scholarly journals Using a Collective Impact Framework to Implement Evidence-Based Strategies for Improving Maternal and Child Health Outcomes

2021 ◽  
pp. 152483992199880
Author(s):  
Kay Schaffer ◽  
Dorothy Cilenti ◽  
Diana M. Urlaub ◽  
Erin P. Magee ◽  
Tara Owens Shuler ◽  
...  
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Maternal And Child Health ◽  
Community Action ◽  
Collective Impact ◽  
Evidence Based ◽  
Local Health ◽  
Formal Tool ◽  
Impact Framework ◽  
And Child Health

In 2016, the North Carolina Division of Public Health launched the Improving Community Outcomes for Maternal and Child Health program to invest in evidence-based programs to address three aims: improve birth outcomes, reduce infant mortality, and improve health outcomes for children 0 to 5 years old. Five grantees representing 14 counties were awarded 2 years of funding to implement one evidence-based strategy per aim using a collective impact framework, the principles of implementation science, and a health equity approach. Local health departments served as the backbone organization and provided ongoing support to grantees and helped them form community action teams (CATs) comprising implementation team members, community experts, and relevant stakeholders who met regularly. Focus groups with each grantee’s CAT were held during 2017 and 2019 to explore how CATs used a collective impact framework to implement their chosen evidence-based strategies. Results show that grantees made the most progress engaging diverse sectors in implementing a common agenda, continuous communication, and mutually reinforcing activities. Overall, grantees struggled with a shared measurement system but found that a formal tool to assess equity helped use data to drive decision making and program adaptations. Grantees faced logistical challenges holding regular CAT meetings and sustaining community expert engagement. Overtime, CATs cultivated community partnerships and multicounty collaboratives viewed cross-county knowledge sharing as an asset. Future collective impact initiatives should allow grantees more time upfront to form their CAT to plan for sustained community engagement before implementing programs and to incorporate a tool to center equity in their work.

scholarly journals Using the Wilder Collaboration Factors Inventory to Strengthen Collaborations for Improving Maternal and Child Health

2020 ◽  
Author(s):  
Rebecca Wells ◽  
Lindsey Yates ◽  
Isabel Morgan ◽  
Leslie deRosset ◽  
Dorothy Cilenti
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Technical Assistance ◽  
Health Department ◽  
Community Action ◽  
First Year ◽  
Local Health ◽  
Local Health Departments ◽  
Action Team ◽  
And Child Health

Abstract Introduction The Wilder Collaboration Factors Inventory is a free, publicly available questionnaire about the quality and context of community collaboration. The purpose of this article is to share lessons from using this questionnaire in a North Carolina maternal and child health initiative. Methods In 2015, the State’s General Assembly funded five local health departments to implement evidence-based strategies for improving maternal and child health. Each health department formed a community action team for this purpose. Members of each community action team completed the Wilder Collaboration Factors Inventory (Inventory) in the first year of funding and again 1 and 2 years later. Technical assistance coaches also asked community action team conveners to complete a brief questionnaire annually, and used these as well as Inventory results to plan for improvements. Results During the first year, community action teams emerged as strong in seeing collaboration in their self-interest. A primary challenge noted by conveners was engaging consumers on the community action teams. Strategies to address this included using social media and compensating consumers for attending meetings. By the second year, teams’ average scores in engaging multiple layers of participation increased, and eight additional factors became strengths, which generally continued in year three. The most consistent challenge was supporting community action teams administratively. Discussion The Wilder Collaboration Factors Inventory provided a feasible tool for identifying opportunities for improvement in several local, cross-sector partnerships, suggesting promise for other communities seeking to enhance their collective impact on maternal and child health.

Improving Maternal and Child Health Care: A Blueprint for Community Action in Pittsburgh Region: Summary

2005 ◽  
Author(s):  
Harold Alan Pincus ◽  
Stephen B. Thomas ◽  
Donna J. Keyser ◽  
Nicholas Castle ◽  
Jacob W. Dembosky ◽  
...  
Keyword(s):  
Health Care ◽  
Child Health ◽  
Maternal And Child Health ◽  
Community Action ◽  
Child Health Care ◽  
And Child Health

scholarly journals Impact of a health system strengthening intervention on maternal and child health outputs and outcomes in rural Rwanda 2005–2010

2018 ◽  
Vol 3 (2) ◽  
pp. e000674 ◽  
Author(s):  
Dana R Thomson ◽  
Cheryl Amoroso ◽  
Sidney Atwood ◽  
Matthew H Bonds ◽  
Felix Cyamatare Rwabukwisi ◽  
...  
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Health System ◽  
Population Health ◽  
Maternal And Child Health ◽  
Rural Areas ◽  
Health System Strengthening ◽  
Live Births ◽  
Intervention Area ◽  
And Child Health

IntroductionAlthough Rwanda’s health system underwent major reforms and improvements after the 1994 Genocide, the health system and population health in the southeast lagged behind other areas. In 2005, Partners In Health and the Rwandan Ministry of Health began a health system strengthening intervention in this region. We evaluate potential impacts of the intervention on maternal and child health indicators.MethodsCombining results from the 2005 and 2010 Demographic and Health Surveys with those from a supplemental 2010 survey, we compared changes in health system output indicators and population health outcomes between 2005 and 2010 as reported by women living in the intervention area with those reported by the pooled population of women from all other rural areas of the country, controlling for potential confounding by economic and demographic variables.ResultsOverall health system coverage improved similarly in the comparison groups between 2005 and 2010, with an indicator of composite coverage of child health interventions increasing from 57.9% to 75.0% in the intervention area and from 58.7% to 73.8% in the other rural areas. Under-five mortality declined by an annual rate of 12.8% in the intervention area, from 229.8 to 83.2 deaths per 1000 live births, and by 8.9% in other rural areas, from 157.7 to 75.8 deaths per 1000 live births. Improvements were most marked among the poorest households.ConclusionWe observed dramatic improvements in population health outcomes including under-five mortality between 2005 and 2010 in rural Rwanda generally and in the intervention area specifically.

scholarly journals Assessing the Development of Collective Impact Initiatives Addressing Maternal and Child Health

2020 ◽  
Vol 24 (4) ◽  
pp. 405-411 ◽  
Author(s):  
Sarah Landry ◽  
Vicki Collie-Akers ◽  
Kara Foster ◽  
Denise Pecha ◽  
Chad Abresch
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Collective Impact ◽  
And Child Health

Application of evidence-based teaching in maternal and child health in remote Vietnam

2008 ◽  
Vol 104 (2) ◽  
pp. 152-155 ◽  
Author(s):  
Jane E. Hirst ◽  
Heather E. Jeffery ◽  
Jonathan Morris ◽  
Kirsty Foster ◽  
Elizabeth J. Elliott
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Evidence Based ◽  
And Child Health
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