MCH Best. NPM 1: Well-Woman Visit
Strategy. Home Visiting
Approach. Support home visiting programs that promote annual well-woman visits and preventive cancer screenings.
Overview. Studies indicate that home visiting nurses and lay health advisors can be effective advocates for annual well woman visits and preventive cancer screenings. They can help educate women on the importance of preventive check-ups, help schedule appointments, and follow up with reminders.
Evidence. Emerging. This strategy has been tested more than once and results trend positive overall. However, results vary across different populations and may be less effective due to language and cultural barriers.1 Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).
Target Audience. Patient/Consumer.
Outcome. Increase annual well-woman visits, preventive screening, and HPV vaccination among women who participate in home visiting programs. 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 ESMs from across all states/jurisdictions 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.
Sample ESMs. Using the approach “Support home visiting programs that promote annual well-woman visits and preventive screenings,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies):
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).
1 Home visiting programs during the postpartum period can serve as a crucial link between prenatal care/labor and delivery and well woman/interconception care, but they are not a substitute for a woman’s visit with a medical provider. (Handler, A., Zimmermann, K., Dominik, B., & Garland, C. E. (2019). Universal Early Home Visiting: A Strategy for Reaching All Postpartum Women. Maternal and child health journal, 23(10), 1414–1423. https://doi.org/10.1007/s10995-019-02794-5)