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Thirty Years of Maternal - Child Health Policies in the Community

Tiedje, Linda Beth PhD, RN, FAAN

MCN, The American Journal of Maternal/Child Nursing: November-December 2005 - Volume 30 - Issue 6 - p 373-379

This article reviews outcomes, indicators, and challenges for building evidence-based practice in community maternal-child health (MCH), and includes promising new design and analytical strategies. In addition, 10 topic areas are listed, which are the foundation of community MCH evidence: (1) evidence of health behavior on mortality/morbidity; (2) theoretical underpinnings of public policy interventions; (3) evidence of growing health disparities; (4) the potential of exploding information technologies; (5) data on aging, maternity, employment, and lactation; (6) data on the changing face of HIV/AIDS; (7) data on the changing way we give birth; (8) drug safety registries; (9) antibiotic-resistant organisms; and (10) environmental pollutants and health. In addition, evidence of indirect and global influences on community MCH is reviewed and the principles of lifestyle change and health promotion are emphasized.

In the wide world of community health nursing, the health of mothers and children is daily put at risk through environmental dilemmas, political missteps, and public health limitations. Dr. Tiedje has skillfully examined the literature from the past 30 years and helps us understand what community health interventions are helping women and children.

Linda Beth Tiedje, PhD, RN, FAAN, is an Adjunct Associate Professor, Department of Epidemiology, School of Human Medicine, Michigan State University, East Lansing, and an Editorial Board Member of MCN. She can be reached via e-mail at

© 2005 Lippincott Williams & Wilkins, Inc.