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Implementing Maternal Infant Health Outreach Worker (MIHOW)®

Materials and Forms to Support Implementation

Last Updated

April 2011


Operations Manuals

The Administrator's Manual: How to Build a MIHOW Program in Your Community provides guidance on training and supervision, case management, safety and security for outreach workers, program planning, and sustainability.


Service Delivery Forms

Outreach workers complete Home Visit Report Forms for each visit. The forms capture information on visits objectives, a brief narrative covering the visit, referrals, and/or areas for follow-up. Sites submit monthly report forms to VUSN.


Assessment Tools

Outreach workers collect demographic and assessment data and enter it into the MIHOW database through REDCap at enrollment and 1, 6, 12, 24, and 36 months of age. Some sites administer the Protective Factors Survey, the Ages and Stages Questionnaire (ASQ), and the Edinburgh Postnatal Depression Scale (EPDS).



The MIHOW Home Visit Guides (The Prenatal Period, The First Year of Life, The Second Year of Life, and The Third Year of Life) are month-by-month guides that provide the outreach worker with objectives and strategies to improve maternal health behaviors, birth outcomes and early child health, nutrition (obesity prevention and reduction), problem-solving skills, goal setting and self-advocacy.

REACH - The Five Step Recipe for a Home Visit is a pocket-size laminated quick reference card on the essential elements of an effective home visit.


Available Languages

The MIHOW Home Visit Guides are only available in English, but many of the handouts for families are offered in both English and Spanish.


Fidelity Measurement

Through RedCAP, MIHOW sites submit data to VUSN on maternal and child health and development outcomes, participant demographics, and other program level information. The information is used by MIHOW to identify areas of program effectiveness and areas needing improvement; and is used for analysis by site, state, and region.


Fidelity Standards

The MIHOW Standards of Practice are requirements for sponsoring agencies and outreach workers that maintain MIHOW’s integrity and quality by ensuring that all sites adhere to the same basic principles. The CEMAP process uses the MIHOW Standards of Practice for Sponsoring Agencies as a foundation for fidelity measurement that ensures that all MIHOW sites maintain quality and consistency. Sites are reviewed for reaccreditation every five years.



The information contained on this page was last updated in April 2011. Recommended Further Reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by the MIHOW Program at the Center for Community Health Solutions, Vanderbilt University on March 30, 2011. HomVEE reserves the right to edit the profile for clarity and consistency.