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…

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…

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…