238357 Evaluation of the California American Indian Infant Health Initiative (AIIHI)

Wednesday, November 2, 2011

Delight Satter, MPH , Community Health Sciences, UCLA, School of Public Health, Los Angeles, CA
Patricia Lavalas-Howe, RN, BS, MSN , Indian Health Program (IHP), Primary and Rural Health Division (PRHD), Department of Health Care Services (DHCS), Sacramento, CA
Andrea Zubiate , Indian Health Program, CA Department of Health Care Services, Sacramento, CA
Sandra “Sam” Willburn , Indian Health Program, CDHS, Sacramento, CA
Tom Chinn , Indian Health Program, CDHS, Sacramento, CA
Roberto Garcia , Indian Health Program, CDHS, Sacramento, CA
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.

Learning Areas:
Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Planning of health education strategies, interventions, and programs
Public health or related nursing

Learning Objectives:
At the end of the presentation attendees will be able to describe the importance of the investment in state and tribal/urban Indian partnership in the development of public health programs.

Keywords: American Indians, Maternal and Child Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: because I conducted the evaluation and have served as Director of the American Indian Research Program, UCLA Center for Health Policy Research for 13 years.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.