The percentage of funding provided by each source is identified in the chart below. At least 80 percent of all clients and families for whom pre and postpartum child interaction assessments are conducted shall demonstrate an improvement in their bonding relationship. At least 90 percent of all enrolled mothers participating in the program for at least 12 months shall receive family planning information. At least 80 percent of all enrolled women shall receive prenatal care within 30 days after pregnancy is made known to the agency. Provider agencies must submit quarterly progress reports identifying progress in meeting the objectives.
Additional oversight is provided through site visits.
Both internal and external evaluations are being used to determine if the Healthy Start program is meeting its goals. This analysis consists of a longitudinal study of a cohort of families as they move through the program and an assessment of selected families who terminated services 12 to 18 months prior to the review. A second study of Healthy Start is being conducted jointly by the Hawaii Medical Association, John Hopkins School of Medicine, and Hawaii Department of Health. This five-year review, which began in October 1994, will examine health outcomes and cost benefit of the Healthy Start model. All new Healthy Start direct care staff and their supervisors must participate in a five-week course given by the Hawaii Family Stress Center, which is under contract with the Department of Health to provide technical assistance and training for the program.