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Back to the future: community involvement in the Healthy Start Program

E M Howell1, B Devaney, M McCormick

  • 1Harvard University, USA.

Journal of Health Politics, Policy and Law
|May 5, 1998
PubMed
Summary
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Community involvement in the Healthy Start initiative to reduce infant mortality utilized two models: service consortium and community empowerment. Achieving meaningful community engagement proved challenging and labor-intensive, impacting program goals and operations.

Area of Science:

  • Public Health
  • Community Health Initiatives
  • Health Disparities Research

Background:

  • Infant mortality rates remain disproportionately high in certain communities.
  • The Healthy Start initiative aims to reduce infant mortality through community-based interventions.
  • Understanding effective community involvement strategies is crucial for program success.

Purpose of the Study:

  • To examine how community involvement is integrated into the Healthy Start initiative.
  • To identify and differentiate the models of community involvement employed.
  • To analyze the challenges and lessons learned from implementing community involvement.

Main Methods:

  • Qualitative study based on site visits to fifteen original Healthy Start project areas.

Related Experiment Videos

  • Analysis of community involvement strategies, categorizing them into distinct models.
  • Identification of key challenges and outcomes associated with community engagement.

    • Main Results:

    • Two primary models of community involvement were identified: service consortium and community empowerment.
    • The service consortium model involves local providers and governmental representatives in planning.
    • The community empowerment model engages neighborhood groups, community organizations, and residents as lay workers, alongside economic development initiatives.

    Conclusions:

    • Community involvement in Healthy Start faced challenges, including unclear purpose, difficulty engaging residents, and labor intensity.
    • Monetary incentives were more effective for involving providers than residents.
    • Community involvement can conflict with operational efficiency and may alter original program goals, potentially slowing development.