A Community Capitals Framework for Identifying Rural Adaptation in Maternal-Child Home Visiting
| Autor: | Meredith Matone, Peter F. Cronholm, Katherine Kellom, Jennifer Whittaker |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Program evaluation
Postnatal Care Rural Population medicine.medical_specialty Social Welfare 03 medical and health sciences 0302 clinical medicine Pregnancy House call medicine Humans Maternal Health Services 030212 general & internal medicine Sociology Early childhood Adaptation (computer science) Medical education 030505 public health Health Policy Public health Maternal child Public Health Environmental and Occupational Health Infant House Calls Child Preschool Female Rural area 0305 other medical science Program Evaluation |
| Zdroj: | Journal of public health management and practice : JPHMP. 27(1) |
| ISSN: | 1550-5022 |
| Popis: | Objective To understand how maternal and child home-visiting programs are adapted, enhanced, and expanded to meet the unique needs of rural communities. Design We explored factors shaping the role of home visiting with data from a 2013-2015 statewide evaluation of Maternal, Infant, and Early Childhood Home Visiting-funded programs. Features unique to a rural experiences were mapped onto the Community Capitals Framework. Setting Individual, semistructured interviews were conducted at 11 of 38 home-visiting sites across Pennsylvania. Participants Program administrators, home visitors, and clients. Main outcome measure Program adaptation. Results Our analysis represents 150 interviews with 11 program sites serving 14 counties. We document how rural home-visiting programs address community-wide limitations to maternal and child health by adapting program content to better meet the needs of families in rural areas. Data demonstrate how rural home-visiting program's provision of economic and social services reach beyond maternal child health care, building the capacity of individual families and the broader community. Conclusions Home-visiting programs should be viewed as a vehicle for improving community well-being beyond health outcomes. These programs have become an integral part of our public health framework and should be leveraged as such. |
| Databáze: | OpenAIRE |
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