A Community Capitals Framework for Identifying Rural Adaptation in Maternal-Child Home Visiting
Jennifer Whittaker1, Katherine Kellom, Meredith Matone
1Robert Wood Johnson Health Policy Research Scholars Program, Robert Wood Johnson Foundation, Princeton, New Jersey (Ms Whittaker); PolicyLab, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania (Mss Whittaker and Kellom and Dr Matone); Department of City Planning, University of Pennsylvania School of Design, Philadelphia, Pennsylvania (Ms Whittaker); Departments of Pediatrics (Dr Matone) and Family Medicine and Community Health (Dr Cronholm), University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania; Center for Public Health Initiatives, University of Pennsylvania, Philadelphia, Pennsylvania (Drs Matone and Cronholm); and Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (Ms Whittaker and Drs Matone and Cronholm).
Objective:
To understand how maternal and child home-visiting programs are adapted, enhanced, and expanded to meet the unique needs of rural communities.
Design:
We explored factors shaping the role of home visiting with data from a 2013-2015 statewide evaluation of Maternal, Infant, and Early Childhood Home Visiting-funded programs. Features unique to a rural experiences were mapped onto the Community Capitals Framework.
Setting:
Individual, semistructured interviews were conducted at 11 of 38 home-visiting sites across Pennsylvania.
Participants:
Program administrators, home visitors, and clients.
Main Outcome Measure:
Program adaptation.
Results:
Our analysis represents 150 interviews with 11 program sites serving 14 counties. We document how rural home-visiting programs address community-wide limitations to maternal and child health by adapting program content to better meet the needs of families in rural areas. Data demonstrate how rural home-visiting program's provision of economic and social services reach beyond maternal child health care, building the capacity of individual families and the broader community.
Conclusions:
Home-visiting programs should be viewed as a vehicle for improving community well-being beyond health outcomes. These programs have become an integral part of our public health framework and should be leveraged as such.
More Related Videos
06:00Four Temporary Waterslide Designs Adapted to Different Slope Conditions to Encourage Child Socialization in Playgrounds
Published on: December 9, 2022
08:53Integrating Computerized Linguistic and Social Network Analyses to Capture Addiction Recovery Capital in an Online Community
Published on: May 31, 2019
Related Concept Videos
What are Populations and Communities?
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Adaptability of Cytoskeletal Filaments
Natural Selection and Adaptation
Beyond physical adaptations,...
Introduction to Innate and Adaptive Immunity
Innate immunity is the body's natural, nonspecific defense system that acts quickly to protect against pathogens. It incorporates physical barriers like skin and mucous membranes and cellular elements such as phagocytes and natural killer cells. This part of our immune system provides an immediate,...
Adaptations that Reduce Water Loss
