Maternal Early Childhood Sustained Home-Visiting Program (MECSH) Meets HHS Criteria

Model effectiveness research report last updated: 2023

Effects shown in research

Child health

Findings rated high

Maternal Early Childhood Sustained Home-Visiting Program (MECSH)
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes

Child - Ate breakfast today

FavorableUnfavorable or ambiguousNo Effect

24 months old

MECSH vs. comparison, Australia, 2013-2017, full sample

589 children Unadjusted proportion = 0.90 Unadjusted proportion = 0.94 Odds ratio = 0.44 Study reported = -0.50

Statistically significant, p= 0.01

Child - Began solid foods at ages 4–6 months

FavorableUnfavorable or ambiguousNo Effect

24 months old

MECSH vs. comparison, Australia, 2013-2017, full sample

635 children Unadjusted proportion = 0.86 Unadjusted proportion = 0.86 Odds ratio = 0.78 HomVEE calculated = -0.15

Not statistically significant, p= 0.33

Child - Only given water, milk, formula to drink

FavorableUnfavorable or ambiguousNo Effect

12 months old

MECSH vs. comparison, Australia, 2013-2017, full sample

633 children Unadjusted proportion = 0.60 Unadjusted proportion = 0.60 Odds ratio = 0.93 HomVEE calculated = -0.04

Not statistically significant, p= 0.93

Mother - Breastfed until age 6 months

FavorableUnfavorable or ambiguousNo Effect

24 months old

MECSH vs. comparison, Australia, 2013-2017, full sample

566 mothers Unadjusted proportion = 0.40 Unadjusted proportion = 0.43 Odds ratio = 0.76 HomVEE calculated = -0.17

Not statistically significant, p= 0.16

Mother - Ever breastfed

FavorableUnfavorable or ambiguousNo Effect

24 months old

MECSH vs. comparison, Australia, 2013-2017, full sample

668 mothers Unadjusted proportion = 0.83 Unadjusted proportion = 0.83 Odds ratio = 0.92 Study reported = -0.05

Not statistically significant, p= 0.64

Findings rated moderate

Maternal Early Childhood Sustained Home-Visiting Program (MECSH)
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance
Breastfeeding fully or partially at 4 weeks
FavorableUnfavorable or ambiguousNo Effect
4 weeks Western Sydney 161 mothers Unadjusted % = 58.00 Unadjusted % = 52.10 Difference = 5.90 Study reported = 0.12 Not statistically significant, p ≥ 0.05
Breastfeeding initiated
FavorableUnfavorable or ambiguousNo Effect
Birth Western Sydney 202 mothers Unadjusted % = 87.20 Unadjusted % = 85.10 Difference = 2.10 Study reported = 0.06 Not statistically significant, p ≥ 0.05
Infant admission to special care nursery
FavorableUnfavorable or ambiguousNo Effect
Birth Western Sydney 203 mothers Unadjusted % = 5.60 Unadjusted % = 8.40 Difference = -2.80 Study reported = 0.12 Not statistically significant, p ≥ 0.05
SIDS risk knowledge
FavorableUnfavorable or ambiguousNo Effect
4 weeks Western Sydney 137 mothers Unadjusted % = 83.30 Unadjusted % = 68.30 Difference = 15.00 Study reported = 0.35 Statistically significant, p = 0.04
Maternal Early Childhood Sustained Home-Visiting Program (MECSH)
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance
Breastfeeding duration (weeks)
FavorableUnfavorable or ambiguousNo Effect
12 months Sydney sample 139 children Mean = 16.12 Mean = 8.24 Mean difference = 7.88 HomVEE calculated = 0.52 Statistically significant, p = 0.002
Gastroenteritis
FavorableUnfavorable or ambiguousNo Effect
24 months Sydney sample 166 children % = 58.00 % = 60.00 OR = 1.10 HomVEE calculated = -0.05 Not Statistically significant, p = 0.76
Immunization up to date
FavorableUnfavorable or ambiguousNo Effect
24 months Sydney sample 166 children % = 100.00 % = 100.00 Not reported Not available Not statistically significant, p ≥ 0.05
Low birth weight (< 2500 g)
FavorableUnfavorable or ambiguousNo Effect
1 month Sydney sample 201 mothers % = 7.00 % = 2.00 OR = 3.22 HomVEE calculated = 0.79 Not Statistically significant, p = 0.15
Preterm (< 37 weeks)
FavorableUnfavorable or ambiguousNo Effect
1 month Sydney sample 203 mothers % = 10.00 % = 6.00 OR = 1.69 HomVEE calculated = 0.33 Not Statistically significant, p = 0.32
Respiratory infection
FavorableUnfavorable or ambiguousNo Effect
24 months Sydney sample 166 children % = 33.00 % = 31.00 OR = 0.90 HomVEE calculated = 0.06 Not Statistically significant, p = 0.76
Transition to solids (weeks)
FavorableUnfavorable or ambiguousNo Effect
12 months Sydney sample 162 children Mean = 21.74 Mean = 23.06 Mean difference = -1.32 Not available Not statistically significant, p ≥ 0.05
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