Leadership also can extend to a broader impact on entire organizations, systems, or general modes of practice. These wider areas of impact and influence require additional skills and a broader based understanding of the change process and the factors that influence change over time. Examples of this level of leadership are MCH professionals mobilizing communities to improve the local system of health care for pregnant women or influencing policy at the State level to improve reimbursement to MCH providers.

11. Working with Communities and Systems
12. Policy and Advocacy