Selected Findings from the Cross-Site Evaluation of the Federal Healthy Start Program
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- 作者：Vonna Lou Caleb Drayton ; Deborah Klein Walker…
- 关键词：Maternal and child health ; Healthy Start Program ; Cross ; site evaluation ; Program evaluation
- 刊名：Maternal and Child Health Journal
- 出版年：2015
- 出版时间：June 2015
- 年：2015
- 卷：19
- 期：6
- 页码：1292-1305
- 全文大小：771 KB
- 参考文献：1.Health Resources and Services Administration. (2001). Healthy Start Guidance, 2001. Rockville, MD: Health Resources and Services Administration, U.S. Department of Health and Human Services.
2.Health Resources and Services Administration. (2005). Healthy Start Guidance, 2005. Rockville, MD: Health Resources and Services Administration, U.S. Department of Health and Human Services.
3.Health Resources and Services Administration. (2009). Healthy Start Guidance, 2010. Rockville, MD: Health Resources and Services Administration, U.S. Department of Health and Human Services.
4.Maternal and Child Health Bureau. (2013). DGIS Reports: Program Data Reports. Retrieved https://?perf-data.?hrsa.?gov/?MCHB/?DGISReports/?PerfMeasure/?PerfMeasureRepor?ts.?aspx??Report=?ProgramPerfMeasu?res&?Archived=- .
5.Health Resources and Services Administration. (2006). A Profile of Healthy Start: Findings From Phase I of the Evaluation, 2006. Rockville, MD: Health Resources and Services Administration, U.S. Department of Health and Human Services.
6.Brand, A., Walker, D. K., Hargreaves, M., & Rosenbach, M. (2010). Intermediate outcomes, strategies, and challenges of eight Healthy Start Projects. Maternal and Child Health Journal, 14(5), 654-65.View Article PubMed Central PubMed
7.Rosenbach, M., O’Neil, S., Cook, B., Trebino, L., & Walker, D. K. (2010). Characteristics, access, utilization, satisfaction, and outcomes of healthy start participants in eight sites. Maternal and Child Health Journal, 14(5), 666-79.View Article PubMed Central PubMed
8.Abt Associates. (2012). Methodology for Analysis of Health Resources Service Administration, Maternal and Child Health Bureau Healthy Start Performance Measures, September 2012. Cambridge, MA: Abt Associates.
9.Centers for Disease Control and Prevention. National Center for Health Statistics. Healthy People Objective Targets: Maternal, Infant, and Child Health. Retrieved http://?www.?cdc.?gov/?nchs/?data/?hpdata2010/?hp2010_?final_?review_?focus_?area_-6.?pdf .
10.Centers for Disease Control and Prevention. National Center for Health Statistics. Healthy People Objective Targets: Maternal, Infant, and Child Health. Retrieved http://?www.?healthypeople.?gov/-020/?topicsobjectives-020/?overview.?aspx??topicid=-6 .
11.Taylor, Y. J., & Nies, M. A. (2012). Measuring the impact and outcomes of maternal child health federal programs. Maternal Child Health Journal, 17(5), 886-96. doi:10.-007/?s10995-012-1067-y .View Article
12.Will, J. A., Hall, I., Cheney, T., & Driscoll, M. (2005). Flower Power: Assessing the impact of the Magnolia Project on reducing poor birth outcomes in an at-risk neighborhood. Journal of Applied Sociology/Sociological Practice, 22.2/7(2), 74-0.
13.Salihu, H. M., Mbah, A. K., Jeffers, D., Alio, A. P., & Berry, L. (2009). Healthy Start program and feto-infant morbidity outcomes: Evaluation of program effectiveness. Maternal and Child Health Journal, 13(1), 56-5. doi:10.-007/?s10995-008-0400-y .View Article PubMed
14.Kothari, C. L., Wendt, A., Oemeeka, L., Overton, J., & Sweezy, L. C. (2011). Assessing maternal risk for fetal-infant mortality: A population-based study to prioritize risk reduction in a Healthy Start community. Maternal and Child Health Journal, 15(1), 68-6. doi:10.-007/?s10995-009-0561-3 .View Article PubMed
15.Livingood, W. C., Brady, C., Pierce, K., Atrash, H., Hou, T., & Bryant, T, 3rd. (2010). Impact of pre-conception health care: evaluation of a social determinants focused intervention. Maternal and Child Health Journal, 14(3), 382-91.View Article PubMed - 作者单位：Vonna Lou Caleb Drayton (1)
Deborah Klein Walker (2)
Sarah W. Ball (2)
Sara M. A. Donahue (2)
Rebecca V. Fink (2)
1. Booz Allen Hamilton, One Preserve Parkway, Rockville, MD, 20852, USA
2. Abt Associates, 55 Wheeler Street, Cambridge, MA, 02138-1168, USA - 刊物主题：Public Health; Sociology, general; Population Economics; Pediatrics; Gynecology; Maternal and Child Health;
- 出版者：Springer US
- ISSN：1573-6628
文摘
Initiated in 1991, the Federal Healthy Start Program includes 105 community-based projects in 39 states, the District of Columbia and Puerto Rico. Healthy Start projects work collaboratively with stakeholders to ensure participants-continuity of care during pregnancy through 2?years postpartum. This evaluation of Healthy Start projects examined relationships between implementation of nine core service and system program components and improvements in birth and project outcomes. Program components and outcomes were examined using data from a 2010 Healthy Start project director (PD) survey (N?=?104 projects) and 2009 performance measure data from the Maternal and Child Health Bureau Discretionary Grant Information System (N?=?98 projects). We explored bivariate relationships between the nine core program components and (a) intermediate and long-term project outcomes and (b) birth outcomes. We assessed independent associations of implementation of all core program components with birth outcomes, adjusting for project characteristics and activities. In 2010, 57 projects implemented all nine core program components: 104 implemented all five core service components and 69 implemented all four core systems components. Implementation of all core program components was significantly associated with several PD-reported intermediate and long-term project outcomes, but was not associated with singleton low birth weight or infant mortality among participants-infants. This evaluation revealed a mixed set of relationships between Healthy Start projects-implementation of the core program components and achievement of project outcomes. Although the findings demonstrated a positive impact of Healthy Start projects on birth outcomes, only a few associations were statistically significant.