Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Objectives A skilled workforce is essential to advancing maternal and child health (MCH) in a rapidly changing public health system. Little is known about the MCH workforce’s existing capacity to maximize opportunities afforded by ongoing change. We assessed MCH workforce capacity in three areas: Systems Integration, Evidence-Based Decision-Making, and Change Management/Adaptive Leadership. We then examined associations between workforce capacity and modifiable workforce development strategies/resources. Methods Data are from the Public Health Workforce Interests and Needs Survey (PH WINS). The present study was limited to employees working in MCH programs (weighted N = 3062). Workforce capacity was operationalized as self-reported awareness of public health trends and proficiency to perform related skills in the three areas. Survey-weighted generalized estimating equations were used to fit logistic regression models accounting for employee clustering within states. Results While awareness of public health trends was low, the majority of employees (> 70% in each area) reported proficiency to perform skills related to these trends. Capacity was lowest in Systems Integration. Employee engagement in academic partnerships and higher state contributions to MCH program budgets were the strategies/resources most consistently associated with higher capacity. Workplace support was the strongest correlate of capacity in Change Management/Adaptive Leadership. Conclusions for Practice Although employees lacked familiarity with specific public health trends, they were proficient in skills needed to engage in related work. Still, areas for improvement remain. Results provide a baseline against which future training efforts can be evaluated. Academic partnerships and MCH program funding may be useful to prioritize in the context of health transformation.
AMCHP. (2016). 2016 Title V workforce assessment. Retrieved from http://www.amchp.org/programsandtopics/WorkforceDevelopment/survey/Pages/default.aspx.
Ammerman, A., Smith, T. W., & Calancie, L. (2014). Practice-based evidence in public health: Improving reach, relevance, and results. Annual Review of Public Health, 35(1), 47–63. https://doi.org/10.1146/annurev-publhealth-032013-182458. CrossRefPubMed
Dwelle, T. L., Halverson, P. K., & Petersen, D. J. (2015). Not so strange bedfellows: How practice and academia together will ensure the future of the public health workforce. Journal of Public Health Management and Practice, 21(Suppl 6), 11–12. https://doi.org/10.1097/PHH.0000000000000293. CrossRef
Hyde, J. K., & Shortell, S. M. (2012). The structure and organization of local and state public health agencies in the U.S.: A systematic review. American Journal of Preventive Medicine, 42(5 Suppl 1), S29–S41. https://doi.org/10.1016/j.amepre.2012.01.021. CrossRefPubMed
Leider, J. P., Bharthapudi, K., Pineau, V., Liu, L., & Harper, E. (2015). The methods behind PH WINS. Journal of Public Health Management and Practice, 21(Suppl 6), S28–S35. https://doi.org/10.1097/PHH.0000000000000285. CrossRefPubMedPubMedCentral
Mays, G. P., McHugh, M. C., Shim, K., Perry, N., Lenaway, D., Halverson, P. K., & Moonesinghe, R. (2006). Institutional and economic determinants of public health system performance. American Journal of Public Health, 96(3), 523–531. https://doi.org/10.2105/AJPH.2005.064253. CrossRefPubMedPubMedCentral
Public Health Accreditation Board. (2013). Standards and measures, version 1.5. Alexandria: Public Health Accreditation Board.
Singh, S. R. (2014). Public health spending and population health: A systematic review. American Journal of Preventive Medicine, 47(5), 634–640. https://doi.org/10.1016/j.amepre.2014.05.017. CrossRefPubMed
- MCH Workforce Capacity: Maximizing Opportunities Afforded by a Changing Public Health System
Ilana G. Raskind
Dara D. Mendez
Michael R. Kramer
Karen D. Liller
Martha Slay Wingate
Brian C. Castrucci
- Springer US