after a competitive process, are described in more detail in the following section. MCHB has no internal research or surveillance capacity for injury prevention and control. Given its limited resources and the breadth of its purview (i.e., all facets of occupational and non-occupational injury related to children and families), the bureau strives to stretch its resources through partnerships with many other federal, state, and private sources.
This discretionary grant and contract program has a broad mandate to improve state- and community-based maternal and child health. Grants and contracts are distributed mostly to state and local governments, universities, and nonprofit groups and can take the form of research, demonstrations, and training grants. Of the 500 projects supported under this program, about 20 were injury related in 1997. Although injury projects covered such diverse areas as domestic violence training and playground safety, the largest—and most widely recognized—cluster of grants was awarded to each of the organizations that comprise the Children's Safety Network (CSN).
CSN is a group of organizations that serve to strengthen the state infrastructure for injury and violence prevention and to support policy development at the national and state levels. The CSN acts as a resource for, and provides technical assistance to, state and local public health departments, especially MCH agencies, by helping them assess the injury problem, identify and overcome barriers to implementation of injury prevention programs, evaluate prevention programs, and link with others in the field. CSN also develops and distributes publications and facilitates the development of training and continuing education programs for national organizations and professional groups.
This network evolved from a resource center previously funded by the Carnegie Corporation of New York. It was inaugurated in 1991 with the award of two grants from the federal MCHB, one to the Education Development Center in Newton, Massachusetts, and the other to the National Center for Maternal and Child Health at Georgetown University, Washington, D.C. Currently, the network consists of four national centers: the lead center is responsible for addressing all aspects of child and adolescent injury and violence prevention, and three other centers focus on injury data, rural and agricultural injury, and the costs of injury. The four centers work collaboratively to meet the needs of injury practitioners, to help integrate injury and violence prevention into existing MCH programs and policy, and to conduct research and policy activities that improve the state of the art of injury and violence prevention.