ERIC Number: ED328336
Record Type: RIE
Publication Date: 1987-Oct
Reference Count: N/A
Inside the Black Box: Understanding Home Visiting Programs.
Larner, Mary; And Others
It is argued that health-oriented home visiting programs during pregnancy and the postpartum period can be an important element in a comprehensive maternal and child health package. This discussion, which draws on the experience of a group of demonstration home visiting programs sponsored by the Ford Foundation's Child Survival/Fair Start initiative, explores the dynamics that make home visiting programs work. The demonstration programs use laywomen to educate and support mothers in medically underserved communities. A conceptual model linking risk factors, intervention activities, and effects on mothers and children is proposed. The discussion then turns to the process of determining what goes on between home visitor and mother. Finally, the discussion presents an innovative study of program participation that uses home visitors' ratings of their relationships with clients. Preliminary results suggest that if home visitors feel that they are friends to their clients, the latter will be better participants than if the relationship is merely that of a social worker to a service recipient or a teacher to a student. The level of participation will be higher if the client is single, a first-time mother, and has low support from her family, but is not isolated. The questionnaire dealing with the client's level of program participation, and two figures are appended. (RH)
Publication Type: Speeches/Meeting Papers
Education Level: N/A
Authoring Institution: N/A
Identifiers: Maternal Health; Postpartum Care
Note: Paper presented at the Annual Meeting of the American Public Health Association (New Orleans, LA, October 19-22, 1987).