Open AccessSafe Start Community Health Worker Program: A Multisector Partnership to Improve Perinatal Outcomes Among Low-Income Pregnant Women With Chronic Health Conditions
Author(s) -
Shayna D. Cunningham,
Valerie Riis,
Laura Line,
Melissa Patti,
Melissa Bucher,
Celeste Durnwald,
Sindhu K. Srinivas
Publication year - 2020
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.2020.305630
Subject(s) - medicaid , medicine , general partnership , prenatal care , family medicine , community health , pregnancy , neonatal intensive care unit , public health , health care , environmental health , gerontology , nursing , psychiatry , population , finance , biology , economics , genetics , economic growth
Safe Start is a community health worker program representing a partnership between a high-volume, inner-city, hospital-based prenatal clinic; a community-based organization; a large Medicaid insurer; and a community behavioral health organization to improve perinatal outcomes among publicly insured pregnant women with chronic health conditions in Philadelphia, Pennsylvania. As of June 2019, 291 women participated in the program. Relative to a comparison group (n = 300), Safe Start participants demonstrate improved engagement in care, reduced antenatal inpatient admissions, and shorter neonatal intensive care unit stays.