Calif. Budget Cuts Threaten Prenatal Health Program For Women, Teens

Main Category: Pregnancy / Obstetrics
Article Date: 25 Jun 2009 - 5:00 PDT

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County public health officials in California say proposed budget cuts could hurt or end the state's Maternal, Child and Adolescent Health Program, which provides care for high-risk women and teenagers during pregnancy and up to one year after giving birth, the Riverside Press-Enterprise reports. County health departments operate the program with oversight from the state Department of Public Health. Sarah Mack, a spokesperson for the Riverside County Department of Public Health, said the program provides a safety net for women who are uncertain about how to obtain prenatal care. The program's nurses and social workers work to identify vulnerable groups with the goal of initiating care within the first trimester of pregnancy. The program aims to reduce incidences of low birthweight, premature delivery, maternal and infant mortality, preventable childhood diseases and disabling conditions.

Gov. Arnold Schwarzenegger (R) has proposed eliminating more than $20 million in funding from the program to help reduce California's estimated $24 billion budget deficit. Last week, the state Legislature's joint budget conference introduced a counterproposal that would lower cuts to the program to $8 million.

The most recent statistics from the state public health department show that nearly 16,000 California women who gave birth in 2006 had late or no prenatal care. More than 38,500 low-birthweight infants were born that year. Jim Lindley, director of the San Bernardino County Department of Public Health, said that Schwarzenegger's proposal would amount to the elimination of "the bulk of funding" for the program. Mack said that Riverside County officials have identified scenarios to continue providing services if the state funding is eliminated. However, without the funding, "[m]ore people could fall through the safety net," Mack said, adding, "Those who need the program the most would be the most likely to fall through."

Schwarzenegger spokesperson Lisa Page has said that the governor believes the state's budget situation leaves him with little choice about making cuts (Hines, Riverside Press-Enterprise, 6/22).

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