Incorporating the Social & Structural Determinants of Health in Colorado’s Title V Program
|Colorado||Community||Cross-Cutting/System Building||Health Equity||4, 6, 9, 11, 14.1, 14.2|
The federal Title V Maternal and Child Health (MCH) block grant guidance provided states with the opportunity to more intentionally incorporate a focus on the social and structural determinants of health (SSDoH) across MCH populations in the selection of MCH statewide priorities for 2021-2025. The guidance included an option to capture cross-cutting and infrastructure building areas of focus, such as the social determinants of health. To address this, the Colorado MCH Program looked beyond the traditional population-specific strategies to identify upstream approaches to address the root causes that impact health outcomes across all MCH populations. The Colorado MCH Program used a structured, data-informed and inclusive process to incorporate SSDoH into the needs assessment and priority selection, as well as the planning and implementation processes for the 2021-25 Title V grant cycle.
This new approach resulted in the selection of four of Colorado’s seven new MCH priorities focused on SSDoH: increasing prosocial connection, creating safe and connected built environments, increasing economic mobility, and reducing racial inequities.