Skip Navigation

Implementing Maternal Infant Health Outreach Worker (MIHOW)®

Training to Support Implementation

Last Updated

April 2011


Requirements for Program Certification

Sites must participate in the Commitment to Excellence MIHOW Accreditation Program (CEMAP) to become accredited. The process uses the MIHOW Standards of Practice for Sponsoring Agencies as a foundation and ensures that MIHOW maintains quality and consistency. VUSN is responsible for reviewing and recognizing sites. The process includes the following steps:

  1. The site submits a letter to VUSN that acknowledges the agency’s commitment to work toward the MIHOW Standards of Practice and describes steps taken toward achieving the Standards.
  2. Regional Consultants help each site develop an action plan and time line for achieving the standards.
  3. The site submits a self-appraisal with a description of how each standard has been met. VUSN staff conducts in-depth phone interviews with agency staff to determine the site’s readiness for an on-site review.
  4. A review team consisting of a site leader from outside the applicant state, an outreach worker, and a VUSN representative visit the site. The review team holds an exit interview to discuss site strengths and areas needing improvement.
  5. The review team reports its recommendation to the CEMAP Review Board and the Board determines if the site has met the standards.
  6. VUSN arranges a ceremony within the site’s community to grant official accreditation. The site receives a public relations packet, commemorative artwork, and authorization to use all registered MIHOW materials.


Pre-Service Staff Training

Outreach workers must complete 40 hours of core training, shadow an experienced outreach worker, and receive an individual assessment from a supervisor (this is known as Level 1 of the Standards of Practice for Outreach Workers).

No information is available about training requirements for supervisors.


In-Service Staff Training

In-service training for outreach workers and supervisors is offered during

  • Monthly training: Local sites are responsible for monthly training of outreach workers based on the Standards of Practice for Outreach Workers and local needs.
  • Annual Conference: Each year site leaders and outreach workers gather for three days of participatory workshops, networking, and team building.
  • Biennial Site Leaders’ Meeting: Site leaders gather every other year for networking, reflection, planning, evaluation, and training.
  • Regional Training: Regional Consultants coordinate three trainings per region each year and provide consultation to sites.


Training Materials

The MIHOW training manual The MIHOW Way: 2nd Edition provides outlines and materials for trainings and workshops and suggests formats for trainings.


Qualified Trainers

MIHOW Regional Consultants have education and experience in maternal and child health. They provide technical assistance and training to local sites.


Technical Assistance

MIHOW provides several forms of technical assistance to local sites:

  • New site technical assistance: Staff from VUSN and Regional Consultants work with local staff during initial recruitment, training, and supervision of outreach workers; on case management issues; and on networking with other agencies.
  • Ongoing technical assistance: MIHOW monitors site progress through site visits, phone calls, and meetings. MIHOW also provides additional training and advising when problems arise.
  • Sustainability assistance: MIHOW tailors sustainability assistance to match individual sites’ infrastructure and needs. Assistance includes a fundraising packet of sample materials and periodic distribution of information to help site leaders navigate the fundraising process, the Capacity Building Project to assist sites in fund development, and site leader training in fundraising practices.



    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.