Evaluation Protocol to Assess Maternal and Child Health Outcomes Using Administrative Data: A Community Health Worker Home Visiting Programmeme




Samantha Sabo, Matthew Butler, Kelly McCue, Patrick Wightman, Vern Pilling, Martín Celaya, and Sara Rumann

Brief Type

Journal Publication


  • Other Models


Introduction: Emerging evidence suggests community health workers (CHWs) delivering preventive maternal and child health (MCH) interventions through home visiting improve several important health outcomes, including initiation of prenatal care, healthy birth weight and uptake of childhood immunizations. Methods and analysis: The Arizona Health Start Program is a behavioral-based home visiting intervention, which uses CHWs to improve MCH outcomes through health education, referral support, and advocacy services for at-risk pregnant and postpartum women with children up to 2 years of age. We aim to test our central hypothesis that mothers and children exposed to this intervention will experience positive health outcomes in the areas of (1) newborn health; (2) maternal health and healthcare utilization; and (3) child health and development. This paper outlines our protocol to retrospectively evaluate Health Start Program administrative data from 2006 to 2015, equaling 15,576 enrollees. We will use propensity score matching to generate a statistically similar control group. Our analytic sample size is sufficient to detect meaningful programme effects from low-frequency events, including preterm births, low and very low birth weights, maternal morbidity, and differences in immunization and hospitalization rates. (author abstract)

Data Collection Methods

  • Program administrative record reviews



For More Information

Sabo, S., Butler, M., McCue, K., Wightman, P., Pilling, V., Celaya, M., & Rumann, S. (2019). Evaluation protocol to assess maternal and child health outcomes using administrative data: A community health worker home visiting programme. BMJ Open, 9(2), e031780. doi: http://dx.doi.org/10.1136/bmjopen-2019-031780.
Author Contact Information:
Samantha Sabo
samantha. sabo@ nau. edu


  • Participant, Family, and Program Outcomes
  • Program Enhancements, Innovations, and Promising Approaches