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Book/movie review
22/08/2022
INPUTS
Program Participants
Individual factors (e.g., needs,
risk factors, demographic and
socioeconomic status)
Social network (e.g., partners)
Program/Organizational System
HRSA Healthy Start team
Funded 101 Healthy Start grant-
ees
Provider and service networks
National Healthy Start capacity
building assistance provider (EP-
IC Center
MCH evidence-based interven-
tions and science (e.g., address-
ing social determinants of
health)
Community/System
Community demographics
Cultural, linguistic, and social
context
Leadership and priorities
Infrastructure and resources
(e.g., childcare, employment,
housing, transportation)
Federal, state, and local policies
and legislation (e.g., Title V)
ACTIVITIES
Implement Evidence-based Practices to Pro-
mote Women’s Health, Quality Services, and
Family Resilience
Recruit at-risk participants for Healthy Start
services to achieve program participation
targets
Conduct comprehensive assessment at in-
take and at pre-determined intervals to
identify participant needs/risks
Enroll participants in health coverage
Develop reproductive life plan
Provide/ensure provision of
o prevention services (e.g., tobacco cessa-
tion)
o case management and follow up services
for two years postpartum
Refer participants to
o primary health care services (e.g., PCMH
and home visiting) and behavioral health
support
o social services to mitigate toxic stress
Promote male/father involvement (e.g.,
parenting, services targeted to men) and
healthy relationships
Launch Collective Impact effort
Complete MOUs with community partners
for Community Action Network (CAN)
Connect to national MCH bodies (e.g., FIMR)
Create strategic action/work plans for coor-
dination and collaboration
Coordinate community services and data
systems
Select grantees participate in Collaborative
Improvement & Innovation Network (CoIIN)
Logic Model: Healthy Start National Program (December, 2014)
GOAL: To improve maternal health outcomes and reduce disparities in perinatal birth in the United States through evidence-based practices,
community collaboration, organizational performance monitoring and quality improvement.
SHORT-TERM OUTCOMES (UP TO 2 YRS)
Participant
Receipt of services deemed important to participant
Increases in
o health insurance enrollment
o use of early and continuous primary care
o use of preventive health care services
o use of social services
o initiation of healthy behaviors (e.g., safe sleep, im-
munizations)
o linkage to PCMH
o involvement of fathers
o parenting, coping, and self-sufficiency skills
o improved mental health status
Program/Organizational System
Increases in
o provider knowledge of best practices and MCH care
o proportion of families that receive services and com-
plete a referral
o engagement of women in need of services
o quality of provided services
o sustained engagement in health and social services
o Healthy Start staff knowledge, skills, and cultural and
linguistic competence
Community/System (Level 2 and 3 grantees)
Increased responsiveness of networks to coordinate care
to address community needs
SUSTAINED IMPACT (3+ YRS)
Decreases in
o maternal and infant morbidity
o maternal and infant mortality
o disparities in maternal and infant
health outcomes
Improved maternal, child, and family
health
INTERMEDIATE
OUTCOMES (2-3 YRS)
Participant
Maintenance of healthy behaviors (e.g.,
breastfeeding, nutrition)
Decreased unintended pregnancies
Improved birth outcomes
Sustained family resilience
Program/Organizational System
Sustained services with increased ca-
pacity to address social determinants of
health
Sustained integration and coordination
of care
Community/System (Level 2 and 3 grant-
ees)
Increases in
o coordination and integration within
and between systems
o adoption of state and local policies to
address social determinants,
expand coverage, enabling services,
and infrastructure
SUPPORTIVE ACTIVITIES
Healthy Start partnerships with national MCH organiza-
tions; ongoing annual national Healthy Start assessment of
grantee CBA needs; provision of CBA to Healthy Start
grantees; and national program monitoring system and
evaluation
Increased accountability through ongoing community needs assessment, continuous monitoring of program activities, evaluation and quality improvement efforts.
The writer is very fast, professional and responded to the review request fast also. Thank you.
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