Journal of Public Health Management and Practice最新文献

{"title":"Adaptation and Development of the Equity Mapping Tool for Community Care Organizations Responding to the COVID-19 Pandemic.","authors":"Yogita Karale, Raeal Moore, Kathryn A Hasenstab, Carrie Baker, Ava Johnson, Ayaz Hyder","doi":"10.1097/PHH.0000000000002203","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002203","url":null,"abstract":"<p><strong>Context: </strong>The Equity Mapping Tool (EMT), a set of integrated tools providing rapid up-to-date COVID-19 data was previously developed for local health departments and health care systems in Franklin County, Ohio, to guide decisions about mobile vaccination. We aimed to engage, extend, and enhance the EMT to 12 Pathway Community HUBs (HUBs) in Ohio, connecting at-risk individuals to health and social services across 61 counties.</p><p><strong>Program: </strong>This was an innovation demonstration project in HUBs to increase community resiliency during the COVID-19 pandemic. One of the project goals was to provide Community Health Workers (CHWs) working with HUBs with local data for local decisions to advance the health of all Ohioans by engaging, extending, and enhancing the EMT.</p><p><strong>Implementation: </strong>We used a continuous improvement process called the Engagement, Analytics, Translation (EAT) Framework to engage, extend, and enhance the EMT for HUBs. Engagement activities consisted of focus groups with HUB staff and consultation with CHW Advisory Council, facilitated the co-creation of EMT tools for HUBs and their subsequent enhancement. These activities guided analytics tasks by identifying data requirements, curation, and guiding the development of reports and dashboard for the extended EMT. In translation phase, EMT products were disseminated to HUBs, whose feedback during subsequent engagement activities guided further analytical workflows to enhance EMT.</p><p><strong>Results: </strong>Engagement activities resulted in the identification of shared goals. Public health data needs of HUBs were centered around their populations served, health disparities of focus, and services provided. The capacity to access the EMT interactive dashboard and PDF reports was extended to all 12 HUBs.</p><p><strong>Discussion: </strong>The collaboration between academic, public health, and community health partners was critical to extending and enhancing the EMT to HUBs. Cycles of EAT helped to be responsive to HUBs' need for data and build their capacity for improving community resiliency.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Scoping Review on the Ethics of Wastewater Surveillance for COVID-19.","authors":"Krystal Ni, Katrina Smith Korfmacher","doi":"10.1097/PHH.0000000000002206","DOIUrl":"10.1097/PHH.0000000000002206","url":null,"abstract":"<p><strong>Context: </strong>Wastewater surveillance (WWS) emerged as a tool to monitor public health during the COVID-19 pandemic. Wastewater surveillance is generally undertaken voluntarily by public health and wastewater treatment agencies. Therefore, public trust and support is essential to its sustainability. Development and implementation of ethically informed practices may contribute to public support for expansion of WWS to other public health applications.</p><p><strong>Objective: </strong>We conducted a scoping review of existing publications on the ethics of WWS for COVID-19. We characterized these publications and identified research gaps.</p><p><strong>Design: </strong>This scoping review was based on searches through Scopus and PubMed for the period January 2020 to December 2023 focusing on four concepts: wastewater, surveillance, ethics, and COVID-19. We included studies published in journals, reports, and books and identified 31 publications. Publications were coded thematically as well as by approach, region, discipline, and publication type.</p><p><strong>Results: </strong>The majority of publications focused on the need to develop ethical guidelines that promote long-term public support for WWS. A number of publications proposed ethical guidelines and also emphasized that these considerations are context-specific and dynamic, requiring an ongoing system for input as new situations, endpoints, and technologies evolve. Themes included protection of privacy, potential to stigmatize communities with high COVID-19 signals, the importance of effective communication, equitable application of WWS, community engagement, and high standards for data quality. There were few empirical studies of diverse populations' preferences for WWS. Ethical considerations may vary across communities and countries and as new applications of wastewater surveillance emerge.</p><p><strong>Conclusions: </strong>We provide an overview of the emerging principles for ethical practice of WWS and identify gaps in knowledge. These findings may guide future research and consideration of ethics as decisionmakers consider new monitoring endpoints (eg, pharmaceuticals, illegal drugs, infectious diseases, and indicators of population health).</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12430270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strengthening State, Tribal, Local, and Territorial Public Health Agencies Through US Centers for Disease Control and Prevention Fellowship Programs.","authors":"Omoshalewa Bamkole, Ahmed M Kassem, Emily S Jentes, Jesica R Jacobs, Jennifer Gordon Wright, Corinne J Wigington, Wences Arvelo","doi":"10.1097/PHH.0000000000002212","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002212","url":null,"abstract":"<p><strong>Context: </strong>Public health fellowship programs play a vital role in strengthening the workforce across state, tribal, local, and territorial (STLT) public health agencies.</p><p><strong>Program: </strong>The US Centers for Disease Control and Prevention's Epidemic Intelligence Service (EIS) and Laboratory Leadership Service (LLS) fellowships provide structured opportunities for trainees to be placed within STLT public health agencies, where they are intended to contribute directly to essential public health functions. Through these assignments, the objective is for trainees to gain practical experience while STLT public health agencies benefit from additional capacity and public health expertise.</p><p><strong>Evaluation: </strong>Findings from a rapid evaluation showed that EIS and LLS trainees offer crucial support to STLT public health agencies' delivery of Foundational Public Health Services. The trainees also provide surge support during emergency response events, including infectious disease outbreaks and environmental toxins.</p><p><strong>Discussion: </strong>Public health fellowships are a collaborative model of how federal programs can help alleviate longstanding public health workforce challenges, including difficulties recruiting, hiring, and retaining qualified professionals. Integration of trainees into STLT public health agency operations fosters knowledge transfer, strengthens local capabilities, and supports sustained delivery of public health services. Our findings provide additional evidence that public health fellowship programs can serve as essential support for the national public health workforce.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CPR/AED Training State Requirements for US High School Students and Athletic Coaches: A Descriptive Comparison.","authors":"C M Eason, G Frey, W M Adams, R Berkowsky, D J Casa, S E Scarneo-Miller","doi":"10.1097/PHH.0000000000002207","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002207","url":null,"abstract":"<p><strong>Context: </strong>Sudden cardiac arrest (SCA) remains the leading cause of death in sport. Research has consistently shown that CPR/AED training significantly increases the likelihood of bystander intervention in cardiac emergencies.</p><p><strong>Objective: </strong>To compare statewide policies requiring CPR/AED training as a graduation requirement for students and CP.</p><p><strong>Setting: </strong>United States secondary schools.</p><p><strong>Participants: </strong>High school sports safety policy mandates and graduation requirements in all 50 states and the District of Columbia enacted as of December 31, 2024.</p><p><strong>Main outcome measures: </strong>A rubric inclusive of a section on emergency preparedness was used to assess high school sports safety policy mandates. State statute and state high school athletic association (SHSAA) bylaws/rules were reviewed via a 3-tier process. To determine CPR/AED training graduation requirements, the lead author referenced the American Heart Association website and schoolcpr.com to obtain a comprehensive list of states with the requirement currently in place. Descriptive statistics were used to calculate frequencies.</p><p><strong>Results: </strong>Following our policy review, 34 (67%) states require both coaches and high school students to receive CPR/AED training, while 2 (4%) states have no requirements. In 9 (17%) states, students are required to have CPR/AED training as part of their graduation requirements, whereas coaches are not. In 6 (12%) states, coaches are required to have CPR/AED training whereas students are not.</p><p><strong>Conclusions: </strong>Currently 79% of states have requirements for coaches to have CPR/AED training and 84% of states require students to have CPR/AED training. However, there are 9 states where high school students are required to have more training in CPR/AED skills than the adults who would be supervising their practices. These results identify a possible gap in CPR/AED bystander training and raise questions regarding who would respond in the event of a cardiac emergency.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing and Automating Aggregation and Visualization of COVID-19 Data in Metro Manila, Philippines Through the Use of a Free Dashboard Software: A Case Study.","authors":"Kenneth Paul S Ong","doi":"10.1097/PHH.0000000000002215","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002215","url":null,"abstract":"<p><p>In response to an increased demand for data, staff from the Regional Epidemiology and Surveillance Unit of the Department of Health Metro Manila developed an internal dashboard to automate the aggregation and visualization of COVID-19 data from multiple sources, thereby decreasing the time taken to complete the process by approximately 35 minutes, or more than half the duration of the original workflow. Time, financial, and human resource constraints were overcome with staff commitment and communication, and the approach was scaled to develop dashboards for other surveillance systems. Dashboards are useful for aggregation and visualization of data at the subnational level, but they are not replacements for critical review and effective communication of data. Further studies on dashboard development will help establish a framework and promote a new standard for public health organizations at the subnational level.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"STate Activation and Response (STAR): An Evidence-Based, Practice-Informed Approach to Public Health System Improvement.","authors":"Jeanne Alongi, Julie Dudley, Marti Macchi","doi":"10.1097/PHH.0000000000002202","DOIUrl":"10.1097/PHH.0000000000002202","url":null,"abstract":"<p><p>This article summarizes the development and refinement of the ST ate A ctivation and R esponse (STAR) technical assistance program. STAR is an evidence-based, practice-informed approach to supporting state and territorial health departments with developing, implementing, and evaluating chronic disease prevention and health promotion programs. The National Association of Chronic Disease Directors developed the first version of this program during 2008 and has iteratively updated the program based on organizational effectiveness literature, evidence-based public health practice, and state and territorial health department feedback. The current version of STAR was implemented during 2019; through the end of 2023, 15 states, and 1 territory participated in the program using the revised framework. This new iteration of STAR has been well-received by state and territorial health department participants, who have reported improvements to public health infrastructure and operations, workforce training and wellbeing, application of evidence-based practice and communication, and commitment to a shared mission.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Balanced Area Deprivation Index (bADI): Enhancing Social Determinants of Health Indices to Strengthen Their Association With Healthcare Clinical Outcomes, Utilization, and Costs.","authors":"Mohammad Amin Morid, Robert E Tillman, Eran Halperin","doi":"10.1097/PHH.0000000000002201","DOIUrl":"10.1097/PHH.0000000000002201","url":null,"abstract":"<p><strong>Background: </strong>With the rapid expansion of value-based care in the US health-care industry, addressing health disparities has become a central focus for stakeholders. Social determinants of health (SDoH) indices serve as critical tools for assessing neighborhood inequities and informing programs aimed at managing patient health and costs. The Area Deprivation Index (ADI), recently endorsed by the US Department of Health & Human Services, is widely used in these efforts. However, the ADI's reliance on housing-related variables, such as median home value, raises concerns about its applicability, particularly in regions with high property values. This reliance may obscure inequalities and poor health outcomes in communities with high living costs, limiting its effectiveness for population health initiatives led by accountable care organizations (ACOs).</p><p><strong>Methods: </strong>To address these limitations, we developed the balanced ADI (bADI), a novel SDoH index designed to reduce dependency on housing-related variables by standardizing construction factors. We evaluated the bADI's performance through extensive benchmarking using data from millions of Medicare beneficiaries enrolled in fee-for-service and Medicare Advantage (MA) programs. Correlation analyses were conducted to assess the bADI's relationship with clinical outcomes, life expectancy, health care utilization, and costs, and its performance was compared to that of the ADI.</p><p><strong>Results: </strong>The bADI demonstrated stronger correlations with clinical outcomes and life expectancy compared to the ADI. Notably, the bADI exhibited reduced dependence on housing variables in high-cost-of-living regions. Benchmarking results revealed that the bADI outperformed the ADI in predicting health care utilization and costs. While ADI research suggested that both the least and most disadvantaged neighborhoods incur higher annual health care costs, the bADI provided more nuanced insights: The least and most disadvantaged groups experienced higher and lower costs, respectively, relative to other patients.</p><p><strong>Conclusions: </strong>The bADI's robust associations with health care outcomes highlight its potential to improve cost management and care management strategies aimed at reducing health disparities. By adopting the bADI, ACO programs could implement budget-neutral redistributions of resources, reallocating funding from less disadvantaged areas to the most deprived regions. This approach promises to enhance equity and effectiveness in addressing SDoH within the health care system.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The State of Funding for Applied Epidemiology-Results From the 2024 Epidemiology Capacity Assessment.","authors":"Sarah Auer, Emily Armstrong, Jessica Arrazola","doi":"10.1097/PHH.0000000000002190","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002190","url":null,"abstract":"<p><strong>Context: </strong>The applied epidemiology workforce in state health departments relies heavily on federal funding sources and personnel will be lost with the end of pandemic funding.</p><p><strong>Program: </strong>In Spring 2024, the Council of State and Territorial Epidemiologists conducted its 8th Epidemiology Capacity Assessment in state and territorial health departments to understand the epidemiology workforce, including describing the funding sources for epidemiology personnel and activities.</p><p><strong>Implementation: </strong>The assessment was distributed electronically via Qualtrics to the State and Territorial Epidemiologists in the 50 states, District of Columbia and the 8 US territories and freely associated states. Data collection took place between January and April 2024. The assessment had 42 questions, including a mix of numeric entry, matrix tables and open-ended questions.</p><p><strong>Evaluation: </strong>The results were analyzed using R Studio software and Excel 2008, including descriptive statistics, statistical significance tests, and cross-tabulations to explore data at the national level and by state size and region. Qualitative results were tabulated and coded for salient themes.</p><p><strong>Discussion: </strong>Major gaps in the workforce remain across program areas and cyclical, prescriptive funding limits epidemiologists' ability to respond to the unique needs of their communities. There is a need to diversify funding streams through engagement with state government and academic institutions. Health departments need flexible, diverse funding to be able to effectively respond to both current and future health threats.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building Capacity in Public Health: Effects of the Pacific Public Health Fellowship Program in the US-Affiliated Pacific Islands.","authors":"Cassandra Martin Frazier, Jeniffer Concepción Acevedo, Gayle Holmes, Brittany Argotsinger, Jessica Irizarry-Ramos, Soulmaz Rostami, Laura Colman, Hazel D Dean, Leslie A Dauphin","doi":"10.1097/PHH.0000000000002204","DOIUrl":"10.1097/PHH.0000000000002204","url":null,"abstract":"<p><strong>Context: </strong>Public health agencies require a competent, well-trained workforce to protect health and meet the specific needs of the communities served. In the US-Affiliated Pacific Islands (USAPI), geographic and educational barriers, and limited availability of culturally and linguistically appropriate training programs are unique challenges that contribute to public health workforce shortages.</p><p><strong>Program and implementation: </strong>The Pacific Public Health Fellowship Program (PPHFP) was introduced through a partnership between the Centers for Diseases Control and Prevention and the Pacific Island Health Officers Association. It was designed to address barriers to public health workforce development and capacity in USAPI. Established in 2019, PPHFP is a 2-year, full-time training program designed for USAPI residents who are recent college graduates with interests in pursuing careers in public health. The program includes a competency-based training curriculum and field-based projects at participating host sites to address local public health challenges. PPHFP has expanded from 2 fellows in 2021 to 43 fellows in 2024, with each USAPI having hosted fellows.</p><p><strong>Evaluation: </strong>All 2021-2023 cohort respondents to the PPHFP exit survey have reported satisfaction with the program, increased knowledge and skills in public health, and readiness to enter the public health workforce. In addition, respondents reported that they have contributed to public health workforce capacity at their local host sites. In total, 16 of 17 graduates from these cohorts have been employed or continued their education in the public health field.</p><p><strong>Discussion: </strong>PPHFP is a successful approach to addressing unique public health workforce challenges in USAPI through recruitment, training, and placement of residents at local host sites. This fellowship program can serve as a model for enhancing public health workforce capacity in other regions and globally.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building Maternal Health Capacity: Impact of the Maternal Health Learning and Innovation Center.","authors":"Christine Tucker, Leah Daniel, Rakiah Anderson, Suzanna Larkin, Lauren Caton, Abby Cannon, Dorothy Cilenti","doi":"10.1097/PHH.0000000000002194","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002194","url":null,"abstract":"<p><strong>Context: </strong>To address the maternal health crisis, Health Resources and Services Administration funded the Maternal Health Learning and Innovation Center (MHLIC) in 2019 to provide capacity-building assistance (CBA) to maternal health practitioners nationally.</p><p><strong>Objective: </strong>To measure whether and how MHLIC's capacity-building efforts increased maternal health practitioners' confidence in their team's capacity to address maternal health.</p><p><strong>Design: </strong>Mixed methods evaluation, including a retrospective post-test survey and semi-structured focus group interview among 9 state Maternal Health Innovation (MHI) awardee teams funded for 5 years.</p><p><strong>Setting: </strong>MHLIC served 9 state MHI teams initially, growing to 35 states nationally by 2024.</p><p><strong>Participants: </strong>From May-June 2024, 23 staff from 9 teams participated in the survey and these same staff and other teammates (n = 32) participated in a focus group interview.</p><p><strong>Intervention: </strong>MHLIC's CBA is multi-pronged, offering learning opportunities to help awardees gain and strengthen the skills, knowledge, and tools they need to implement innovations that reduce severe maternal morbidity and mortality. Learning opportunities included coaching, technical assistance, tailored consultation, training, peer learning, learning institutes, and national symposia.</p><p><strong>Outcome measures: </strong>The survey outcome was confidence in their team's ability to address 22 maternal health, engagement, and policy items before and after engaging with MHLIC. The focus group's main outcomes were evidence of improved maternal health capacity and the contribution of MHLIC's CBA.</p><p><strong>Results: </strong>There were statistically significant moderate increases in teams' reported confidence on every item from before to after engaging with MHLIC. All changes were roughly 0.5 points or higher on the 4-point scale. Interview evidence of improved capacity with support from MHLIC included equity, community engagement, implicit bias, data use and dissemination, strategic planning, and sustainability.</p><p><strong>Conclusions: </strong>MHLIC's CBA increased teams' maternal health capacity, enabling teams to achieve their MHI goals while laying a foundation for advancing maternal health beyond the scope of the program.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}