MCHbest. NPM 15: Continuous and Adequate Insurance
Strategy. Outreach Using School Staff
Approach. Use trained school staff to assist families in getting insurance coverage.
Overview. Schools can be a point of intervention for enrolling young children in public health insurance and as a source of trusted information for parents from low-income backgrounds. In one study, school nurses and administrative staff attend regional trainings on how to use a required health assessment form, submitted at school entry, to identify uninsured children who could be eligible but are not enrolled in public insurance.1
Evidence. Emerging. There is some evidence that outreach using school staff increases enrollment rates and well-child exams, but further research is needed to confirm effects. This strategy has been tested more than once and results trend positive overall. This strategy has been tested more than once and results trend positive overall. Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).
Target Audience. School staff.
Outcome. Increase enrollment in public health insurance for eligible children. 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 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 “Use trained school staff to assist families in getting insurance coverage,” 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 Jenkins JM. Healthy and Ready to Learn: Effects of a school‐based public health insurance outreach program for kindergarten‐aged children. Journal of School Health. 2018 Jan;88(1):44-53.