Open AccessThe effects of anticipated funding changes on maternal and child health projects: a case study of uncertainty.
Author(s) -
Edward R. Schlesinger,
Martha M. Skoner,
E D Trooskin,
J R Markel,
A. Frederick North
Publication year - 1976
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.66.4.385
Subject(s) - anxiety , anticipation (artificial intelligence) , scope (computer science) , medicine , turnover , psychology , balanced budget , family medicine , business , nursing , environmental health , psychiatry , political science , economics , management , artificial intelligence , computer science , programming language , politics , law
A questionnaire survey of Title V special projects--Maternal and Infant Care (M&I), Comprehensive Care for Children and Youth (C&Y), Neonatal Intensive Care and Children's Dental Care--indicated that the anticipated change from federal project grants to state formula grants caused anxiety among project directors, low morale and high turnover in project staff, difficulty in filling staff positions, and anticipation of service reductions. These effects were much more prevalent and severe in projects which could realistically be expected to suffer budget cuts as a result of the shift in funding method. Despite the widespread anxiety, low morale and adverse effects reported by program directors, there was no reduction in the number of patients served, the scope of services offered, or the number of staff employed.