The EIP public health nurses offered home visits to families from mid-pregnancy through one year postpartum. The public health nurses delivered services using a case management approach, with one nurse providing continuous care to her assigned caseload. All activities were designed to build the social competence of mothers to help them more effectively manage their lives and provide appropriate infant and child care. The program included a maximum of 17 home visits—2 prenatal and 15 postpartum—each lasting 1.5 to 2.0 hours. Postnatal visits were to occur during weeks one, four, and six, and at monthly intervals between 2 and 12 months postpartum. In addition, public health nurses conducted four classes focused on the transition to motherhood, fetal development, parent-child communication, and maternal health.
During home visits, the public health nurses covered five main content areas: health, sexuality and family planning, maternal role, life skills, and social support. Prenatal visits focused on adequate use of heath care, preparation for childbirth, and self-care during pregnancy. During postpartum visits, mothers received information on family planning, infant care, and well-baby health care. Interventions were designed to help mothers develop communication skills and learn how to assess their infants’ needs, respond to distress, and interact reciprocally with their infants. The public health nurses also counseled adolescents on maternal role issues, education attainment, substance use, and mental health issues such as handling emotions. They also initiated referrals as needed for mental health counseling, family planning, and child care.
The public health nurses implemented all aspects of nursing care using standardized protocols. The EIP protocols were organized around the nursing process and covered each of the five content areas (health, sexuality and family planning, maternal role, life skills, and social support).
The study reviewed did not report whether home visitors or materials were available for non-English speaking families.