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Home Visiting Start-Up: Lessons Learned From Program Replication in New Mexico.

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Starting new home visiting programs requires careful planning. This study shares lessons learned from implementing the First Born Program in New Mexico, focusing on staffing, enrollment, fidelity, and financing for successful program installation.

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Area of Science:

  • Public Health
  • Health Services Research
  • Program Implementation Science

Background:

  • Increasing funding supports the expansion of home visiting programs nationwide.
  • Communities require guidance for successfully establishing new home visiting sites.
  • Replication of evidence-based programs presents unique implementation challenges.

Purpose of the Study:

  • To document lessons learned from the installation and initial implementation of the First Born Program in New Mexico.
  • To assess the extent to which new sites met key operational goals in their first year.
  • To provide practical insights for communities initiating or expanding home visiting services.

Main Methods:

  • A qualitative study examining the replication of the First Born Program across six New Mexico counties.
  • Data collection involved semi-structured interviews with program staff.
  • Document review was used to supplement interview data.

Main Results:

  • Sites faced challenges in meeting initial staffing and family referral goals.
  • Maintaining program model fidelity and securing adequate financing were key areas of focus.
  • Variability in site performance suggests context-specific implementation factors.

Conclusions:

  • Successful home visiting program installation requires addressing staffing, enrollment, fidelity, and financing early.
  • Lessons learned from this New Mexico replication can inform other communities.
  • Ongoing monitoring and adaptation are crucial for effective program implementation and sustainability.