TABLE B.2 Percentage of Local Health Departments Providing Specific Services





WIC services


HIV/AIDS treatment


Prenatal care


Well-child clinics


Obstetrical care


EPSDT services


STD testing and counseling


Child sick care


Family planning


Children with special needs services


STD treatment


School health services


HIV counseling and testing




NOTE: EPSDT = Medicaid's Early Periodic Screening, Diagnostic, and Treatment Program; STD = sexually transmitted disease; WIC = Special Supplemental Nutrition Program for Women, Infants, and Children.

many provide services that target communicable diseases such as HIV, tuberculosis, and sexually transmitted diseases (STDs).

Population served: By definition, the population served by an LHD includes all persons within the unit's jurisdiction. The provision of personal health services varies considerably from community to community; 68% offer such services to all persons in their jurisdiction, while 32% limit those services to a target population.

Services provided: Services offered directly or by contract include such population-based services as health education and risk reduction, community outreach and education, and communicable disease screening. Services relevant to maternal and child health are listed in Table B.2.

Funding: Local health departments access a variety of funding sources, including, for example, state funds (including maternal and child health program funds), local community funds, Medicaid, federal government program grants, patient fees, and private foundations.

State Title V Maternal and Child Health and Children with Special Health Care Needs Clinics and Service:

These clinics and services are operated directly by the State Title V Maternal and Child Health (MCH) Program, which is funded by the Title V Maternal and Child Health Services Block Grant (Title V of the Social Security Act). Although some state Title V MCH programs directly run clinical services in a community or on a regional basis, most support care indirectly through grants and contracts to local health departments and community-based providers and facilities. For this reason the program is an important source of funding for services for women and children and is detailed in the discussion of funding sources.

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