Design and Operation of the Transformed National Healthy Start Evaluation

Autor: Maura Dwyer, Hani K. Atrash, Ashley H. Hirai, Jamelle E. Banks, Reem M. Ghandour
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Adult
medicine.medical_specialty
Service (systems architecture)
From the Field
Epidemiology
Child Health Services
Disparities
Health Promotion
Infant mortality
Healthy start
Affect (psychology)
Outcome (game theory)
Risk Assessment
Implementation evaluation
03 medical and health sciences
Young Adult
0302 clinical medicine
Pregnancy
medicine
Humans
030212 general & internal medicine
Evaluation
Child
Medical education
030219 obstetrics & reproductive medicine
business.industry
Public health
Public Health
Environmental and Occupational Health
Pregnancy Outcome
Obstetrics and Gynecology
Infant
Prenatal Care
Identification (information)
Socioeconomic Factors
Healthy People Programs
Research Design
Population Surveillance
Pediatrics
Perinatology and Child Health
Female
business
Program Evaluation
Zdroj: Maternal and Child Health Journal
ISSN: 1573-6628
1092-7875
Popis: Purpose Improving pregnancy outcomes for women and children is one of the nation’s top priorities. The Healthy Start (HS) program was created to address factors that contribute to high infant mortality rates (IMRs) and persistent disparities in IMRs. The program began in 1991 and was transformed in 2014 to apply lessons from emerging research, past evaluation findings, and expert recommendations. To understand the implementation and impact of the transformed program, there is a need for a robust and comprehensive evaluation. Description The national HS evaluation will include an implementation evaluation, which will describe program components that affect outcomes; a utilization evaluation, which will examine the characteristics of women and infants who did and did not utilize the program; and an outcome evaluation, which will assess the program’s effectiveness with regard to producing expected outcomes among the target population. Data sources include the National HS Program Survey, a HS participant survey, and individual-level program data linked to vital records and the Pregnancy Risk Assessment Monitoring System (PRAMS) survey. Assessment Descriptive analyses will be used to examine differences in risk profiles between participants and non-participants, as well as to calculate penetration rates for high-risk women in respective service areas. Multivariable analyses will be used to determine the impact of the program on key outcomes and will explore variation by dose, type of services received, and grantee characteristics. Conclusion Evaluation findings are expected to inform program decisions and direction, including identification of effective program components that can be spread and scaled.
Databáze: OpenAIRE
Externí odkaz: