MCH Pyramid

Figure 1

CORE PUBLIC HEALTH SERVICES
DELIVERED BY MCH AGENCIES

DIRECT
HEALTH CARE
SERVICES:
(GAP FILLING)
Examples:
Basic Health Services,
and Health Services for CSHCN
ENABLING SERVICES:
Examples:
Transportation, Translation, Outreach,
Respite Care, Health Education, Family
Support Services, Purchase of Health Insurance,
Case Management, Coordination with Medicaid,
WIC, and Education

POPULATION-BASED SERVICES:
Examples:
Newborn Screening, Lead Screening, Immunization,
Sudden Infant Death Syndrome Counseling, Oral Health,
Injury Prevention, Nutrition,
and Outreach/Public Education

INFRASTRUCTURE BUILDING SERVICES:
Examples:
Needs Assessment, Evaluation, Planning, Policy Development,
Coordination, Quality Assurance, Standards Development, Monitoring,
Training, Applied Research, Systems of Care, and Information Systems

MCHB/DSCH 10/20/97

THE MCH PYRAMID
The conceptual framework for the services of the Maternal and Child Health Title
V Block Grant to States is envisioned as a pyramid, as depicted on the previous
page, with four tiers of services and levels of funding that provide comprehensive
services for mothers and children, including children with special health care
needs in the Nation. This model displays the uniqueness of the MCH Title V
Block Grant to States, which is the only Federal program that provides services
at all levels. These services are direct health care services (gap filling), enabling
services, population-based services, and infrastructure building. Since 1997, the
MCH Pyramid has, over time, been the graphic representation of the MCH Title V
Block Grant to States program.