Evaluation of the California American Indian Infant Health Initiative (AIIHI)

Background: First funded in 1995 AIIHI is a home visitation program targeting high risk pregnant and at-risk American Indian (AI) families dealing with parenting challenges. The program goals include: • Identify high risk pregnancies and parenting challenges. • Assist parents in meeting the challenges through resources that acknowledge and respect AI culture and traditions. • Promote optimal child growth and development through culturally sensitive training programs for parents.

AIIHI is implemented by local native Community Health Representatives (CHRs) with oversight from clinic based Public Health Nurses. The AIIHI is based on the national Healthy Families America (HFA) home visitation program model. All materials are culturally appropriate and were developed and adapted with guidance from the American Indian community.

Methods: This evaluation data was compiled using administrative data. Results: Strong dedication of the Native communities and CDHS AIIHI program staff facilitates goal attainment. During 2004 through 2007, 616 families received a total of 3,196 referrals. More importantly, AIIHI participants followed up on 74% of these referrals. Programs for women and children such as Women, Infant and Children (WIC), immunization services, Medi-Cal, and Temporary Assistance to Needy Families (TANF) were among the top 4 referrals made by CHRs. The adoption of a revised AIIHI Database and Quarterly Report forms allowed AIIHI staff the ability to track referrals, determine outcomes, and allowed home visitors to monitor family progress.

Conclusions: Progress is being made toward the ultimate goal of improvement of the health status for American Indian infants and children in the targeted families.