Abstract: A 1981 expert report to the US Congress and the Secretary of the US Department of Health and Human Services of a major study to develop strategies for improved child health is presented in 4 volumes. Volume 1 summarizes the major findings and recommendations; Volume 2 outlines the analysis and recommendations for selected federal programs (Title V of the Social Security Act; Medicare and EPSDT; WIC program; the Handicapped Children Education Act; community health pr ograms; and major federal maternal and child health programs); Volume 3 presents a statistical profile of the most compr ehensive compilation of data on child health in the US to date; Volume 4, Part 1 comprises a set of commissioned papers prepared for working groups of the Select Panel for the Promotion of Child Health concerning health care and health poli cy toward childrenand pregnant women; and Volume 4, Part 2 presents a detailed comprehensive description regarding the f inancing and organization of federal health care services. The recommendations of the overall report reflect a realistic analysis of serious unmet needs in child and maternal health, a recognition of past sucesses and future challenges for meeting these needs, a detailed consideration of the weaknesses and strengths of current federal programs and policies, and a pragmatic assessment of the capacity of the US to provide parents and health care professionals the scientific, fi nancial, and organizational support required to improve child health. The total report covers 1839 pages.