Performance Improvement 2013-2014. How do Healthy Start Program Components and Features Correlate to Intermediate and Long-Term Outcomes?

01/01/2014

A national evaluation examined the Federal Healthy Start Project.

The evaluation found that projects implementing all nine program components were significantly more likely to report better performance related to access, screening for perinatal depression, coordination of care, mental health services, patient participation in decision making, birth spacing, and child health. Programs reporting implementation of all nine core program components were also more likely to report better performance related to health education, screening, and case management. The analysis of the performance measures, however, showed no significant associations between singleton low birth-weight and/or infant mortality rates among participants and the implementation of all the nine components of the Healthy Start program. The mean rates across programs for low birth weight and neonatal and perinatal mortality decreased between 2006 and 2009 but increased for infant mortality and post-neonatal mortality during the same period. The mean rates across programs for participants having a medical home and ongoing source of primary care decreased between 2006 and 2009 but increased for early prenatal care during the same period. Programs did not show a change in systems outcomes (e.g. family participation, cultural competence, use of morbidity/mortality reviews, screening for risk factors and comprehensive system for women's health) between 2006 and 2009.

Report Title: National Evaluation of the Healthy Start Program

Agency Sponsor: HRSA, Health Resources and Services Administration
Federal Contact: Keisher Highsmith, 301 443-1963
Performer: Abt Associates, Inc.
Record ID: 10177 (September 28, 2012)

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