Although the HRSA Guidance specifies
five service
components (outreach, case management,
health
education, depression screening, and interconceptional
care) and four systems components (consortium,
Local Health System Action Plan, coordination
and collaboration with Title V, and a
sustainability
plan), the authorizing legislation emphasizes
three
service components (outreach, health education,
case management) and three systems components
(coordination with Title V, consortium,
and Local
Health System Action Plan).
Based on feedback from the Healthy Start
communities,
as well as from the Healthy Start Panel
(HSP)
and the Secretary’s Advisory Committee
on Infant
Mortality (SACIM) two service components
(perinatal
depression screening and interconceptional
care) and the systems component of sustainability
were added requirements in 2001. Overall,
the
service components were more likely to
be implemented
than the systems components.
New required systems components in the
third
cycle (2001 – 2005) included a Local
Health System
Action Plan (LHSAP) and a sustainability
plan. As
shown, these were implemented less frequently
by
grantees in 2003 than program components
that
had been required previously – this
might be as a
result of the time required to fully implement
new
components. Collaboration and coordination
of the
various agencies and organizations involved
in the
delivery of perinatal health care, particularly
Title
V, was implemented by 98 percent of the
grantees. |
[D]
|