260183 Evaluating the effectiveness of a home-visitation program in Baltimore City: An MCH story

Tuesday, October 30, 2012 : 5:45 PM - 6:00 PM

Ndidi Amutah, PhD, MPH, CHES , School of Community Health and Policy, W.K. Kellogg Foundation Morgan State University, Baltimore, MD
Background: Baltimore City has extremely high rates of infant mortality. Additionally, women in Baltimore City experience high rates of low birth weight, premature births, and poor birth spacing. Focus groups were conducted with women from community-based organizations to determine the role of a community based home-visitation program in ensuring that women have safe and healthy pregnancies. Methods: In-depth interviews and participatory observation were conducted at a service provider's office to determine the unique needs of pregnant or parenting women of color in Baltimore City. Through the use of observations, in-depth interviews and qualitative research, I delved more into the issues in this population and learned from community-based staff and women the situations that arise in regards to primary care, housing, transportation, and childcare, among others. Results: Barriers to use of health services for women include lack of insurance, lack of social support from partners, lack of knowledge of available services, and competing issues such as employment, other children, and lack of transportation. Conclusions Research findings suggest that there are potentially negative consequences of being in social relationships that lack social support inhibit women from properly spacing their births and adhering to proper prenatal care. This effect however, can be mediated through the utilization of home visitation services.

Learning Areas:
Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice
Program planning
Provision of health care to the public
Public health or related research

Learning Objectives:
Participants will be able to describe the social determinants of health and how they relate to adverse birth outcomes, such as infant mortality and preterm birth. Participants will be able to list and describe the methods surrounding community based participatory research. Participants will be able to define the components of a successful community based home visitation program.

Keywords: Maternal and Child Health, Access to Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am presenting on research I conducted while a post-doctoral fellow. I am currently W.K.Kellogg Foundation Post-Doctoral Fellow. I am a public health practitioner with over 10 years of experience in the field of maternal and child health and health disparities. Other research interests include the social determinants of health and HIV/AIDS among women of color.
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.