Milbank Memorial Fund

To identify and analyze facility-level strategies that support the sustainability of rural maternity and delivery care programs in the United States. This qualitative, cross-case study draws from data collected during the March 2024 Rural Maternity Innovation Summit in Clifton, Texas. Six rural health care organizations from diverse geographic regions shared their approaches to sustaining maternity and delivery services. Data include transcripts and presentation materials from summit sessions involving clinical, financial, and operational representatives of 6 rural hospitals. Thematic analysis was applied to identify cross-site strategies. Three core themes emerged: financial sustainability, workforce development, and community engagement. Strategies included maximizing payment mechanisms, forming partnerships with Federally Qualified Health Centers, employing family physicians with obstetric training, establishing rural residency pipelines, and implementing culturally responsive community outreach. These practices were adapted to local contexts but shared a focus on aligning maternity and delivery services with broader organizational and community goals. Sustaining rural maternity and delivery care requires an integrated approach that combines financial acumen, strategic workforce development, and strong patient and community engagement. Facility-level innovations offer replicable strategies for improving maternal health access and outcomes in rural settings.

Oral Histories of Civic Action to Address HIV/AIDS Daniel M. FoxPhD Affiliation Daniel M. Fox is the president emeritus of the Milbank Memorial Fund. CopyRightCorrespondence should be sent to Daniel M. Fox, PhD, 100 W 12th St, Apartment 3T, New York, NY 10011-8242 (e-mail: dmfox@milbank.org). Reprints can be ordered at http://www.ajph.org by clicking the “Reprints” link. https://doi.org/10.2105/AJPH.2021.306552 Accepted: September 15, 2021 Published Online: December 08, 2021

AffiliationsCharles Scott is a rancher and state legislator in Wyoming. Christopher F. Koller is the president of the Milbank Memorial Fund, New York, NY.

"An Autobiography That Is Also a History of Centers for Disease Control and Prevention." , 108(7), pp. 841–842

The article discusses what the author refers to as a historical and autobiographical reflection on the political aspects of making public health policy in America as of 2017, and it mentions political behavior in the country, as well as frustration and the author's personal experiences. Tuberculosis reporting and the late New York, New York Department of Health official Hermann N. Biggs are examined, along with recommendations for public health practice in the U.S.

The common goal of health policy leaders at the level of state government in the United States is promoting the health and well-being of all populations to the greatest extent possible within fixed resource constraints. Our health is affected by our physical and social environments, our genes, our economic and educational opportunities, and to a much lesser degree, the medical care we receive.1 State leaders understand that as a society we are spending our health care dollars in the wrong ways for the wrong things — emphasizing treatment over prevention and medical care over social services.2 States have responsibility for . . .

This is the account of a mother who lived through the 5-year experience of watching her child fight and finally succumb to a genetic disorder. Lessons about caring practices and insights into the needs of patients and families are emphasized.