Implementing HealthConnect One's® Community-Based Doula Program

Implementation last updated: 2015

The information in this profile reflects feedback, if provided, from this model’s developer as of the above date. The description of the implementation of the model(s) here may differ from how the model(s) was implemented in the research reviewed to determine this model’s evidence of effectiveness. Inclusion in the implementation report does not mean the practices described meet the HHS criteria for evidence of effectiveness. Similarly, models described here may not all have impact studies, and those with impact studies may vary in their effectiveness. Please see the Effectiveness button on the left for more information about research on the effectiveness of the models discussed here.

Materials and forms to support implementation

Operations manuals

Site leadership receive an operations manual during the training of trainers.

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Service delivery forms

Doula Data—which doulas use to record information about participants—includes fields for demographics, service utilization (such as prenatal and postpartum contacts), supervision, and labor, delivery, and postpartum outcomes.

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Assessment tools

The Community-Based Doula Program encourages sites to use assessment tools, but it does not require specific tools. Replication sites use a variety of assessment tools, including the Edinburgh Postnatal Depression Scale (prenatally and postpartum), Ages & Stages Questionnaire®, Denver Developmental Screening, Nursing Child Assessment Satellite Training (NCAST) Parent-Child Interaction (PCI) Scales, and the Community-Based Family Administered Neonatal Assessment.

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Doula Data includes a required and suggested topic list that doulas use to guide prenatal and postpartum visits.

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Available languages

HC One encourages sites to select or develop materials and other resources in the languages appropriate for the families they serve, based on examples available in the toolkit and on the HC One website. As members of the population they serve, doulas work with families in their preferred language (for example, Spanish or Vietnamese).

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Fidelity measurement

Based on data provided by the sites, HC One assesses the quality of implementation at sites undergoing the accreditation process, using eight fidelity standards.

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Fidelity standards

HC One uses the following eight standards to assess the quality of implementation in sites applying for accreditation:

  • Sites employ community-based doulas who are members of the target community.
  • Sites support an ongoing, continuous relationship between a community-based doula and the mother and her family to address the physical, social, emotional, and spiritual issues that arise during pregnancy and delivery.
  • Doulas contact mothers weekly beginning early in pregnancy and continuing for at least 12 weeks postpartum.
  • Doulas provide continuous physical and emotional support to mothers during labor, delivery, and in the first few postpartum hours.
  • Doulas complete all 20 HC One sessions and achieve core competencies.
  • Doulas have appropriate caseloads and receive weekly supervision.
  • A stakeholder advisory board comprising community residents and other stakeholders plans, implements, and evaluates the program based on a community needs assessment.
  • Doulas are salaried and offered benefits, flexible hours, and a family-friendly work place.
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Implementation notes

The information contained on this page was last updated in June 2015. Recommended Further Reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by the HealthConnect One on April 30, 2015. HomVEE reserves the right to edit the profile for clarity and consistency.

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