Collaboration between colleges of liberal arts and sciences and health professional schools provide fertile ground for undergraduate programs focused on health education, advocacy, and research. Complex collaboration can sometimes challenge disciplinary boundaries and traditional processes, which may need to be updated to maximize student…

Despite the known dangers of pregnancy smoking, rates remain high, especially in the rural, Southern United States. Interventions are effective, but few have been developed and tested in regions with high rates of pregnancy smoking, a culture that normalizes smoking, and a hard-to-reach prenatal population. The goals were to describe a smoking…

A Coordinated School Health Program maximizes a school's positive interaction among health education, physical education, health services, nutrition services, counseling/psychological/social services, health school environment, health promotion for staff, and family and community involvement. The purpose of this semester project is for…

Geographical, economic, social and cultural barriers to accessing services in rural areas are widely reported. Less widely discussed are dilemmas posed by individual and community reluctance to address sensitive health issues. This article, focusing on the highly sensitive area of mental health, and employing a participatory action approach,…

COLLEGE STUDENT VOLUNTEERS WORKING IN THE ISOLATED AREAS OF EASTERN KENTUCKY HAVE INSTITUTED A PROGRAM DESIGNED TO AID IN THE WAR ON POVERTY. THE APPALACHIAN VOLUNTEERS WERE INITIALLY SUPPORTED BY A GRANT FROM THE AREA REDEVELOPMENT ADMINISTRATION AND BY CONTRIBUTIONS, FROM PRIVATE CORPORATIONS AND FOUNDATIONS, OF MONEY AND MATERIALS. GROUNDWORK…

Data from a 10 percent sample of fifth-twelfth grade students indicate that in four predominantly rural counties of Kentucky, children are exposed to smoking before fifth grade and to drinking by seventh grade. The Health Education/Risk Reduction Grant Program was implemented over a 3-year period in the four county school systems in an attempt to…

Findings from a qualitative evaluation of the Coordinated Consumer Health Education Project in rural Eastern Kentucky are presented. The purpose of the project is to provide health education for pregnant and lactating women and their infants up to one year of age through a coordinated effort with other health care providers. The evaluation…

The Maternal and Infant Health Outreach Worker Program (MIHOW) of Vanderbilt University's Center for Health Services gathered data on family planning, prenatal care, pregnancy outcomes, breastfeeding, and preventive child health care from 60 women in 6 rural, low income communities in Tennessee, Kentucky, and West Virginia. The resulting baseline…

Complex community health promotion programs are being held accountable for their effectiveness, but rural public health departments lack staff and expertise to carry out evaluations. In Kentucky, a university evaluation expert trains local public health staff in technical skills for program evaluation and provides ongoing mentoring and technical…

Supports renewed funding of the Appalachian Regional Commission's (ARC) "finish-up health plan" and "highway finish-up program." Discusses at length the need for primary care services, prevention of infant mortality, and the lack of physicians in Appalachia, and how the ARC plans can affect these needs. (LC)

This report tells the stories of dozens of low-income families from all parts of Kentucky. It is a personal report, compiled after 4 months of travel and interviews. The report also makes recommendations for improvements in programs designed to serve impoverished families. The introduction discusses the seeming paradoxes of poverty and generosity,…

This report outlines the national and state environmental context for the SECCS Initiative in supporting MCH strategic planning in early childhood systems building. This strategic context has implications for roles, relationships, and activities within a planning process and ultimately an implementation process. It summarizes the opportunities and…