Home visiting caregiver satisfaction and engagement in South Carolina

Maternal and child health home visiting programmes demonstrate positive outcomes, yet retention of families in services can be difficult. This study examined caregiver satisfaction with home visiting programmes in South Carolina, USA, including an assessment of facilitators and barriers of satisfaction and overall engagement in services. A non-random, purposive sampling strategy was used to recruit caregivers enrolled in home visiting in South Carolina for study participation. Caregivers rated their satisfaction with home visiting highly and valued their programmes' educational components. Barriers to satisfaction and engagement included logistical factors such as difficulty scheduling appointments. Home visiting programmes should ensure their workforce development and accessibility practices are aligned to meet families' needs to promote retention in services.

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Facilitators and barriers to quality of care in maternal, newborn and child health: a global situational analysis through metareview

BMJ Open ◽

10.1136/bmjopen-2013-004749 ◽

2014 ◽

Vol 4 (5) ◽

pp. e004749 ◽

Cited By ~ 42

Author(s):

Manisha Nair ◽

Sachiyo Yoshida ◽

Thierry Lambrechts ◽

Cynthia Boschi-Pinto ◽

Krishna Bose ◽

...

Keyword(s):

Quality Of Care ◽

Child Health ◽

Situational Analysis ◽

Newborn And Child Health ◽

Facilitators And Barriers ◽

And Child Health

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Intention to Engage in Maternal and Child Health Home Visiting

Social Work in Public Health ◽

10.1080/19371918.2020.1767751 ◽

2020 ◽

Vol 35 (4) ◽

pp. 197-212

Author(s):

Mallory Wolfe Turner ◽

Ana Cabello-De la Garza ◽

Ashley Kazouh ◽

Adam J. Zolotor ◽

J. Bart Klika ◽

...

Keyword(s):

Child Health ◽

Maternal And Child Health ◽

Home Visiting ◽

And Child Health ◽

Health Home

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Building Analytic Capacity, Facilitating Partnerships, and Promoting Data Use in State Health Agencies: A Distance-Based Workforce Development Initiative Applied to Maternal and Child Health Epidemiology

Maternal and Child Health Journal ◽

10.1007/s10995-012-1190-9 ◽

2012 ◽

Vol 16 (S2) ◽

pp. 196-202 ◽

Cited By ~ 7

Author(s):

Kristin M. Rankin ◽

Charlan D. Kroelinger ◽

Deborah Rosenberg ◽

Wanda D. Barfield

Keyword(s):

Child Health ◽

Workforce Development ◽

Maternal And Child Health ◽

Data Use ◽

Analytic Capacity ◽

State Health ◽

Health Agencies ◽

And Child Health ◽

State Health Agencies

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Community health workers impact on maternal and child health outcomes in rural South Africa – a non-randomized two-group comparison study

BMC Public Health ◽

10.1186/s12889-020-09468-w ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Karl W. le Roux ◽

Ellen Almirol ◽

Panteha Hayati Rezvan ◽

Ingrid M. le Roux ◽

Nokwanele Mbewu ◽

...

Keyword(s):

Child Health ◽

Health Outcomes ◽

Maternal And Child Health ◽

Home Visiting ◽

Health Workers ◽

Group Comparison ◽

Comparison Study ◽

Child Health Outcomes ◽

The Impact ◽

And Child Health

Abstract Background Home visits by paraprofessional community health workers (CHWs) has been shown to improve maternal and child health outcomes in research studies in many countries. Yet, when these are scaled or replicated, efficacy disappears. An effective CHW home visiting program in peri-urban Cape Town found maternal and child health benefits over the 5 years point but this study examines if these benefits occur in deeply rural communities. Methods A non-randomized, two-group comparison study evaluated the impact of CHW in the rural Eastern Cape from August 2014 to May 2017, with 1310 mother-infant pairs recruited in pregnancy and 89% were reassessed at 6 months post-birth. Results Home visiting had limited, but important effects on child health, maternal wellbeing and health behaviors. Mothers reported fewer depressive symptoms, attended more antenatal visits and had better baby-feeding practices. Intervention mothers were significantly more likely to exclusively breastfeed for 6 months (OR: 1.8; 95% CI: 1.1, 2.9), had lower odds of mixing formula with baby porridge (regarded as detrimental) (OR: 0.4; 95% CI: 0.2, 0.8) and were less likely to consult traditional healers. Mothers living with HIV were more adherent with co-trimoxazole prophylaxis (p < 0.01). Intervention-group children were significantly less likely to be wasted (OR: 0.5; 95% CI 0.3–0.9) and had significantly fewer symptoms of common childhood illnesses in the preceding two weeks (OR: 0.8; 95% CI: 0.7,0.9). Conclusion The impact of CHWs in a rural area was less pronounced than in peri-urban areas. CHWs are likely to need enhanced support and supervision in the challenging rural context.

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Addressing maternal and child health equity through a community health worker home visiting intervention to reduce low birth weight: retrospective quasi-experimental study of the Arizona Health Start Programme

BMJ Open ◽

10.1136/bmjopen-2020-045014 ◽

2021 ◽

Vol 11 (6) ◽

pp. e045014

Author(s):

Samantha Sabo ◽

Patrick Wightman ◽

Kelly McCue ◽

Matthew Butler ◽

Vern Pilling ◽

...

Keyword(s):

Birth Weight ◽

Child Health ◽

American Indian ◽

Birth Outcomes ◽

Maternal And Child Health ◽

Home Visiting ◽

Birth Certificate ◽

Quasi Experimental ◽

Programme Participation ◽

And Child Health

ObjectiveTo test if participation in the Health Start Programme, an Arizona statewide Community Health Worker (CHW) maternal and child health (MCH) home visiting programme, reduced rates of low birth weight (LBW), very LBW (VLBW), extremely LBW (ELBW) and preterm birth (PTB).DesignQuasi-experimental retrospective study using propensity score matching of Health Start Programme enrolment data to state birth certificate records for years 2006–2016.SettingArizona is uniquely racially and ethnically diverse with comparatively higher proportions of Latino and American Indian residents and a smaller proportion of African Americans.Participants7212 Health Start Programme mothers matched to non-participants based on demographic, socioeconomic and geographic characteristics, health conditions and previous birth experiences.InterventionA statewide CHW MCH home visiting programme.Primary and secondary outcome measuresLBW, VLBW, ELBW and PTB.ResultsUsing Health Start Programme’s administrative data and birth certificate data from 2006 to 2016, we identified 7212 Health Start Programme participants and 53 948 matches. Programme participation is associated with decreases in adverse birth outcomes for most subgroups. Health Start participation is associated with statistically significant lower rates of LBW among American Indian women (38%; average treatment-on-the-treated effect (ATT): 2.30; 95% CI −4.07 to –0.53) and mothers with a pre-existing health risk (25%; ATT: -3.06; 95% CI −5.82 to –0.30). Among Latina mothers, Health Start Programme participation is associated with statistically significant lower rates of VLBW (36%; ATT: 0.35; 95% CI −0.69 to –0.01) and ELBW (62%; ATT: 0.31; 95% CI (−0.52 to –0.10)). Finally, Health Start Programme participation is associated with a statistically significant lower rate of PTB for teen mothers (30%; ATT: 2.81; 95% CI −4.71 to –0.91). Other results were not statistically significant.ConclusionA state health department-operated MCH home visiting intervention that employs CHWs as the primary interventionist may contribute to the reduction of LBW, VLBW, ELBW and PTB and could improve birth outcomes statewide, especially among women and children at increased risk for MCH inequity.

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Home visitors and child health in England: advances and challenges

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-62342011000800030 ◽

2011 ◽

Vol 45 (spe2) ◽

pp. 1810-1816 ◽

Cited By ~ 1

Author(s):

Sarah Cowley

Keyword(s):

Child Health ◽

Community Development ◽

Service Provision ◽

Home Visiting ◽

Early Years ◽

Evidence Based ◽

Home Visitors ◽

Nurse Family Partnership ◽

Development Approach ◽

And Child Health

There is increasing interest in the early years as a focus for reducing health inequalities as well as one that is important for the children themselves. This paper describes the introduction in England of Sure Start Local Programmes, which included home visiting within a community development approach, and an intensive home visiting programme, the Nurse-Family partnership, for disadvantaged teenage mothers. It reflects on changes and challenges in service provision to mothers and their pre-school children in England, explaining that a long tradition of home visiting was, paradoxically, reduced as attention focused on the newer initiatives. This is now being addressed, with attention to a range of evidence based programmes and a specific focus on heath visitor provision.

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Evaluation protocol to assess maternal and child health outcomes using administrative data: a community health worker home visiting programme

BMJ Open ◽

10.1136/bmjopen-2019-031780 ◽

2019 ◽

Vol 9 (12) ◽

pp. e031780 ◽

Cited By ~ 1

Author(s):

Samantha Sabo ◽

Matthew Butler ◽

Kelly McCue ◽

Patrick Wightman ◽

Vern Pilling ◽

...

Keyword(s):

Child Health ◽

Health Outcomes ◽

Community Health ◽

Administrative Data ◽

Maternal And Child Health ◽

Home Visiting ◽

Health Workers ◽

Control Group ◽

And Child Health ◽

Start Program

IntroductionEmerging evidence suggests community health workers (CHWs) delivering preventive maternal and child health (MCH) interventions through home visiting improve several important health outcomes, including initiation of prenatal care, healthy birth weight and uptake of childhood immunisations.Methods and analysisThe Arizona Health Start Program is a behavioral-based home visiting intervention, which uses CHWs to improve MCH outcomes through health education, referral support, and advocacy services for at-risk pregnant and postpartum women with children up to 2 years of age. We aim to test our central hypothesis that mothers and children exposed to this intervention will experience positive health outcomes in the areas of (1) newborn health; (2) maternal health and healthcare utilisation; and (3) child health and development. This paper outlines our protocol to retrospectively evaluate Health Start Program administrative data from 2006 to 2015, equaling 15 576 enrollees. We will use propensity score matching to generate a statistically similar control group. Our analytic sample size is sufficient to detect meaningful programme effects from low-frequency events, including preterm births, low and very low birth weights, maternal morbidity, and differences in immunisation and hospitalisation rates.Ethics and disseminationThis work is supported through an inter-agency contract from the Arizona Department of Health Services and is approved by the University of Arizona Research Institutional Review Board (Protocol 1701128802, approved 25 January 2017). Evaluation of the three proposed outcome areas will be completed by June 2020.

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