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Maternal and Child Health Journal
Published in: Maternal and Child Health Journal 1/2006

Open Access 01-09-2006 | Original Paper

Public Finance Policy Strategies to Increase Access to Preconception Care

Author: Kay A. Johnson

Published in: Maternal and Child Health Journal | Special Issue 1/2006

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Abstract

Policy and finance barriers reduce access to preconception care and, reportedly, limit professional practice changes that would improve the availability of needed services. Millions of women of childbearing age (15–44) lack adequate health coverage (i.e., uninsured or underinsured), and others live in medically underserved areas. Service delivery fragmentation and lack of professional guidelines are additional barriers. This paper reviews barriers and opportunities for financing preconception care, based on a review and analysis of state and federal policies. We describe states’ experiences with and opportunities to improve health coverage, through public programs such as Medicaid, Medicaid waivers, and the State Children's Health Insurance Program (SCHIP). The potential role of Title V and of community health centers in providing primary and preventive care to women also is discussed. In these and other public health and health coverage programs, opportunities exist to finance preconception care for low-income women. Three major policy directions are discussed. To increase access to preconception care among women of childbearing age, the federal and state governments have opportunities to: (1) improve health care coverage, (2) increase the supply of publicly subsidized health clinics, and (3) direct delivery of preconception screening and interventions in the context of public health programs.
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Metadata
Title
Public Finance Policy Strategies to Increase Access to Preconception Care
Author
Kay A. Johnson
Publication date
01-09-2006
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue Special Issue 1/2006
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-006-0125-8

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