Healthy Births for Healthy Communities
The Healthy Births for Healthy Communities (HBHC) Interconceptional Care Program provided comprehensive interconception services to women living in Chicago’s North Lawndale and Austin communities who had recently experienced a preterm birth, low birthweight birth, or fetal loss. Participants received case management, medical care, reproductive education, a medical home, and assistance setting reproductive and self-management goals in the 18 months following their adverse birth outcomes (Handler 2013). The program started in July 2006 and ended in February 2010 (HBHC).
Expected Beneficial Outcomes (Rated)
Increased healthy behaviors
Improved health outcomes
Other Potential Beneficial Outcomes
Increased use of contraception
Evidence of Effectiveness
There is insufficient evidence to determine whether Healthy Births for Healthy Communities (HBHC) affected health behaviors or outcomes among program participants. An evaluation of HBHC indicates that most participants did not intend to get pregnant soon, but entered the program using minimally effective methods or no method of preventing pregnancy and STIs. Despite a high prevalence of health problems, most participants perceived themselves as healthy and considered social and economic needs more pressing than health needs. This evaluation suggests that interventions similar to HBHC work with patients to address their socio-economic needs in conjunction with education about contraception and preventive care (Handler 2013). Additional evidence is needed to confirm effects.
Impact on Disparities
Likely to decrease disparities
Citations - Evidence
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Handler 2013 - Handler A, Rankin KM, Peacock N, et al. The implementation of interconception care in two community health settings: Lessons learned. American Journal of Health Promotion. 2013;27(3 Suppl):eS21-31.
Citations - Implementation Examples
Date Last Updated
- Scientifically Supported: Strategies with this rating are most likely to make a difference. These strategies have been tested in many robust studies with consistently positive results.
- Some Evidence: Strategies with this rating are likely to work, but further research is needed to confirm effects. These strategies have been tested more than once and results trend positive overall.
- Expert Opinion: Strategies with this rating are recommended by credible, impartial experts but have limited research documenting effects; further research, often with stronger designs, is needed to confirm effects.
- Insufficient Evidence: Strategies with this rating have limited research documenting effects. These strategies need further research, often with stronger designs, to confirm effects.
- Mixed Evidence: Strategies with this rating have been tested more than once and results are inconsistent or trend negative; further research is needed to confirm effects.
- Evidence of Ineffectiveness: Strategies with this rating are not good investments. These strategies have been tested in many robust studies with consistently negative and sometimes harmful results.