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This ASTHOBrief addresses the importance of developing robust, culturally competent risk-appropriate care systems for American Indian and Alaska Native communities.

With many of the state and territorial legislatures reconvening over the next few weeks, we can look forward to new (and not-so-new) legislation start to crop up that will impact public health. To help navigate the new legislative ...

This report highlights six public health approaches for addressing the rising incidence of substance use disorder and neonatal abstinence syndrome and draws out the critical role that state health leaders play in each.

This brief outlines some of the barriers that pregnant and postpartum women with opioid use disorder face, as well as examples of state legislation passed to address recovery program implementation, treatment funding and insurance ...

ASTHO Member and West Virginia Health Commissioner Rahul Gupta Testifies on Nation’s Opioid Epidemic ARLINGTON, VA—Rahul Gupta, commissioner and state health officer at the West Virginia Department of Health and Human Resources’ Bureau for ...

This training is designed to be used with the ASTHO Opioid Use Disorder Toolkit: Supporting the Public Health Response in Maternal, Child and Adolescent Health to “role play” or practice what you learned about screening, referring, and ...

This brief outlines key considerations for state health departments to address the increase in overdose-related deaths during the postpartum period.

In 2023 legislative sessions, states considered measures to improve access to care for pregnant people experiencing substance use disorder, increase provider knowledge of screening and treatment practices, coordinate care for conditions ...

Rural hospital closures exacerbate poor socioeconomic conditions, job loss, cost of health services, transportation times and barriers, and inequitable access to quality care, all of which contribute to unfavorable maternal and infant ...

Perinatal substance use is a serious public health issue, resulting in detrimental and even life-threatening fetal outcomes, and it continues to grow.

This report focuses on promising strategies in four different policy areas to address rising congenital syphilis rates. While no single policy solution will address the structural challenges to diagnosing and treating syphilis among people ...

Implementing Levels of Maternal Care Improves Access to Risk-Appropriate Care Lexa Giragosian Levels of maternal care support risk-appropriate care for pregnant and birthing populations. Risk-appropriate care (RAC) is a strategy to ensure ...

In the Public Health Review podcast debut, host Robert Johnson speaks with public health officials from Alaska, Kentucky, and West Virginia about the ongoing opioid epidemic in the U.S. and its intersections with other epidemics like ...

Summaries from stakeholder meetings about risk-appropriate care. These convenings were hosted by ASTHO, CDC’s Division of Reproductive Health, American Academy of Pediatrics, and the American College of Obstetricians and Gynecologists.

Learn how access to risk appropriate care can improve the health of mothers and infants in the US.

This four-part infographic series illustrates key strategies for addressing common challenges and barriers related to increasing access to contraception.

Polysubstance Use During Pregnancy and the Benefits of Universal Verbal Screening polysubstance use, universal verbal screening, health equity, polysubstance use during pregnancy, public health, substance use disorder, health problems, ...

In February 2019, ASTHO surveyed its members to understand how data is being utilized to address these harms in their jurisdictions. This brief summarizes the results of this survey and highlights data-based approaches used to address four ...

Opioid and substance use disorders (SUD) continue to affect families beyond pregnancy; in 2017, about one in eight U.S. children lived in a household where at least one parent had a SUD in the prior year.

Adverse childhood experiences (ACEs) can lead to chronic physical and behavioral health issues and, ultimately, early death. This brief highlights examples of primary prevention strategies, including building skills and promoting social ...