Visiting Program (MIECHV), administered by the Health Resources and Services Administration (HRSA) in collaboration with the Administration for Children & Families (ACF), implemented a provision of the Patient Protection and Affordable Care Act (2010), which expanded home visiting to states, territories, and tribes (Supplee, et al., 2013). Through this effort, three percent of funds were set aside for tribes, tribal organizations, and urban Indian organizations and administered by ACF. To promote the capacity of the tribal MIECHV grantees, ACF required grantees to develop a needs assessment to assess their capacity to implement home visiting programs and use the results to create a plan for responding to identified needs. Ongoing TA and support continued throughout the implementation process by having ACF staff and TA providers work closely with the grantees as they developed and carried out their implementation plans.
Tribal grantees were also required to conduct a rigorous evaluation of their home visiting program, its implementation, or both, because of limited evidence in the field about the http://homvee.acf.hhs.gov/Tribal_Report_2012.pdf http://homvee.acf.hhs.gov/Tribal_Report_2012. The Office of Planning, Research & Evaluation (OPRE) within ACF funded the Tribal Home Visiting Evaluation Institute (TEI) to provide TA in designing locally driven, rigorous evaluations of home visiting. The TEI provides individualized, culturally relevant TA that empowers grantees to conduct research and evaluation that is meaningful for the tribe and meets FOA requirements for rigor (i.e., credibility, applicability, consistency, and neutrality). The TEI builds on ACF’s past and continuing efforts to build evaluation and research capacity within American Indian/American Native communities to improve their early childhood programming. The approach TEI takes to helping grantees develop an evaluation plan that links their community needs to the intended impact of the home visiting model enables communities to build readiness within a prescribed framework.