healthcare needs and their families.

The improvements will be phased in, beginning with the 2015 MCH Block Grant application.

Reduce Burden: Streamline the Annual Report and Application

  • Require only a summary needs assessment (20 pages) and integrate into the application
  • Pre-populate State data
  • Eliminate Health Systems Capacity Indicator
  • Reduce the number of forms from 21 to 11
  • Simplify, clarify and reduce redundancies

Maintain Flexibility: Apply a Logic Model 

  • Continuously analyze performance and reassess performance measures and strategies
  • Implement 3-tiered performance measurement with national outcome measures, national performance measures and structural-process measures
  • Include measures for six domains: maternal and women's health, perinatal and infant health, child health, adolescent health, life course, and children with special healthcare needs

Improve Accountability: New Accountability Framework

  • Develop a one-stop maternal and child health data center
  • Support States in developing evidence-based and -informed structural process measures
  • Realign Special Projects of Regional and National Significance (SPRANS) and other HRSA programs to "move the needle" on maternal and child health

Maternal & Child Health Block Transformation Public Health Framework

Learn More

2015 Block Grant Application Guidance (PDF - 1.1 MB) | Appendix (PDF - 911 KB) | Federally Available Data (FAD) Resource Document (PDF - 11 MB)

Associate Administrator for Maternal and Child Health Michael Lu, MD, MS, MPH, explains planned improvements to the Maternal and Child Health Block Grant and how they will benefit States and improve maternal and child health.