Skip to main content

Rural Project Examples: Prenatal care and obstetrics

Evidence-Based Examples

ANGELS: Antenatal & Neonatal Guidelines, Education and Learning System
Updated/reviewed August 2017
  • Need: Arkansas had high rates of low birthweight babies, and women in rural areas had difficulty accessing specialty obstetric care.
  • Intervention: The University of Arkansas for Medical Sciences created the ANGELS telemedicine program to increase access to care for pregnant rural women in an effort to improve outcomes for high-risk pregnancies.
  • Results: ANGELS has increased access to care and reduced infant mortality for rural Arkansas women through a variety of programs and has been recognized by various organizations as a model program.

Effective Examples

funded by the Federal Office of Rural Health Policy Perinatal Health Partners Southeast Georgia
Updated/reviewed February 2017
  • Need: In the 11 rural southeast Georgia counties, high-risk pregnant women potentially face adverse birth outcomes, including maternal or infant mortality, low birthweight, very low birthweight, or other medical or developmental problems.
  • Intervention: An in-home nursing case management program for high-risk pregnant women in order to maximize pregnancy outcomes for mothers and their newborns.
  • Results: Mothers carry their babies longer and the babies are larger when born, leading to improved health outcomes.

Promising Examples

funded by the Federal Office of Rural Health Policy Healthy Connections, Inc. Healthy Families Arkansas
Updated/reviewed August 2017
  • Need: High poverty rates and lack of access to healthcare make caring for unborn and newborn children difficult for young mothers in Arkansas’s Polk and Garland Counties.
  • Intervention: An Arkansas-based program provides a national healthcare service to expectant and young mothers. Prenatal check-ups, education, transportation, well-baby checks and child immunizations are all provided by the Healthy Connections, Inc.
  • Results: The program’s results demonstrate an increase in first trimester prenatal care rates and child immunization rates, as well as a dramatic decrease in confirmed cases of child abuse.
funded by the Federal Office of Rural Health Policy 4P's Plus Pregnancy Support Project
Added September 2015
  • Need: To provide pregnancy support services to Native American women who struggle with substance use.
  • Intervention: An integrated behavioral health network was implemented in Lake County, California.
  • Results: As a result of this project, fewer Native American babies were exposed to alcohol, tobacco, and other drugs.

Other Project Examples

funded by the Federal Office of Rural Health Policy MIST: Mothers and Infants Sober Together
Updated/reviewed August 2017
  • Need: To address the needs of pregnant women who are using substances and infants born into drug-positive families.
  • Intervention: The Mothers and Infants Sober Together (MIST) program assisted mothers who used substances get treatment and provide a safe, drug-free home for themselves and their newborn.
  • Results: MIST has helped mothers find treatment and education and has helped children grow up in safe and healthy homes.
Contingency Management Smoking Cessation in Appalachia
Updated/reviewed July 2017
  • Need: To reduce smoking rates of pregnant women and adolescents in Appalachian regions of Eastern Kentucky and Ohio.
  • Intervention: A web-based smoking cessation program that offered monetary incentives to reducing smoking.
  • Results: Participants significantly reduced smoking rates or quit altogether.
funded by the Federal Office of Rural Health Policy Promotores at Family Health Centers
Updated/reviewed July 2017
  • Need: Migrant workers in need of healthcare in Okanogan County, Washington
  • Intervention: A promotora program which educates and helps the migrant and Latino communities access culturally- and linguistically-appropriate healthcare
  • Results: Provided health education so migrant workers were better educated about their health and accessing healthcare resources
Kid One Transport: Transporting Children to Better Health
Updated/reviewed March 2017
  • Need: Transportation to medical appointments for children and expectant mothers living in rural Alabama.
  • Intervention: Kid One Transport provides rides to medical appointments for clients who otherwise have no other means of transportation.
  • Results: The program has transported 335,000 children and expectant mothers to and from medical appointments. Children have recovered from life-threatening illnesses and are experiencing a higher quality of life.
Taos First Steps Program
Updated/reviewed March 2017
  • Need: Support for families that promotes early childhood development and the parent-child relationship.
  • Intervention: Home visits which provide information, support, and access to early childhood resources and tools for building relationships.
  • Results: Easily replicable program, even for rural areas, that result in growth in knowledge and self-sufficiency for families as they provide for and understand their child's earliest years.
Mother's Milk Bank of South Carolina
Updated/reviewed January 2017
  • Need: A source of nourishment for the high number of premature infants born in South Carolina.
  • Intervention: The Mother's Milk Bank of South Carolina (MMBSC) manages 17 drop-off sites where mothers can donate their surplus breast milk to be delivered to neonatal intensive care units (NICUs) across the state.
  • Results: Over 99,916 ounces of milk have been donated to MMBSC depot sites and over 96,000 ounces of milk have been delivered to NICUs across the state of South Carolina.