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Maternal Infant Health Outreach Worker (MIHOW)®

Model Overview

Last Updated

April 2011


Theoretical Model

MIHOW is flexible and tailored to the needs of the sponsoring agency and community. Two documents, Standards of Practice for Sponsoring Agencies and Standards for Practice for Outreach Workers, provide guidance to sponsoring agencies implementing MIHOW. These documents emphasize that MIHOW is community-based, has a community-development focus, and is strengths-based. The model also emphasizes that paraprofessionals and program participants are equal members of the community and have mutual investment in one another. MIHOW is designed to be implemented in low-income neighborhoods, but does not have eligibility requirements for participants. Participation is free.


Model Components

The core program components of MIHOW are (1) home visits, (2) case management and advocacy, (3) parent education, (4) role modeling for positive parent-child interaction, (5) health and developmental screening, (6) information and referral, and (7) peer support groups.


Target Population

MIHOW targets pregnant women and families with children birth to age 3 who are economically disadvantaged and geographically and/or socially isolated.


Where to Find Out More

The MIHOW Program
Center for Community Health Solutions 
Vanderbilt University, Station 17
Nashville, TN 37232-8180
Fax: 615-343-0325
Phone: 615-343-4513

Tonya Elkins, MIHOW Director