Urban maternal and child health (MCH) leaders from city and county health departments nationwide came together at this conference for professional development and networking. Selected plenary presentations included in these "highlights" are: (1) "Urban Children in Need: Responsible and Responsive Leadership" (Margaret A. Hamburg); (2) "National, Federal, State, and Local Approaches to Implementing the Childhood Immunization Initiative" (Donald Williamson); (3) "Violence and Public Health: Problems to Policies" (Ellen Anderson); and (4) "Local Public Health Leadership in Times of Transition" (Meredith Tipton). Selected topical workshop presentations included are: (1) "School-Based Clinics and Local Health Departments: The Denver Experience" (Paul Melinkovich); (2) "TB Reemerges in Urban Communities: Implications for MCH" (three case studies) (Hugh F. Stallworth, Grace Rutherford, and Gary Butts); and (3) "Women's Health 1994: Three Health Issues of Concern to Women. Women's Health: Colposcopy Services" (Margaret Gier). Each urban health department attending the conference was required to contribute a detailed profile of one promising MCH urban initiative. These 84 profiles, assembled and indexed, form the bulk of this report. Three appendixes discuss conference planning, program, and participants. (SLD)