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Strengthening the evidence for maternal and child health programs

Find State ESMs


Displaying records 1 through 11 (11 total).

14.1.1 Percent of pregnant women who reported smoking in a home visit received a cessation referral. (Arizona)

Measure Status: Active

Measurement Category: Category 4: measuring quality of effect (% of "is anyone better off")

Service Type: Top level: direct services

Service Recipient: Activities directed to families/children/youth

Goal: By 2020, 85% of pregnant women who report smoking in a home visit will receive a cessation referral.

Numerator: Number of pregnant women who report smoking in a home visit that receive a referral

Denominator: Number of pregnant women who report smoking in a home visit

Significance: Smoking during pregnancy can cause a baby to be born prematurely or to have low birth weight. Smoking during and after pregnancy is a risk factor of Sudden Infant Death Syndrome (SIDS). Due to an alarming trend in the percentage of children who live in households where someone smokes; Arizona’s Title V Program partners with the Arizona Smokers’ Helpline to conduct media outreach and smoking cessation services to pregnant women in Arizona. This measure will goal set and continuously assesses how Arizona’s Title V Program can further support smoking cessation efforts around the State.

Data Sources and Data Issues: Internal program data (MIECHV, Health Start, and HRPP) - Efforts to Outcome Database

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

14.1.1 # of pregnant women referred to the WY Quitline services from Healthy Baby Home Visitation (Wyoming)

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Top level: direct services

Service Recipient: Activities directed to families/children/youth

Goal: Increase the number of pregnant smokers referred to the Quitline from the Healthy Baby Home Visitation Program

Numerator: # of smoking HB clients referred to the Quitline

Denominator: N/A

Significance: The Wyoming Quit Tobacco Program is focused on increasing the number of pregnant women that call the Wyoming Quitline. The Quitline is an evidenced based strategy for quitting tobacco. Wyoming has an incentive program for enrollment in the program during pregnancy. This indicator will measure the success of the partnership between home visiting, MCH, and tobacco in getting women who smoke during pregnancy to enroll in the Quitline services.

Data Sources and Data Issues: Best Beginnings Database

Year: 2018/2020

Unit Type: Count, Unit Number: 100

14.1.1 Number of Title V funded women who are screened for behavioral health. (Pennsylvania)

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Bottom level: public health services and systems

Service Recipient: Activities directed to families/children/youth

Goal: Annually increase the number of women receiving Title V funded prenatal care or home visiting who are screened for behavioral health risk factors.

Numerator: The numerator is the number women in home visiting, centering pregnancy and the IMPLICIT program who are screened for behavioral health risk factors.

Denominator: Not applicable.

Significance: Moving forward the Department is including in Title V Grant Agreements with the County Municipal Health Departments that Grantees conduct behavioral health screenings for women in prenatal and home visiting programs using the 5Ps. The IMPLICIT program was created around behavioral health screenings in the postpartum period. Increasing the number of women enrolled in these programs will allow more women to be screened and possibly identified as needing behavioral health interventions and in turn lead to healthier women and children as help is received. This ESM is not directly linked to NPM 14, but is linked the following priority: Women receiving prenatal care or home visiting are screeend for behavioral health concerns and referred for assessment if warranted.

Data Sources and Data Issues: Data will be collected through Quarterly reports from the home visiting, centering pregnancy and IMPLICIT programs.

Year: 2018/2020

Unit Type: Count, Unit Number: 5,000

14.1.2 Percent of women who talk with a home visitor about Intimate Partner Violence (IPV). (Pennsylvania)

Measure Status: Active

Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Bottom level: public health services and systems

Service Recipient: Activities directed to families/children/youth

Goal: Annually increase the percentage of women with a home visitor who have a conversation about IPV.

Numerator: The numerator will consist of the number women in home visiting programs who have a conversation about IPV.

Denominator: The denominator will consist of the number of women in home visiting programs.

Significance: IPV happens in every community. Home visitors are in a position to address IPV and begin a conversation. A simple conversation could save or improve the life and health of a family by removing the stigma surrounding women and children living in unhealthy relationships. The Institute for Health and Recovery’s 5P’s tool screening, which the DCAHS is requiring all home visitors be trained on and utilize, allows for the identification of women in need of support and referrals for mental health, substance abuse assessment and IPV. Incorporating IPV screening into the home visiting curriculum will allow us to gain an understanding of the prevalence of IPV in the population served. This ESM is not directly related to NPM 14, but it is related to the following priority: Women receiving prenatal care or home visiting are screeened for behavioral health concerns and referred for assessment if warranted.

Data Sources and Data Issues: Data will be collected through Quarterly reports from the home visiting programs.

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

14.1.2 # of providers trained on SCRIPT implementation (Wyoming)

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to professionals

Goal: Increase the number of providers trained in SCRIPT

Numerator: # of providers trained in SCRIPT

Denominator: N/A

Significance: Public Health Nursing in Wyoming delivers home visiting services to pregnant women in 22/23 counties across the state. SCRIPT is an evidence-based pregnancy smoking cessation program that takes very little time to implement as part of the home visiting program, and has the potential to have a greater impact on maternal smoking rates than the current model.

Data Sources and Data Issues: Women and Infant Program

Year: 2018/2020

Unit Type: Count, Unit Number: 100

14.1.3 Percent of women who report smoking after confirmation of pregnancy. (Pennsylvania)

Measure Status: Active

Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Bottom level: public health services and systems

Service Recipient: Activities directed to families/children/youth

Goal: Annually decrease the percentage of women who report smoking during pregnancy.

Numerator: The numerator is the number women in home visiting and centering pregnancy programs who report smoking after confirmation of pregnancy.

Denominator: The denominator is the number of pregnant women in home visiting and centering pregnancy programs.

Significance: Decreasing the number of women who report smoking after pregnancy confirmation will decrease the number of preterm births, low birth rate, respiratory problems and SIDS and increase the health of babies before and after birth. The DCAHS chose to focus on smoking after confirmation of pregnancy due to the fact that nearly 50% of pregnancies are unintended and it is a better indication of behavioral changes and overall health throughout the pregnancy.

Data Sources and Data Issues: Data will be collected through Quarterly reports from the home visiting, centering pregnancy and IMPLICIT programs.

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

14.1.3 Percent of women enrolled in HV who reported using any tobacco products at enrollment and were referred to tobacco cessation within 3 months of enrollment. (West Virginia)

Measure Status: Active

Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Bottom level: public health services and systems

Service Recipient: Activities directed to families/children/youth

Goal: To increase the number of clients who are referred to smoking cessation services within the first 3 months of enrollment in a home visitation program.

Numerator: Number of women enrolled in home visitation who reported using tobacco or cigarettes at enrollment and were referred to tobacco cessation counseling or services within 3 months of enrollment.

Denominator: Number of women enrolled in home visitation who reported using tobacco or cigarettes at enrollment and were enrolled for at least 3 months.

Significance: Decreasing the percentage of women who smoking during pregnancy and the percentage of children in households where someone smokes can reduce the following: rate of severe maternal morbidity per 10,000 delivery hospitalizations, maternal mortality rate per 100,000 live births, percent of low birth weight deliveries (<2,500 grams), percent of very low birth weight deliveries (<1,500 grams), percent of moderately low birth weight deliveries (1,500-2,499 grams), percent of preterm births (<37 weeks), percent of early preterm births (<34 weeks), percent of late preterm births (34-36 weeks), percent of early term births (37, 38 weeks), perinatal mortality rate per 1,000 live births plus fetal deaths, infant mortality rate per 1,000 live births, neonatal mortality rate per 1,000 live births, post neonatal mortality rate per 1,000 live births, preterm-related mortality rate per 100,000 live births, sleep-related Sudden Unexpected Infant Death (SUID) rate per 100,000 live births, and percent of children in excellent or very good health.

Data Sources and Data Issues: OMCFH Home Visitation Programs

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

14.2.1 Percent of clients enrolled prenatally in the home visitation program who reported reduction or stoppage of smoking by time of delivery (Guam)

Measure Status: Active

Measurement Category: Category 4: measuring quality of effect (% of "is anyone better off")

Service Type: Bottom level: public health services and systems

Service Recipient: Activities directed to families/children/youth

Goal: To increase the number of clients enrolled prenatally in the home visitation program who reported reduction or stoppage of smoking by time of delivery

Numerator: Number of clients enrolled prenatally in the home visitation program who reported reduction or stoppage of smoking by time of delivery

Denominator: Number of clients enrolled prenatally in the home visitation program who reported smoking at the time of intake

Significance: Smoking during pregnancy is a significant risk factor for the mother and her unborn baby, Tobacco smoke reduce oxygen flow to the placenta and exposes the developing fetus to numerous toxins. This increases the risk of spontaneous abortion and ectopic pregnancy. It can also result in poor health outcomes for the newborn, including low birthweight, intrauterine growth restriction, prematurity, birth defects, lung function abnormalities and respiratory symptoms and perinatal mortality.

Data Sources and Data Issues: MIECHV program

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

14.2.1 Number of women who receive tobacco cessation counseling by care managers and/or home visitors (North Carolina)

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to families/children/youth

Goal: To decrease the percent of women who smoke during pregnancy and decrease the percent of children who live in households where someone smokes

Numerator: Number of women who receive tobacco cessation counseling by care managers and/or home visitors

Denominator: N/A

Significance: Smoking during pregnancy can cause premature birth, certain birth defects, and infant death. Children exposed to secondhand smoke are at an increased risk for ear infections, more frequent asthma attacks, and death from Sudden Infant Death Syndrome.

Data Sources and Data Issues: CCNC, NFP, and HFA Reports

Year: 2018/2020

Unit Type: Count, Unit Number: 100,000

14.2.2 Percent of primary caregivers enrolled in home visiting who reported using any tobacco products at enrollments and were referred to tobacco cessation counseling or services within three months of enrollment (Tennessee)

Measure Status: Active

Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Bottom level: public health services and systems

Service Recipient: Activities directed to families/children/youth

Goal: To increase the percent of primary caregivers enrolled in home visiting who reported using any tobacco products at enrollments and were referred to tobacco cessation counseling or services within three months of enrollment

Numerator: Number of primary caregivers enrolled in home visiting who reported using any tobacco products at enrollment and were referred to tobacco cessation counseling or services within 3 months of enrollment

Denominator: Number of primary caregivers enrolled in home visiting who reported using any tobacco products at enrollment and were enrolled for at least 3 months

Significance: Currently operating in 31 of the state’s 95 counties, evidence-based home visiting programs are located in communities with higher rates of smoking, teen pregnancy, low birth weight, prematurity, and infant death. Smoking prevalence among mothers who reside in these select communities ranges from 6 percent to 31 percent. Home visitors assess a number of preventive health and prenatal practices, including prenatal tobacco use and use of tobacco in the home. Evidence-based home visiting services is one of the most effective and cost-effective interventions to help parents support their young children’s health and development and prevent adverse childhood experiences.

Data Sources and Data Issues: Evidence-Based Home Visiting (EBHV) Referral Tracker (RedCAP); Despite high prevalence of smoking throughout state, data regarding referrals to smoking cessation referrals for evidence-based home visiting participants are not consistently documented in RedCAP. Quality improvement efforts are in development, but the number of EBHV participants who are referred to smoking cessation services is likely underestimated.

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

14.2.2 Percent of caregivers enrolled in home visiting who report using tobacco at a visit and were referred to tobacco cessation services. (Arizona)

Measure Status: Active

Measurement Category: Category 4: measuring quality of effect (% of "is anyone better off")

Service Type: Top level: direct services

Service Recipient: Activities directed to families/children/youth

Goal: By 2020, 60% of primary caregivers enrolled in home visiting who report using tobacco at a visit are referred to tobacco cessation services.

Numerator: Number of caregivers referred to tobacco cessation services

Denominator: Number of caregivers who report using tobacco at a visit

Significance: Smoking during pregnancy can cause a baby to be born prematurely or to have low birth weight. Smoking during and after pregnancy is a risk factor of Sudden Infant Death Syndrome (SIDS). Due to an alarming trend in the percentage of children who live in households where someone smokes; Arizona’s Title V Program partners with the Arizona Smokers’ Helpline to conduct media outreach and smoking cessation services to pregnant women in Arizona. This measure will goal set and continuously assesses how Arizona’s Title V Program can further support smoking cessation efforts around the State.

Data Sources and Data Issues: Internal program data from MIECHV, Health Start, and HRPP

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

   

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.