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A Profile of Healthy Start: Findings From Phase I of the Evaluation 2006

 

Maternal & Child Health: COORDINATION AND COLLABORATION

Healthy Start grantees have established relationships with many entities in their communities and engaged in a wide range of collaborative activities. Most grantees had relationships with health-related organizations. The most common were with State Title V, local health departments, and WIC. More than 90 percent of grantees identified collaborative relationships with faith-based organizations (100 percent), schools (93 percent), and welfare agencies (92 percent). Entities with which grantees were less likely to have relationships included courts, where 35 percent of grantees reported no relationship, ethnic organizations with 25 percent reporting no relationship, and disease-based organizations with 20 percent reporting no relationship.

Grantees reported relationships with State Title V. The majority of grantees (73 percent) indicated that they had informal relationships (such as attending the same meeting or casual contacts) with the State Title V programs while 22 percent reported a formal relationship (such as having a written memorandum of understanding or agreement) with the Title V agency. Less than a third of grantees (28 percent) reported that the State Title V program funded some of their programming and services.4

figure 25[D]
Many benefits of collaboration were cited by respondents, although no single benefit was mentioned considerably more than others. However, grantees indicated that collaboration was beneficial in achieving staff training, performing needs assessments, and improving Healthy Start’s visibility within policy arenas. This signifies that grantees are on their way toward achieving desired Healthy Start systems outcomes. Nonetheless, the most frequently reported challenge to collaboration with Title V was insufficient staff resources (65 percent), with almost half of the grantees indicating that existing bureaucracy made it difficult to coordinate. figure 26[D]

4These percentages excluded the 10 grantees that are State health departments.

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