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Model Profiles

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2023 Yearbook

Maternal Infant Health Outreach Worker Program

Maternal Infant Health Outreach Worker Program (MIHOW)’s primary goal is to improve maternal and child health outcomes through a strength-based approach to home visiting. MIHOW trains peer mentors to support women during pregnancy to become physically, mentally, and emotionally healthy for their baby’s arrival. Once the baby is born, MIHOW focuses on promoting positive parent-child interactions and establishing a safe, stable, nurturing environment.

What is the model’s approach to providing home visiting services?

Home visits take place once per month. Services are provided until the child is 3 years old. MIHOW requires at least 80 percent of families served to initiate services prenatally.

MIHOW’s target population includes the following:

  • Expectant mothers
  • First-time mothers or first-time parents
  • Teenage mothers or teenage parents
  • Unmarried mothers or single parents
  • Parents/caregivers with limited education
  • Low-income families
  • Parents/caregivers experiencing physical/social isolation or limited support system
  • Families experiencing language barriers

Who is implementing the model?

Home Visitors

MIHOW was implemented by 26 home visitors in 2019. The model recommends a high school diploma or GED and experience in the community for home visitors. The maximum caseload requirement for home visitors is 40 families.


MIHOW was implemented by 7 supervisors in 2019. The model recommends a bachelor’s degree for supervisors.

Where is the model implemented?

MIHOW operated in 7 local agencies across 4 states in 2019.

Families Served Through Home Visiting in 2019

home visits provided
families served
children served

Caregiver age

26% ≤ 21 years

39% 22-29 years

36% 30-44 years

0% ≥ 45 years

Caregiver education

34% No HS diploma

42% HS diploma or GED

17% Some college or training

8% Bachelor's degree or higher


33% Hispanic or Latino

68% Not Hispanic or Latino

Household income

90% Low-income status

10% Not low-income status

Child age

70% < 1 year

30% 1-2 years

0% 3-5 years

Child insurance status

91% Public

<1% Private

8% None

Primary language

58% English

42% Spanish

0% Other

Note • Percentages may not add to 100 due to rounding. • To protect confidentiality, race and ethnicity categories with 10 or fewer caregivers were replaced with *.