Biomaterial Database

Development of a paraprofessional home visiting program for low-income mothers and infants. 1991

M L Poland, and P T Giblin, and J B Waller, and I S Bayer

Department of Obstetrics and Gynecology, Wayne State University Medical School, Detroit, MI 48201.

This article reports the development of a paraprofessional home visiting program based upon empirically documented client needs, maintenance of the qualities of mutuality and cooperation found in the indigenous paraprofessionals, and methods of ongoing program revision. Three studies are described that suggested four areas of program emphasis: (1) continuity of services from pregnancy through infancy, (2) needs assessment procedures sensitive to a broad range of health and social problems, (3) an ongoing personal relationship with an indigenous paraprofessional, and (4) reduction of barriers to prenatal care inherent in the health care system itself. We provide examples of program application and revision through training of paraprofessionals, case management procedures, and interventions within the perinatal health care system.

UI	MeSH Term	Description	Entries
D007223	Infant	A child between 1 and 23 months of age.	Infants
D007224	Infant Care	Care of infants in the home or institution.
D007231	Infant, Newborn	An infant during the first 28 days after birth.	Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D008824	Michigan	State bounded on the north by the Great Lakes, on the east by Canada, on the south by Wisconsin, Indiana, and Ohio, and on the west by Lake Michigan and Wisconsin.
D010344	Patient Advocacy	Promotion and protection of the rights of patients, frequently through a legal process.	Patient Ombudsmen,Patient Representatives,Clinical Ombudsman,Patient Ombudsman,Advocacy, Patient,Ombudsman, Clinical,Ombudsman, Patient,Ombudsmen, Patient,Patient Representative,Representative, Patient,Representatives, Patient
D011203	Poverty	A situation in which the level of living of an individual, family, or group is below the standard of the community. It is often related to a specific income level.	Federal Poverty Level,Federal Poverty Threshold,Indigency,Low-Income Population,Absolute Poverty,Extreme Poverty,Indigents,Low Income Population,Federal Poverty Levels,Indigent,Level, Federal Poverty,Low Income Populations,Low-Income Populations,Population, Low Income,Population, Low-Income,Poverty Level, Federal,Poverty Threshold, Federal,Poverty, Absolute,Poverty, Extreme
D011295	Prenatal Care	Care provided the pregnant woman in order to prevent complications, and decrease the incidence of maternal and prenatal mortality.	Antenatal Care,Care, Antenatal,Care, Prenatal
D002675	Child, Preschool	A child between the ages of 2 and 5.	Children, Preschool,Preschool Child,Preschool Children
D003150	Community Health Workers	Persons trained to assist professional health personnel in communicating with residents in the community concerning needs and availability of health services.	Barefoot Doctors,Community Health Aides,Village Health Worker,Family Planning Personnel,Family Planning Personnel Characteristics,Village Health Workers,Aide, Community Health,Aides, Community Health,Barefoot Doctor,Community Health Aide,Community Health Worker,Doctor, Barefoot,Doctors, Barefoot,Health Aide, Community,Health Aides, Community,Health Worker, Community,Health Worker, Village,Health Workers, Community,Health Workers, Village,Personnel, Family Planning,Planning Personnel, Family,Worker, Community Health,Worker, Village Health,Workers, Community Health,Workers, Village Health
D003266	Continuity of Patient Care	Health care provided on a continuing basis from the initial contact, following the patient through all phases of medical care.	Continuum of Care,Continuity of Care,Care Continuity,Care Continuity, Patient,Care Continuum,Patient Care Continuity