By working with local grantees, the Michigan state team developed trainings and toolkits to increase awareness and screening of blood lead testing for pregnant and nursing women.


  • Develop a plan to increase capillary to confirmatory venous testing rates.
  • Implement best practices and testing recommendations for pregnant women throughout Michigan.


Guidelines and Recommendations

  • Worked with Lead Commission grantees from Detroit and Flint to develop a screening questionnaire for providers to ask pregnant and nursing mothers questions about environmental exposures to determine if lead testing is needed. The plan is to expand this screening questionnaire statewide.
    • With this screening questionnaire, the Greater Flint Health Coalition Community Health Access Program partnered with Hurley Hospital to refer more than 550 women for lead education.

Education, Training, and Outreach

  • Developed and widely distributed Lead-Free Michigan Toolkit, which includes a blood lead level (BLL) testing Quick Reference for Providers document. The document outlines the risk assessment questions and best practices for follow-up and provides a resource for pregnant and nursing mothers.
  • Developed an online health care provider training module to train physicians and nurses on signs and symptoms of lead exposure, treatment protocols, community resources, navigating school accommodations, and local reimbursement processes.
  • Provided 45 leadcare2 machines for the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) clinics throughout the state.
  • Provided grant funding to local health department jurisdictions to do lead education, lead outreach, and lead prevention in the cities with the highest elevated BLL rates. Worked with the local health departments to come up with strategies to increase testing rates.
  • Hosted six regional public forums to get input on the Lead Commission’s recommendations to prevent lead exposure in Michigan.


  • Developed a new partnership with Parents for Healthy Homes.
  • Collaborated with local partners on pregnant women conference in Detroit and in-person trainings as requested by health care offices; currently performing an assessment to determine training needs of local health departments throughout Michigan.


Click here to view the full change package of strategies and actions that Michigan used as they worked to achieve their aims as part of the Maternal and Child Environmental Health Collaborative Improvement and Innovation Network.


Contact the Michigan Team:

Michigan Childhood Lead Poisoning Prevention Program 



Learn from our partners

Our CoIIN members have developed statewide actions and initiatives for lead poisoning prevention and mitigation. Included in these case studies are resources & summaries from the CoIIN state teams and partners.

Browse all case studies