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Piecing together the crazy quilt of prenatal care.
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1991 Jul-Aug
Source: Public Health Rep. 106(4):353-360
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Alternative Title:Public Health Rep
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Description:The failure to provide adequate prenatal care for low-income pregnant women in the United States and the effects of this failure on infant mortality are well known. Many studies have identified institutional barriers against access to care as a major cause. To overcome these barriers, Public Health District V, South Central Idaho, has created a comprehensive prenatal health care model that has almost tripled participation in its program during the first year of implementation and increased it again significantly during the second year. This decentralized pregnancy program has succeeded in getting all of the physicians offering obstetrical care in the district to serve low-income pregnant clients on a rotating basis. The new program provides pregnancy testing as well as financial screening services. Also, it has combined support services into one-stop-shopping clinics that include an innovative expansion of the Women, Infants and Children (WIC) Program of the U. S. Department of Agriculture. WIC food vouchers help attract clients into the prenatal care system and keep them coming. Enrichment of the duties of the public health nurse provides case coordination that pulls together the patchwork of medical and support services for the pregnant client.
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Subject:Continuity Of Patient Care
Counseling
Female
Food Services
Health Promotion
Health Services Accessibility
Health Status Indicators
Humans
Idaho
Infant, Newborn
Infant Mortality
Interinstitutional Relations
Job Description
Maternal Health Services
Medicaid
Poverty
Pregnancy
Prenatal Care
Public Health Nursing
Social Support
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Pubmed ID:1908585
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Pubmed Central ID:PMCnull
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Main Document Checksum:urn:sha256:8bfb7eeaa17a89425a618d6246239cb34f9be5864e74b7025848df3110bd5807
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