Rural Focus and Representation in State Maternal Mortality Review Committees: Review of Policy and Legislation

Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health
Katy B KozhimannilCarrie Henning-Smith

Abstract

Between 1990 and 2013, maternal mortality nearly doubled in the United States and rural residents experienced decreasing access to obstetric care. To improve maternal health, many states have established maternal mortality and morbidity review committees (MMRCs). We assessed the extent of rural representation in state policy efforts related to MMRCs. We reviewed publicly available information on MMRCs (websites, statutes, bills, media) in all 50 states and the District of Columbia, separately identifying highly rural states (with >30% of the population being rural residents). We assessed whether each state 1) had established an MMRC, 2) had passed legislation requiring an MMRC, 3) had considered, but not passed, legislation requiring an MMRC, 4) mentioned rural populations in MMRC legislation, 5) required representation on the MMRC from any particular groups, and 6) required rural representation on the MMRC. As of December 2018, MMRCs were established in 45 states and the District of Columbia, an increase from 23 in 2010. Legislation was in place in 27 states, up from 6 in 2010. Only three states specifically mentioned rurality in legislation (including one highly rural state), and only two states required rural representation ...Continue Reading

Citations

Dec 4, 2019·Health Affairs·Katy Backes KozhimannilLindsay K Admon
Jan 11, 2020·Obstetrics and Gynecology·Katy B KozhimannilLindsay K Admon
Jul 17, 2020·American Journal of Public Health·Katy B KozhimannilLindsay Admon
Jun 2, 2021·Journal of Midwifery & Women's Health·Amy Alspaugh

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