Ogbuanu Chinelo A, Jones Candace A, McTigue James F, Baker Samuel L, Heim Marge, Baek JongDeuk, Smith Lillian U
Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA.
Public Health Nurs. 2009 Jan-Feb;26(1):39-47. doi: 10.1111/j.1525-1446.2008.00752.x.
Home visiting programs for very young children seek to promote their health and development. We conducted a process and outcome evaluation of the Postpartum/Newborn Home Visit (PPNBHV) service in 1 county.
A retrospective study of Aiken County Health records of live infant births in 2004 was conducted.
A random sample of 176 infants who were born in 2004 and enrolled in the women, infants, and children's (WIC) program in the same year was selected.
Process measures include timeliness of the home visit, and appropriateness of revisits. Outcome measures include age at WIC enrollment and immunization status at 6/9 months.
Of the 176 infants, 76 (43%) received a home visit. Of these, 13 (17%) received the visit within the stipulated time frame. After controlling for potential confounders, infants who received a home visit were 4 times (95% CI 1.92-8.36) as likely to enroll early in the WIC program compared with those who did not.
The PPNBHV service may contribute to early enrollment in the WIC program. Improvement in the timeliness of the visits is needed. Program monitoring and evaluation are necessary to ensure adherence, measure outcomes, and provide feedback for continuous quality improvement.
针对幼儿的家访项目旨在促进他们的健康与发展。我们对某县的产后/新生儿家访（PPNBHV）服务进行了过程和结果评估。
对2004年艾肯县活产婴儿的健康记录进行回顾性研究。
选取了176名于2004年出生且同年参加妇女、婴儿和儿童（WIC）项目的婴儿作为随机样本。
过程指标包括家访的及时性以及再次家访的适宜性。结果指标包括参加WIC项目的年龄以及6/9个月时的免疫状况。
在这176名婴儿中，76名（43%）接受了家访。其中，13名（17%）在规定时间内接受了家访。在控制潜在混杂因素后，与未接受家访的婴儿相比，接受家访的婴儿提前参加WIC项目的可能性高出4倍（95%置信区间1.92 - 8.36）。
PPNBHV服务可能有助于提前参加WIC项目。需要提高家访的及时性。项目监测与评估对于确保依从性、衡量结果以及为持续质量改进提供反馈是必要的。
