Telling a pregnant woman and her family about a fetal demise is one of the greatest challenges for maternity care clinicians. In this essay, the author reflects on such an encounter in her work as a community health center clinician, maternity care teacher, and mother herself.

P and practitioners working in health centers may face challenges when trying to trying to encourage healthy lifestyles in an underserved patient population. One of the most challenging diseases to address is obesity. As the prevalence of childhood obesity reaches a new high, efforts must be made to reverse and protect children from this preventable disease. This column will describe how two fe...

CONTEXT It is important to monitor trends among publicly funded family planning clinics to determine where clinics are successfully meeting the contraceptive service needs of low-income women and where more effort is needed. METHODS Service data for all U.S. agencies and clinics providing subsidized family planning services were collected for 2001 and compared with similar data collected for ...

PURPOSE Methods used to deliver and test a pharmacy-based asthma care telephonic service for an underserved, rural patient population are described. SUMMARY In a randomized controlled trial (RCT), the Patient And phaRmacist Telephonic Encounters (PARTE) project is assessing the feasibility, acceptability, and preliminary impact of providing pharmacy-based asthma care service telephonically. T...

Purpose This study aimed to evaluate a pilot project of the Nursing Feeding Center "Posyandu Plus" (NFCPP) through local food-based complementary feeding (LFCF) program designed to improve the nutritional status of children aged 6-36 months at community health centers in Indonesia. Methods A quasi-experimental design was used to obtain data regarding the nutritional status of 109 children who...

Community health centers in the United States improve access to dental care for underserved populations and individuals who live in underserved areas. The not-for- profit health centers provide care to patients regardless of their ability to pay and must follow extensive federal and state regulations. There are 245 California health center sites that provide dental care. This article reviews th...

BACKGROUND Mali has one of the world's lowest contraceptive use rates and a high rate of unmet need for family planning. In order to increase access to and choice of quality family planning services, Marie Stopes International (MSI) Mali introduced social franchising in public-sector community health centers (referred to as CSCOMs in Mali) in 3 regions under the MSI brand BlueStar. PROGRAM DE...

PURPOSE This study investigated the prevalence and etiological factors associated with caries in a group of young Australian aboriginal children from 1 to 3.5 years of age. METHODS One hundred and forty-seven healthy infants, aged from 1 to 3.5 years, attending a community health center in Brisbane, a nonfluoridated state capital city, were randomly selected for the study. RESULTS The carie...

BACKGROUND AND OBJECTIVES Training partnerships between family medicine residencies (FMRs) and community health centers (CHCs) are a potential solution to the chronic problem of health workforce shortages in CHCs. We conducted a national survey to identify the barriers to training family medicine residents in CHCs. METHODS We asked US family medicine residency directors to identify barriers t...