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.

Training to support implementation

Requirements for program certification

Two documents, Standards of Practice for Sponsoring Agencies and Competencies for Outreach Workers, provide guidance to sponsoring agencies implementing MIHOW.

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 it has met each standard. VUSN staff conduct 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 team conducts a thorough case review and interviews staff, community partners, board members, and program participants to determine adherence to model standards.
  5. The review team reports its recommendation to the CEMAP Review Board and the Board determines if the site has met the standards
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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 Competencies for Outreach Workers).

No information is available about training requirements for supervisors.

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In-service staff training

In-service training for outreach workers and supervisors is offered during the following times:

  • Monthly training: Local sites are responsible for monthly training of outreach workers based on the Competencies 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.
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Training materials

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

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Qualified trainers

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

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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.
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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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