Using a Collective Impact Framework to Implement Evidence-Based Strategies for Improving Maternal and Child Health...

Area of Science:

• Public Health
• Implementation Science
• Health Equity

Background:

• The North Carolina Division of Public Health initiated a program in 2016 to enhance maternal and child health outcomes.
• Funding was provided to five grantees across 14 counties to implement evidence-based strategies for improving birth outcomes, reducing infant mortality, and enhancing child health.

Purpose of the Study:

• To explore how Community Action Teams (CATs) utilized a collective impact framework to implement evidence-based strategies.
• To identify successes and challenges in applying collective impact principles within maternal and child health initiatives.

Main Methods:

• Focus groups were conducted with CATs from each grantee in 2017 and 2019.
• The study examined the application of collective impact principles, implementation science, and a health equity approach.

Main Results:

• Grantees excelled in engaging diverse sectors, establishing a common agenda, and fostering communication and reinforcing activities.
• Challenges were noted in developing a shared measurement system, though an equity assessment tool aided data-driven decisions.
• Logistical issues affected regular CAT meetings and sustained engagement of community experts.

Conclusions:

• Community partnerships and multicounty collaborations strengthened over time, with knowledge sharing recognized as valuable.
• Future initiatives should allocate more time for CAT formation and planning for sustained engagement and equity integration.