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Maternal Early Childhood Sustained Home-Visiting Program (MECSH)

Meets DHHS criteria for an evidenced based model

Last Updated: May 2013

Effects Shown in Research & Outcome Measure Details for Child Health Outcomes

Impact Studies Rated Moderate


Kemp, L., Harris, E., McMahon, C., Matthey, S., Vimpani, G., Anderson, T., Schmied, V., & Aslam, H. (2012). Benefits of psychosocial intervention and continuity of care by child and family health nurses in the pre- and postnatal period: Process evaluation. Journal of Advanced Nursing. DOI: 10.1111/jan.12052
Show Study Effects Details
Outcome Effect Sample Timing of Follow-Up Sample Size Program Group Comparison Group Mean Difference or Odds Ratio
Statistical Significance
Effect Size
Outcome Type
Breastfeeding fully or partially at 4 weeks No Effect Western Sydney 4 weeks 161 mothers Unadjusted % = 58.0 Unadjusted % = 52.1 Difference (%) = 5.9 Not statistically significant, p > 0.05 Study-reported = 0.12 Secondary
Breastfeeding initiated No Effect Western Sydney Birth 202 mothers Unadjusted % = 87.2 Unadjusted % = 85.1 Difference (%) = 2.1 Not statistically significant, p > 0.05 Study-reported = 0.06 Secondary
Infant admission to special care nursery No Effect Western Sydney Birth 203 mothers Unadjusted % = 5.6 Unadjusted % = 8.4 Difference (%) = -2.8 Not statistically significant, p > 0.05 Study-reported = 0.12 Primary
SIDS risk knowledge Favorable Western Sydney 4 weeks 137 mothers Unadjusted % = 83.3 Unadjusted % = 68.3 Difference (%) = 15.0 Statistically significant, p = 0.04 Study-reported = 0.35 Secondary
Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
Breastfeeding fully or partially at 4 weeks Percentage of infants breastfed fully or partially at 4 weeks postpartum Parent/caregiver report Not applicable Secondary
Breastfeeding initiated Percentage of mothers who initiated breastfeeding Obstetric data record and parent/caregiver report Not applicable Secondary
Infant admission to special care nursery Percentage of infants admitted to the special care nursery or neonatal intensive care unit for a period of more than four hours Obstetric data record Not applicable Primary
SIDS risk knowledge Percentage of mothers who could name two or more SIDS risk factors at 4-6 weeks postpartum Parent/caregiver report Not applicable Secondary

Kemp, L., Harris, E., McMahon, C., Matthey, S., Vimpani, G., Anderson, T., Schmied, V., Aslam, H., & Zapart, S. (2011). Child and family outcomes of a long-term nurse home visitation programme: A randomised controlled trial. Archives of Disease in Childhood, 96, 533-540.
Show Study Effects Details
Outcome Effect Sample Timing of Follow-Up Sample Size Program Group Comparison Group Mean Difference or Odds Ratio
Statistical Significance
Effect Size
Outcome Type
Breastfeeding duration (weeks) Favorable Sydney sample 12 months 139 children Mean = 16.12 (SE = 18.42) Mean = 8.24 (SE = 10.06) MD = 7.88 Statistically significant, p = 0.002 HomVEE = 0.52 Secondary
Gastroenteritis No Effect Sydney sample 24 months 166 children 58% 60% OR = 1.10 Not Statistically significant, p = 0.76 HomVEE = -0.05 Secondary
Immunization up to date No Effect Sydney sample 24 months 166 children 100% 100% Not available Not Statistically significant, p > 0.05 Not available Secondary
Low birth weight (< 2500 g) No Effect Sydney sample 1 month 201 mothers 7% 2% OR = 3.22 Not Statistically significant, p = 0.15 HomVEE = 0.79 Primary
Preterm (< 37 weeks) No Effect Sydney sample 1 month 203 mothers 10% 6% OR = 1.69 Not Statistically significant, p = 0.32 HomVEE = 0.33 Primary
Respiratory infection No Effect Sydney sample 24 months 166 children 33% 31% OR = 0.90 Not Statistically significant, p = 0.76 HomVEE = 0.06 Secondary
Transition to solids (weeks) No Effect Sydney sample 12 months 162 children Mean = 21.74 (SE = 5.33) Mean = 23.06 (SE = 6.11) MD = -1.32 Not Statistically significant, p > 0.05 Not available Secondary
Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
Breastfeeding duration (weeks) Total number of weeks that mother breastfed Maternal self-report Not applicable Secondary
Gastroenteritis Child has experienced at least one episode of gastrointestinal illness during first two years of life Parent/caregiver report Not applicable Secondary
Immunization up to date Whether child was fully immunized Parent/caregiver report Not applicable Secondary
Low birth weight (< 2500 g) Whether child was less than 2500 grams at birth Hospital clinical records Not applicable Primary
Low birth weight (< 2500 g) Percentage of infants born of low birth weight (< 2500 g) Review of birth records Not applicable Primary
Preterm (< 37 weeks) Percentage of infants born at less than 37 weeks gestation Review of birth records Not applicable Primary
Preterm (< 37 weeks) Whether child was born at less than 37 weeks gestation Hospital clinical records Not applicable Primary
Respiratory infection Child has experienced at least one episode of respiratory infection during first two years of life Parent/caregiver report Not applicable Secondary
Transition to solids (weeks) Child's age (in weeks) when solid food was introduced Maternal self-report Not applicable Secondary
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