40 research outputs found

    SCHIP Children: How Long Do They Stay and Where Do They Go?

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    Presents findings on the length of children's enrollment in State Children's Health Insurance Programs and their coverage after they leave the program in seven states. Explores variations across states and how state policies may affect retention

    Covering Kids & Families Evaluation Case Study of Michigan: Exploring Medicaid and SCHIP Enrollment Trends and Their Links to Policy and Practice

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    Evaluates the impact in Michigan of the RWJF project to increase enrollment in Medicaid and State Children's Health Insurance Programs. Outlines state policy changes and local- and state-level findings on the links between activities and enrollment trend

    Covering Kids & Families Evaluation: Case Study of Illinois: Exploring Links Between Policy, Practice and the Trends in New Medicaid/SCHIP Enrollments

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    Evaluates the impact in Illinois of the RWJF project to increase enrollment in Medicaid and State Children's Health Insurance Programs. Outlines state policy changes; outreach, simplification, and coordination activities; and 1999-2005 enrollment trends

    Three Independent Evaluations of Healthy Kids Programs Find Dramatic Gains in Well-Being of Children and Families

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    Presents highlights from evaluations of a comprehensive health insurance coverage program for children, launched by Children's Health Initiatives and supported by the California Endowment, in Los Angeles, San Mateo, and Santa Clara counties

    Using Data to Drive State Improvement in Enrollment and Retention Performance

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    Outlines the RWJF Maximizing Enrollment program's core performance measures for Medicaid and Children's Health Insurance Program enrollment and retention, designed to assess state efforts to better utilize data to monitor and improve outreach and policy

    Covering Kids & Families Case Study of Oregon: Exploring Medicaid and SCHIP Enrollment Trends and Their Links to Policy and Practice

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    Evaluates the impact in Oregon of the RWJF project to increase enrollment in Medicaid and State Children's Health Insurance Programs. Outlines state policy changes and local- and state-level findings on the links between activities and enrollment trends

    Evaluation of Maximizing Enrollment

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    This report presents findings from an impact evaluation of the Robert Wood Johnson Foundation's Maximizing Enrollment grant program on the enrollment of children in Medicaid and the Children's Health Insurance Program (CHIP). Implemented from early 2009 through early 2013, the program funded eight states seeking to maximize the coverage of uninsured children who were eligible for these two major public insurance programs. The eight states included: Alabama, Illinois, Louisiana, Massachusetts, New York, Utah, Virginia, and Wisconsin

    Covering Kids & Families: A Continuing Program for Increasing Insurance Coverage Among Low-Income Families

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    Explores the impact of the program's coalition-based approaches to improving Children's Health Insurance and Medicaid programs to increase enrollment on policy and procedures and assesses the outcomes of policy change on coverage of children and parents

    Mixed blessings: a qualitative exploration of mothers’ experience of child care and feeding in the rapidly urbanizing city of Addis Ababa, Ethiopia

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    Many studies have drawn attention to the vital role mothers have in safeguarding the health and nutritional wellbeing of their children. However, little is known about mothers’ experiences and the challenges they face in fulfilling this role in rapidly urbanizing cities in Africa. This study aims to explore child care and feeding practices of mothers with children under five years of age in Addis Ababa, Ethiopia. This qualitative study was conducted using a semi-structured interview guide. A total of thirty-six interviews were conducted with purposively selected participants. All interviews were audio recorded, transcribed verbatim and translated for analysis. We used a thematic analysis approach, which was guided by a resilience framework. The findings are presented as three major themes. 1) ‘Mixed blessings-balancing motherhood’s expectations’. While mothers identified positively with the social recognition and sense of fulfillment of being a ‘good mother’, they were ambivalent/torn about earning the necessary income from outside work and fulfilling their duties at home. 2) ‘Instabilities due to rampant urban sprawl’. While women expressed a keen desire to balance work and motherhood, the disintegrating social capital, due to large in-migration, market fluctuations and abrupt/forced resettlements to new housing units had left mothers without support for childcare, stressed and exhausted. 3) ‘Anchored by faith: a source of resilience to cope with adversities’. In the face of the multiple adversities, mothers cited their strong faith as their most reliable foundation for their resilience. In summary, the societal and environmental changes accompanying the rapid urbanization in low income settings makes combining child care and working outside the home very challenging for mothers. As a result they suffer from fatigue and feelings of isolation. Efforts to improve child feeding and care in urban low-income settings need to consider context appropriate strategies that support mothers with small children

    What influences urban mothers’ decisions on what to feed their children aged under five—the case of addis ababa, Ethiopia

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    Mothers carry the prime responsibility for childcare and feeding in low-income countries. Understanding their experiences in providing food for their children is paramount to informing efforts to improve the nutritional status of children. Such information is lacking in Sub-Saharan Africa. To understand what influences urban mothers’ food acquisition and their motivations for selecting food for their children, 36 in-depth interviews were carried out with mothers having children under five years of age. Interviews were conducted in the local language, audio-recorded, transcribed, and translated into English. Data were analyzed using thematic analysis which led to the identification of four major themes: mothers give-in to a child-driven diet; quick-fix versus the privilege of planning; keen awareness on food safety, nutrition, and diet diversity; and social, familial, and cultural influences. The findings indicate that child feeding practices are influenced by interlinked social and environmental factors. Hence, nutrition education campaigns should focus on targeting not only families but also their children. Attention should also be given to food safety regulations, as well as to the much-needed support of mothers who are struggling to ensure their children’s survival in low-income countries
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