Skip Navigation

Strengthening the evidence base for maternal and child health programs

New: MCH Best strategies database for sample ESMs

Evidence Tools
MCH Best. NPM 6: Developmental Screening

MCH Best Logo

toddler and doctor playing with their nosesProvider Training

MCH Strategy. Train medical, social service, and childcare providers on developmental screening.

Return to main MCH Best page >>

Overview. There is growing evidence that professional training may increase developmental screening rates.1

Evidence. Moderate Evidence. Programs based on this strategy are likely to work, but further research is needed to confirm effects. 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. Medical and childcare providers.

Outcome. Increased knowledge of the importance of developmental screening and confidence in using appropriate tools to accomplish screenings. Eventual goal of receipt of developmental screening using a parent-completed screening tool. 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. There are currently 12 ESMs across all states/jurisdictions that use this strategy directly or intervention components that align with this strategy. Access descriptions of these ESMs through the MCH Digital Library. You can use these ESMs to see how other Title V agencies are addressing the NPM.

Sample ESMs. Using the strategy “Train medical, socisl service, and childcare providers on developmental screening,” 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):

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

  • Number of medical and childcare providers that receive developmental screening training.

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

  • Percent of medical and childcare providers that receive developmental screening training.

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

  • Number of medical and childcare providers that receive developmental screening training who reported initiating developmental screens with parents in practice.

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

  • Percent of medical and childcare providers that receive developmental screening training who reported initiating developmental screens with parents in practice.

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 Allen SG, Berry AD, Brewster JA, Chalasani RK, Mack PK. Enhancing developmentally oriented primary care: an Illinois initiative to increase developmental screening in medical homes. Pediatrics. 2010;126 Suppl 3:S160-164.

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.