Maternal mortality and morbidity: additional efforts needed to assess program data for rural and underserved areas : report to the Committee on Ways and Means, House of Representatives
Why GAO did this study. Each year in the United States, hundreds of women die from pregnancy-related causes, and thousands more experience SMM. Research suggests there is a greater risk of maternal mortality and SMM among rural residents and that underserved areas may lack needed health services. GAO was asked to review maternal mortality and SMM outcomes in rural and underserved areas. This report examines, among other objectives, what is known about these outcomes; selected CDC and HRSA programs that aim to reduce these outcomes, as well as actions to collect and use relevant data; and the extent to which HHS is taking actions to improve maternal health and monitoring progress on its efforts. GAO analyzed HHS data, agency documentation, literature, and interviewed officials from a non-generalizable sample of three states and stakeholders to capture various perspectives. What GAO recommends. GAO is making three recommendations, including that CDC and HRSA disaggregate and analyze program data by rural and underserved areas, and that HHS’s workgroups establish a formal coordinated approach for monitoring maternal health efforts. HHS concurred with GAO’s recommendations.
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