Selected findings from the evaluation of the federal healthy start program
Methods: Program components and outcomes were examined using self-reported data from a 2010 Project Director Survey (N=104 projects) and 2009 performance measures data from the Maternal and Child Health Bureau Discretionary Grant Information System (N=99). We used descriptive statistics to explore bivariate relationships and multivariate linear and logistic regressions to assess independent associations between program components and achievement of long-term birth outcomes, adjusting for grantee characteristics and intermediate outcomes.
Results: In 2010, 57 projects implemented all 9 program components; 100% implemented core service components and 66% implemented core systems components. Projects implementing all program components were significantly more likely to report increased access to services; integration of prenatal, primary care, and mental health services; and screening for perinatal depression. Implementation of all program components was significantly associated with improvements in self-reported maternal and child health outcomes, but was not associated with singleton low birth weight and/or infant mortality rates.
Conclusion: The evaluation of Healthy Start programs using self-reported data and performance measures revealed a mixed set of relationships between program components and long-term maternal and child health outcomes.
Learning Areas:Public health or related research
Evaluate the overall effect of the Federal Healthy Start Program components on intermediate and long- term program outcomes and their impact on birth outcomes among program participants.
Keyword(s): Public Health Research, Healthy Start
Qualified on the content I am responsible for because: Dr. Drayton is a maternal and child health epidemiologist and Senior Associate at Abt Associates where she serves as Project Director and analytic lead for many federally funded evaluation projects including HRSA/MCHB cross-site evaluation of the Federal Healthy Start Program
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.