Evaluating the Healthy Start Program: A Life Course Perspective
- Milton Kotelchuck
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The Healthy Start Initiative begun in 1991 in 15 sites, now currently in 104 sites, is the largest federal program directly dedicated to reducing disparities in Maternal and Infant Health status in high risk communities. In this issue of the Maternal and Child Health Journal, two articles deriving from the most recent second national evaluation of Healthy Start Initiative are presented that characterize successfully implemented program sites from the perspectives of the local staff  and participants . Given the life course of this program, the current evaluation reflects on Healthy Start in its “adolescence”—a young, fully operational program; no longer an “initiative” but now a legislatively mandated program. However, Healthy Start is not yet a robust, institutionalized, national “adult” program; it still reflects much local community variability and experimentation with new programmatic ideas to achieve its disparity reduction goals. These two articles, viewed from a life cours
- Brand, A., Walker, D. K., Hargreaves, M., & Rosenbach, M. Intermediate Outcomes, strategies, and challenges of eight healthy start projects. MCHJ. doi:10.1007/s10995-008-0421-6.
- Rosenbach, M., O’Neil, S., Cook, B., Trebino, L., & Walker DK. Characteristics, access, utilization, satisfaction, and outcomes of healthy start participants in 8 sites. MCHJ. doi:10.1007/s10995-009-0470-1.
- Health Resources and Services Administration, Maternal and Child Health Bureau. (2006). A profile of healthy start: findings from phase I of the evaluation 2006. Washington: Government Printing Office.
- Evaluating the Healthy Start Program: A Life Course Perspective
Maternal and Child Health Journal
Volume 14, Issue 5 , pp 649-653
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- Springer US
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- 1. Department of Community Health Sciences, Boston University School of Public Health, 801 Massachusetts Avenue, Room 434, Boston, MA, 02118-2605, USA