Measuring Collaboration Among Tribal and State MCH Organizations

This study measured the levels of interorganizational relationships between American Indian/Alaskan Native (AI/AN) entities serving the MCH population and members of the MCH Title V system of care in the same states or regions. A mixed methods multistrand sequential explanatory design participant selection model with two phases was utilized. Results are from Phase I or the quantitative survey phase of the study. The population included those working at State MCH agencies and at organizations serving AI/AN MCH populations. Density (number of connections) was measured using z-score transformation of the number of collaborators for each agency. Intensity (frequency of interactions) was measured by the average of responses to a single survey item. The t-Test was applied to the data for the pairs. The z-score transformation used to measure the density was based on the standard deviation for the combined response set. Across all pairs, there was variability in density. Intensity was consistent for information exchange. There was variability in the establishment of mutual goals and collective action. Network formation was limited to information exchange. These pair agencies discuss and exchange ideas and information but have largely not reached the point where they are setting mutual goals, taking collective action, and entering into formal agreement. It is important to recognize that the formative exchange of information is likely to lead to collective goal setting and action and formal linkages through agreements. State public health and AI/AN agencies should work to establish policies that encourage the development of inter-organizational collaboration beyond information sharing.