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Rural Project Examples: Women

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.
Women to Women Online Support Network
Updated/reviewed August 2017
  • Need: Women living in rural areas with chronic illness often face little social support, leading to increased rates of depression and stress
  • Intervention: Women to Women offered rural women with chronic conditions social support networks via telecommunication
  • Results: WTW intervention participants experienced positive increases in self-esteem, social support, and empowerment over the control group

Effective Examples

funded by the Federal Office of Rural Health Policy Perinatal Health Partners Southeast Georgia
Updated/reviewed March 2018
  • 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.
Salud es Vida Cervical Cancer Education
Updated/reviewed January 2018
  • Need: Hispanic women have the highest incidence rates of cervical cancer among any ethnicity in the United States.
  • Intervention: The development of a lay health worker (promotora) curriculum that provides information on cervical cancer, HPV, and the HPV vaccine to Hispanic farmworker women living in rural southern Georgia and South Carolina.
  • Results: Significant increases in post-test scores relating to cervical cancer knowledge and increases in positive self-efficacy among promotoras.

Promising Examples

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.
STAIR (Skills Training in Affective and Interpersonal Regulation)
Updated/reviewed December 2017
  • Need: To increase access to telemental health services for rural women veterans with a history of trauma.
  • Intervention: STAIR (Skills Training in Affective and Interpersonal Regulation) is a 10-week program designed to reduce PTSD and depression symptoms and increase emotional regulation and social functioning in clients.
  • Results: Therapists reported that clients attended more sessions when offered via teleconferencing, and clients reported satisfaction with the program.
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.

Other Project Examples

Neighbor to Neighbor
Updated/reviewed June 2018
  • Need: To reduce social isolation and its negative effects on health for women in rural Kansas.
  • Intervention: Neighbor to Neighbor is a day center where women can socialize, eat free meals, and take care of basic needs such as laundry and showers.
  • Results: An average of 24 women and children visit the center every day. Positive comments from visitors suggest that the day center helps reduce their social isolation.
funded by the Federal Office of Rural Health Policy MIST: Mothers and Infants Sober Together
Updated/reviewed May 2018
  • 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.
funded by the Health Resources Services Administration Futures Without Violence in Tillamook County
Added February 2018
  • Need: To address intimate partner violence (IPV) in primary care settings as a health concern. To increase healthcare providers' professional understanding about its prevalence and adverse impacts on patient health.
  • Intervention: In partnership with Safer Futures, Tillamook County Women’s Resource Center provides an advocate at a local health clinic to give confidential services to IPV survivors and training to medical staff. The advocate uses curriculum and other materials designed by Futures Without Violence.
  • Results: Healthcare providers at the clinic reported increased understanding of IPV and its impact on health. As a result, IPV advocates received an increase in referrals from healthcare providers. Patients experiencing IPV reported a reduction in chronic, toxic stress and improved overall health after receiving advocacy services.

For examples from other sources, see: