Implementing Maternal Infant Health Outreach Worker (MIHOW)®

Implementation last updated: 2018

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.

Prerequisites for implementation

Type of implementing program

Local MIHOW programs are sponsored by child care centers, primary health care facilities, or nonprofit community agencies.

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Staffing requirements

MIHOW outreach workers are trained community members, and staffing arrangements are tailored to the needs of individual sites. Some sites employ full-time outreach workers, and other sites use part-time workers. Sites must also employ an outreach worker supervisor.

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Staff education and experience

Outreach workers must be from the local community and have at least a high school diploma or equivalent, a positive parenting history, and a similar background to program participants. Additionally, outreach workers must demonstrate an understanding of the community and the people who live there, and an acceptance of people different from themselves, including people with different religious beliefs, sexual orientations, socioeconomic status, and race.

No information is available on the minimum education or experience requirements for supervisors.

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Supervision requirements

MIHOW recommends supervisors use reflective supervision, and at a minimum, they are required to complete the following activities:

  • Hold regularly scheduled meetings with outreach workers
  • Provide opportunities for outreach workers to share successes and concerns
  • Respond to concerns in a prompt and constructive manner
  • Evaluate and be evaluated by the outreach workers annually

The MIHOW administrative team also provides supervision during quarterly regional gatherings and the MIHOW annual conference.

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Staff ratio requirements

Caseload is determined by each agency and is based on average travel time to home visits, agency requirements, and additional staff responsibilities. On average, the caseload for part-time outreach workers is 20 to 25 families and for full-time workers is 40 families.

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Data systems/technology requirements

Vanderbilt University is part of the Research Electronic Data Capture (REDCap) Consortium, a consortium of 214 active institutional partners. The REDCap consortium supports a secure web application designed to support data capture for research studies. MIHOW utilizes REDCap to provide a secure, web-based database for all sites to use to collect data.

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Implementation notes

The information contained on this page was last updated in April 2018. 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 6, 2018. HomVEE reserves the right to edit the profile for clarity and consistency.

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