Maternal Infant Health Program (MIHP)

Model effectiveness research report last updated: 2019

Effects shown in research & outcome measure details

Child health

Findings rated moderate

Meghea, C. I., You, Z., Raffo, J., Leach, R. E., & Roman, L. A. (2015). Statewide Medicaid enhanced prenatal care programs and infant mortality. Pediatrics, 136(2), 334–342.

Maternal Infant Health Program (MIHP)

Show findings details

Outcome measure	Effect	Follow-up timing	Sample	Sample size	Intervention group	Comparison group	Group difference	Effect size	Statistical significance	Notes
Infant death < 1 year	FavorableUnfavorable or ambiguousNo Effect	One year following birth	Full sample; Michigan Medicaid 2009-2012 birth cohort	126880 infants	Unadjusted proportion = 0.01	Unadjusted proportion = 0.01	OR = 0.73	HomeVEE calculated = -0.19	Statistically significant, p < 0.01	Negative effect is favorable Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable to the intervention. Program and comparison group proportions are less than 0.010. HomVEE calculated the effect size based on the study-reported odds ratio.
Infant death < 28 days	FavorableUnfavorable or ambiguousNo Effect	28 days following birth	Full sample; Michigan Medicaid 2009-2012 birth cohort	126880 infants	Unadjusted proportion = 0.00	Unadjusted proportion = 0.00	OR = 0.70	HomeVEE calculated = -0.22	Statistically significant, p < 0.01	Negative effect is favorable Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable to the intervention. Program and comparison group proportions are less than 0.005. HomVEE calculated the effect size based on the study-reported odds ratio.
Infant death 28-365 days	FavorableUnfavorable or ambiguousNo Effect	One year following birth	Full sample; Michigan Medicaid 2009-2012 birth cohort	126880 infants	Unadjusted proportion = 0.00	Unadjusted proportion = 0.00	OR = 0.78	HomeVEE calculated = -0.15	Statistically significant, p = 0.02	Negative effect is favorable Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable to the intervention. Program and comparison group proportions are less than 0.005. HomVEE calculated the effect size based on the study-reported odds ratio.

Show outcome measure summary

Outcome measure	Outcome measure description	Collection method	Properties
Infant death < 28 days	Neonatal infant death (less than 28 days)	Death certificate	Not applicable
Infant death <1 year	Infant death in the first year of life	Death certificate	Not applicable
Infant death 28-365 days	Post-neonatal infant death (28-365 days)	Death certificate	Not applicable

Roman, L., Raffo, J. E., Zhu, Q., & Meghea, C. (2014). A statewide Medicaid enhanced prenatal care program: Impact on birth outcomes. JAMA Pediatrics, 168(3), 220–227.

Maternal Infant Health Program (MIHP)

Show findings details

Outcome measure	Effect	Follow-up timing	Sample	Sample size	Intervention group	Comparison group	Group difference	Effect size	Statistical significance	Notes
Low birth weight (<2500g)	FavorableUnfavorable or ambiguousNo Effect	Immediately post-intervention	Full sample; Michigan Medicaid 2010 birth cohort	32088 infants	Unadjusted proportion = 0.08	Unadjusted proportion = 0.09	OR = 0.91	HomeVEE calculated = -0.06	Statistically significant, p < 0.05	Effect size based on study OR Submitted by barbara on Fri, 04/12/2019 - 18:55 HomVEE calculated the effect size based on the study-reported odds ratio. , Negative effect is favorable Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable to the intervention.
Preterm birth (<37 weeks)	FavorableUnfavorable or ambiguousNo Effect	Immediately post-intervention	Full sample; Michigan Medicaid 2010 birth cohort	32088 infants	Unadjusted proportion = 0.11	Unadjusted proportion = 0.12	OR = 0.91	HomeVEE calculated = -0.06	Statistically significant, p < 0.05	Effect size based on study OR Submitted by barbara on Fri, 04/12/2019 - 18:55 HomVEE calculated the effect size based on the study-reported odds ratio. , Negative effect is favorable Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable to the intervention.
Very low birth weight (<1500g)	FavorableUnfavorable or ambiguousNo Effect	Immediately post-intervention	Full sample; Michigan Medicaid 2010 birth cohort	32088 infants	Unadjusted proportion = 0.01	Unadjusted proportion = 0.02	OR = 0.71	HomeVEE calculated = -0.21	Statistically significant, p < 0.05	Effect size based on study OR Submitted by barbara on Fri, 04/12/2019 - 18:55 HomVEE calculated the effect size based on the study-reported odds ratio. , Negative effect is favorable Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable to the intervention.
Very preterm birth (<32 weeks)	FavorableUnfavorable or ambiguousNo Effect	Immediately post-intervention	Full sample; Michigan Medicaid 2010 birth cohort	32088 infants	Unadjusted proportion = 0.02	Unadjusted proportion = 0.03	OR = 0.80	HomeVEE calculated = -0.14	Statistically significant, p < 0.05	Effect size based on study OR Submitted by barbara on Fri, 04/12/2019 - 18:55 HomVEE calculated the effect size based on the study-reported odds ratio. , Negative effect is favorable Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable to the intervention.

Show outcome measure summary

Outcome measure	Outcome measure description	Collection method	Properties
Low birth weight (<2500g)	A binary indicator defined as birth weight less than 2500g.	Administrative birth certificate records	Not applicable
Preterm birth (<37 weeks)	A binary indicator defined as delivery before 37 complete weeks' gestation.	Administrative birth certificate records	Not applicable
Very low birth weight (<1500g)	A binary indicator defined as birth weight less than 1500g.	Administrative birth certificate records	Not applicable
Very preterm birth (<32 weeks)	A binary indicator defined as delivery before 32 complete weeks' gestation.	Administrative birth certificate records	Not applicable

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