Addressing maternal and child health equity through a community health worker home visiting intervention to reduce low birth weight: retrospective quasi-experimental study of the Arizona Health Start Programme.

ABSTRACT:

Objective

To test if participation in the Health Start Programme, an Arizona statewide Community Health Worker (CHW) maternal and child health (MCH) home visiting programme, reduced rates of low birth weight (LBW), very LBW (VLBW), extremely LBW (ELBW) and preterm birth (PTB).

Design

Quasi-experimental retrospective study using propensity score matching of Health Start Programme enrolment data to state birth certificate records for years 2006-2016.

Setting

Arizona is uniquely racially and ethnically diverse with comparatively higher proportions of Latino and American Indian residents and a smaller proportion of African Americans.

Participants

7212 Health Start Programme mothers matched to non-participants based on demographic, socioeconomic and geographic chara

SUBMITTER: Sabo S 

PROVIDER: S-EPMC8211081 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature