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Rural Project Examples: Prenatal care and obstetrics

Evidence-Based Examples

Domestic Violence Enhanced Home Visitation Program (DOVE)
Updated/reviewed January 2020
  • Need: To reduce violence against pregnant women and women with infants in rural Missouri.
  • Intervention: A tool for existing home visiting programs, DOVE is a brochure-based and safety planning intervention for women experiencing interpersonal violence.
  • Results: Women receiving the DOVE intervention saw a larger average decrease in number of violent incidents than women in the control group.
UAMS IDHI High Risk Pregnancy Program
Updated/reviewed November 2019
  • 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 IDHI High Risk Pregnancy Program to increase access to care for pregnant women in an effort to improve outcomes for high-risk pregnancies.
  • Results: The program 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 2020
  • 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

Contingency Management Smoking Cessation in Appalachia
Updated/reviewed April 2020
  • 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 Healthy Connections, Inc. Healthy Families Arkansas
Updated/reviewed November 2019
  • 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
Updated/reviewed December 2017
  • Need: Pregnancy support services for Native American women struggling with substance use.
  • Intervention: An integrated behavioral health network implemented in Lake County, California.
  • Results: Fewer Native American babies exposed to alcohol, tobacco, and other drugs.

Other Project Examples

The Mission's Pregnancy Support Center
Added October 2019
  • Need: To help opioid-dependent or recovering pregnant women in rural Tennessee.
  • Intervention: At The Mission's Pregnancy Support Center, women and their partners can earn points to spend on needed items like bottles, diapers, and maternity clothes.
  • Results: Since the Pregnancy Support Center opened, The Mission has had an increase in attendance at its weekly support group meetings.
funded by the Federal Office of Rural Health Policy MIST: Mothers and Infants Sober Together
Updated/reviewed May 2019
  • 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.
Taos First Steps Program
Updated/reviewed May 2019
  • 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 2019
  • Need: Neonatal Intensive Care Units (NICUs) across the state of South Carolina were purchasing breast milk from out-of-state milk banks for preterm infants.
  • Intervention: The Mother's Milk Bank of South Carolina (MMBSC) opened 17 sites in South Carolina for breast milk to be donated, safely pasteurized, and delivered to NICUs across the state.
  • Results: Over 260,000 ounces of milk have been donated to MMBSC depot sites and over 186,000 ounces of milk have been delivered to South Carolina NICUs.