Measure Status: Active
Evidence Level: Emerging. Aligns with Caregiver/Parent Education. Find other NPM 5 Caregiver/Parent-level strategies in MCHbest.
Measurement Quadrant: Quadrant 4: Measuring quality of effect (% of "is anyone better off")
Service Type: Enabling services level of pyramid
Essential Public Health Services: 7. Assure effective and equitable health systems
Service Recipient: Activities directed to families/children/youth
Goal: By 2025, increase the number of infants of 4 months of age, in the Title V Home Visiting Program, placed to sleep in a safe environment.
Numerator: Infants up to 4 months of age, in the Title V Home Visiting Program, placed on a safe sleep environment (on their backs, on a separate approved sleep surface, and without soft objects or loose bedding) after receiving safe sleep counseling by September 2025
Denominator: Infants up to 4 months of age, in the Title V Home Visiting Program, who were placed in a high risk sleeping environment by September 2025.
Significance: In Puerto Rico safe-sleep-related Sudden Unexpected Infant Deaths (SUIDS), were among the leading causes of infant deaths between 1 to 12 months of age in 2016, and was the first cause in 2017 and 2018. The PR-PRAMS results raise concern of the knowledge and practices of safe sleep in PR, with only 2.7% placing their infants in a safe sleep sleeping environment. Recognizing this as a priority, the Title V Home Visiting Program promotes infant safe sleep practices participants by offering prenatal and post-partum orientation and evaluating safe sleep practices periodically. Participants in the HVP receive orientation on safe sleep practices beginning in the second trimester of pregnancy and continued in the post-partum period. The participants for this program are chosen based on the identification of risk factors that increase infant mortality such as adolescent pregnancy, chronic disease, previous pregnancy loss, and maternal age older than 35 years.
Data Sources and Data Issues: Title V Home Visiting Program logs, reports and produced documents.
Unit Type: Percentage, Unit Number: 100