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Strengthen the Evidence for Maternal and Child Health Programs

New: MCHbest strategies database for sample ESMs

Evidence Tools
MCHbest. NPM 1: Well-Woman Visit

MCHbest Logo well-woman visit

Strategy. Engagement of Other MCH Programs to Disseminate Information and Make Referrals for Well-Woman Visits

Approach. Provide education on the importance of the Well-Woman Visit to other MCH programs such as WIC, Healthy Start, MIECHV and other home visiting programs; encourage these programs to make referrals for visits.

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Overview. Educational materials focused on the Well-Woman Visit can be integrated into the educational efforts of vaginoscopies MCH programs, such as WIC, Healthy Start, MIECHV, and other home visiting programs. Provide specific interventions to connect women to their primary care provider, medical home, and insurance. Track the use of preventative annual care by evidence-based program, if possible. Note: while these programs do not serve all women, they do serve women with the lowest rates of use of the well-woman visit.

Evidence. Expert Opinion. Evidence for this strategy is based on experience from the field and related evidence focused on a variety of efforts to integrate additional “components” into other evidence-based Maternal and Child Health programs.1 (Read more about understanding evidence ratings).

Target Audience. Systems.

Outcome. Percent of women with a past year preventive visit. For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the "Intervention Results" for each study.

Examples from the Field. Access descriptions of current ESMs that use this strategy directly or intervention components that align with this strategy. You can use these ESMs to see how other Title V agencies are addressing the NPM.

CA expands the availability of well-woman health services by increasing the number of access points within local health jurisdictions (BIH Program, AFLP, CHVP, CPSP, CCS, WIC, etc.) and measuring the percent of local health jurisdictions that have adopted a protocol to ensure that all persons in Maternal and Child and Adolescent Health Programs are referred for enrollment in health insurance and complete a preventive visit.

The Role of Title V. Title V can:

For additional suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies.

Sample ESMs. Using the approach “Provide education on the importance of the Well-Woman Visit to other MCH programs such as WIC, Healthy Start, MIECHV and other home visiting programs; encourage these programs to make referrals for visits,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework:

Quadrant 1:
Measuring Quantity of Effort
("What/how much did we do?")

  • Number of other evidence-based MCH programs that provide information about the well-woman visit.

Quadrant 2:
Measuring Quality of Effort
("How well did we do it?")

  • Percent of women in other evidence-based MCH programs who receive information about the well-woman visit.

Quadrant 3:
Measuring Quantity of Effect
("Is anyone better off?")

  • Number of women who receive a referral from another evidence-based MCH program to a clinic for a well-woman visit.

Quadrant 4:
Measuring Quality of Effect
("How are they better off?")

  • Percent of women who receive a referral from another evidence-based MCH program to a clinic for a well-woman visit and attend their visit within 6 months.

Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4).

Learn More. Read how to create stronger ESMs and how to measure ESM impact more meaningfully through Results-Based Accountability.


Reference:

1 Evidence for this strategy is drawn from similar approaches:

Integrating Breastfeeding into Home Visiting:

Integrating Developmental Screening into Home Visiting:

Integrating a focus on Child Safety/Injury Prevention into Home Visiting:

Integrating Oral Health Component through the WIC Program:

Integrating WIC and Immunization Services:

Integrating Women’s Health Care into the Well-Baby Visit:

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.