Measure Status: Active
Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs (https://www.mchlibrary.org/evidence/state-esms-results.php?q=home+visit&NPM=5&State=&RBA_Category=&MCH_Pyramid=&Recipient=&Status=Active) for this NPM or search for other strategies or promising practices (https://www.mchevidence.org/tools/npm/5-safe-sleep.php).
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 percentage of infants of 6 months of age, in Title V Home Visiting Program, placed to sleep in a safe environment.
Numerator: Infants of 6 months of age, in Title V HVP placed on their backs, on a separate approved sleep surface, and without soft objects or loose bedding by September 2025.
Denominator: Infants of 6 months of age, in Title V Home Visiting Program.
Significance: In Puerto Rico sleep-related Sudden Unexpected Infant Deaths (SUIDs), was among the leading causes of infant deaths between 1 to 12 months of age in 2016 and as 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 8.7% placing their infants in a safe sleeping environment. Recognizing this as a priority, the PR Title V Home Visiting Program proposes to promote infant safe sleep practices among participants, by offering prenatal and post-partum orientation and evaluating safe sleep practices. 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 lost, 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