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Strengthen the Evidence for Maternal and Child Health Programs

Find State ESMs


Displaying records 1 through 6 (6 total).

ESM 1.1 The number of interconception services provided to Healthy Start clients (Florida)

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs for this NPM or search for other strategies or promising practices.

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Direct services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: To increase the number of interconception care services provided to clients in the Healthy Start Program

Numerator: Number of interconception services provided to Healthy Start clients

Denominator: Count

Significance:

Data Sources and Data Issues: Interconception care helps providers identify and modify biomedical, behavioral, and social risks to a woman’s health or pregnancy outcome through prevention and management. The goal to improve the woman’s health and help reduce health risks to her future baby, resulting in improved outcomes for newborns and mothers.

Year: 2021

Unit Type: 80000, Unit Number: Department of Health, Health Management System

ESM 1.1 Percentage of women assessed for pregnancy intention using One Key Question (Idaho)

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs for this NPM or search for other strategies or promising practices.

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

Service Type: Direct services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: Through collaboration with the Idaho Family Planning program, increase pre- and interconception education and referrals to prenatal care and well-woman care using One Key Question.

Numerator: Number of women assessed for pregnancy intention using One Key Question

Denominator: Number of women served through Family Planning

Significance: Currently, Idaho’s Family Planning program provides education about and referral to prenatal care for pregnant women. The MCH leadership team intends to implement the OKQ in collaboration with this program to increase referrals to prenatal care. The OKQ initiative was developed by the Oregon Foundation of Reproductive Health (OFRH) to help families with their reproductive health needs (OFRH, 2012). Research shows that using the OKQ in a primary care setting has helped improve preventive health care services for women during pre- and interconception care (Bellance, Stranger Hunter, 2013). OKQ key results have shown an increase use of contraception for women not intending to become pregnant, an increase in long-term contraception device usage, and an increase in preconception care for those women with the intention to become pregnant (Kay, Stranger Hunter, 2014). The MCH program aims to collaborate with the Family Planning programs to increase the use of OKQ during family planning visits to increase the number of women seeking out preventive health visits, receiving pre-conception care, and early prenatal care.

Data Sources and Data Issues: Source: Idaho Family Planning Program

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 1.2 Percent of adolescents and women enrolled in Centering Pregnancy Programs who talked with a health care professional about birth spacing and birth control methods (Pennsylvania)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Community-based Group Education". Find other NPM 1 patient-level strategies in MCHbest.

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

Service Type: Direct services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: Increase time between pregnancies among Centering Pregnancy Program participants by increasing the percent of adolescents and women enrolled in Centering Pregnancy programs who talk with a professional about birth spacing or birth control methods 

Numerator: Number of adolescents and women enrolled in Centering Pregnancy programs who talked with a healthcare professional about birth spacing and birth control methods

Denominator: Number of women enrolled in Centering Pregnancy programs

Significance: Conceiving within 12 months of delivery can cause heightened health risks for both mother and infant. The Centering Pregnancy Program (CPP) curriculum covers birth control and birth spacing at numerous points throughout the pregnancy and postpartum periods to encourage women to actively participate in interconception care.

Data Sources and Data Issues: Data will come from the Centering Pregnancy Program’s quarterly and annual reporting.

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 1.3 Percentage of women served by the Guam Maternal, Infant, and Early Childhood Home Visiting (MIECHV) or Family Planning Programs who received referral to prenatal care when need was indicated. (Guam)

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs for this NPM or search for other strategies or promising practices.

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

Service Type: Direct services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: Through collaboration with the Guam MIECHV and Family Planning Programs, increase referrals of pregnant women to prenatal care

Numerator: Number of women served by the Guam MIECHV Program or Family Planning Programs who received referral to prenatal care when needed.

Denominator: Number of women served by the Guam MIECHV or Family Planning Programs who were in need of prenatal care.

Significance: Currently, Guam’s MIECHV Program and Family Planning Programs provide some degree of education about and referral to prenatal care for pregnant women. Research shows that early referrals to prenatal care help with healthy pregnancies and better birth outcomes (AMCHP, 2015; Meghea, You & Roman, 2015). In addition, building and strengthening partnerships between Title V MCH programs and other state and community-based programs is a strategy to link women with comprehensive preconception, prenatal, and interconception care. Coordinated referral strategies among the MCH, MIECHV, and Family Planning program will help increase utilization of prenatal visits and prenatal care.

Data Sources and Data Issues: MIECHV and Family Planning Program's enrollment and client data. For Family Planning, prenatal care assessment is based on # of women who received a positive pregnancy test and the # of women who indicated interest in becoming pregnant or who were facing fertility issues. For MIECHV, pregnant women are asked if they are currently receiving prenatal care, which is the # assessed. The programs will provide referrals to those who are in need of prenatal care, which is the # referred

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 1.3 Percent of mothers served through the IMPLICIT ICC program that are screened for the 4 risk factors during a minimum of one well-child visit (Pennsylvania)

Measure Status: Active

Evidence Level: There is limited research in the evidence base for this NPM to support this strategy.

Measurement Quadrant: Quadrant 4: Measuring quality of effect (% of "is anyone better off")

Service Type: Direct services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: Change maternal behaviors and improve birth outcomes by screening women for four behavioral risk factors at well-child visits

Numerator: Number of mothers served through the IMPLICIT ICC program screened for four risk factors at a minimum of one well-child visit

Denominator: Number of mothers served through the IMPLICIT ICC program in attendance at well-child visits

Significance: Many women do not attend the six-week postpartum visit; instead, they are focused on the health needs of their child and are likely to take their children to well child visits. Working within the child-well visit framework allows an opportunity to address mothers’ health.

Data Sources and Data Issues: Data will come from the IMPLICIT Interconception Care Program’s quarterly and annual reporting.

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 1.6 Percent of women enrolled in home visiting, Centering Pregnancy and IMPLICIT who are referred for behavioral health services following a positive screening (Pennsylvania)

Measure Status: Active

Evidence Level: This ESM is based on state data and measures access to/receipt of care, thus doesn’t align with a specific evidence-based strategy. Consider developing an ESM for one of the specific strategies in your state action plan to measure performance. Check MCHbest for examples to connect to the evidence.

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: Increase the percent of women enrolled in Title V home visiting, Centering Pregnancy, and IMPLICIT programs who are referred for services following a positive screening

Numerator: The number of women enrolled in Title V home visiting, Centering Pregnancy and IMPLICT programs referred to behavioral health services following a positive screening

Denominator: The number of women enrolled in Title V home visiting, Centering Pregnancy, and IMPLICIT programs screened positive for behavioral health needs

Significance: Screening tools can identify the need for services and improve birth outcomes for both mothers and infants. Additionally, screening provides home visitors with the opportunity to assess women’s behavioral health status and provide referrals, as necessary, to improve health in both the prenatal and postpartum periods.

Data Sources and Data Issues: Data will come from quarterly and annual reporting from the County Municipal Health Departments, Centering Pregnancy, and IMPLICIT Interconception Care Programs.

Year: 2021

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.