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Chiyaka_dissertation_August_2019.pdf (1.06 MB)

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Effectiveness of the Pathways Community Hub Model in Reducing Low Birth Weight Among High-Risk Pregnant Women

Chiyaka, Edward Tafumaneyi
http://orcid.org/0000-0003-0150-8351
http://rave.ohiolink.edu/etdc/view?acc_num=kent1564765507539083

Abstract Details

2019, PHD, Kent State University, College of Public Health.
Low birth weight (LBW) is the second leading cause of infant deaths in the United States. It is the single most important factor affecting neonatal mortality and is a determinant of post-neonatal mortality. Prevention of LBW can result in a significant reduction in morbidity and mortality rates. Interventions and programs centered on community care coordination that seek to improve birth outcomes by addressing social support and other social determinants of health, improving access to comprehensive prenatal care, social and environmental risk factors for high risk pregnant women have been used to help improve birth outcomes. Using the Pathways Community HUB model that comprehensively identifies and addresses individual risk factors like the social determinants of health as well as appropriate use of care may result in improved health outcomes and consequently improved quality of life. Therefore, the goal of this study is to assess the effectiveness of the Pathways Community HUB model in reducing low birth weight among high-risk pregnant women. Data for intervention group were obtained from the Community Health Access Project (CHAP) in Richland, Ohio and data for the control group came from the Ohio Department of Health, Vital Statistics Department over a four-year period 2014 - 2017. Propensity score matching approach was used. Overall, the analyses showed that participation in the Pathways Community HUB program resulted in reduced low birth weight rate and improved utilization of prenatal care services. After adjusting for the propensity score, women who participated in the Pathways HUB program were 43% less likely to deliver a low birth weight baby compared to those who did not participate in the program (OR = 0.57; 95% CI = 0.335 0.979). CHAP participants who had their first prenatal visit during the first trimester of pregnancy had a significantly lower low birth weight rate compared to the non-HUB participants. Furthermore, more than 62% of the HUB program participants received adequate and adequate plus care compared to about 54% from the control group. The current findings contribute to the evidence base in support of the Pathways Community HUB model in reducing low birth weight and further suggests that it may improve prenatal care utilization among high risk pregnant women – particularly when clients are identified and engaged in the program early in their pregnancies.
John Hoornbeek, PhD (Committee Chair)
Sonia Alemagno, PhD (Committee Member)
Vinay Cheruvu, PhD (Committee Member)
Phuc Le, PhD (Committee Member)
Mark Redding, MD (Committee Member)
111 p.
Health; Public Health; Public Policy
Low birth weight; Pathways community HUB model; care coordination; high-risk; prenatal care; propensity score

Recommended Citations

Citations

  • Chiyaka, E. T. (2019). Effectiveness of the Pathways Community Hub Model in Reducing Low Birth Weight Among High-Risk Pregnant Women [Doctoral dissertation, Kent State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=kent1564765507539083

    APA Style (7th edition)

  • Chiyaka, Edward. Effectiveness of the Pathways Community Hub Model in Reducing Low Birth Weight Among High-Risk Pregnant Women. 2019. Kent State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=kent1564765507539083.

    MLA Style (8th edition)

  • Chiyaka, Edward. "Effectiveness of the Pathways Community Hub Model in Reducing Low Birth Weight Among High-Risk Pregnant Women." Doctoral dissertation, Kent State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=kent1564765507539083

    Chicago Manual of Style (17th edition)

kent1564765507539083
1,159
© 2019, some rights reserved.Creative Commons License Effectiveness of the Pathways Community Hub Model in Reducing Low Birth Weight Among High-Risk Pregnant Women by Edward Tafumaneyi Chiyaka is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License. Based on a work at etd.ohiolink.edu.
This open access ETD is published by Kent State University and OhioLINK.