Three of the grantees were women centered programs. The SPNS program has collaborated with the SAMHSA and the National Institute of Mental Health, to co-fund eleven mental health services demonstration projects for people living with HIV/AIDS.

The HIV/AIDS Dental Reimbursement Programs assist dental schools and post-doctoral dental programs with uncompensated costs incurred in providing oral health treatment to HIV-positive patients.

The AIDS Education and Training Centers is a national network of 15 centers that conduct education and training programs for health care providers who want to learn more about the counseling, diagnosis, treatment and management of care for individuals with or at risk for HIV/AIDS. These centers work with community-based HIV/AIDS organizations, health professions schools, hospitals, health departments, community health centers, medical societies, and other organizations.

Maternal and Child Health Services Block Grant

Administered by the Maternal and Child Health Bureau (MCH), the Title V (Social Security Act) MCH Services Block Grant enables state health agencies to establish a state-level program consisting of both the MCH and Children with Special Health Care Needs (CSHCN) programs to form the locus of responsibility in each state for health-related services to mothers and children. The State Title V MCH program is a federal–state partnership in which states are allowed considerable discretion in determining how to use federal funds to meet the unique needs of their respective jurisdictions. Although activities vary from state to state and depend upon how the state is organized, MCH and CSHCN programs engage in such core public health activities as assessment, policy development, and assurance. Assurance activities include, but are not limited to direct and indirect support of clinical and support services for women and children, including those affected by HIV/AIDS. While some states directly provide services in the community or on a regional level, the bulk of support for service delivery is provided indirectly through grants and contracts with community-based providers, including local health departments, community health centers, hospitals, university medical centers, school-based and school-linked health clinics and programs, public and private community agencies, and private providers. Total Title V appropriations for FY 1998 were $683 million, with $564.9 million allocated to states on a formula basis in the form of a block grant.

States must match federal funds $3 for every $4 and must dedicate 30% of block grant funding to preventive and primary care for children, and 30% for children with special health care needs. Most of the remaining funds are used for pregnant women and infants. Title V programs serve more than 17 million women of reproductive age, infants, children, and youth. Roughly one-third of all pregnant

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