Document Detail

Implementation of Fetal and Infant Mortality Review (FIMR): experience from the national Healthy Start program.
MedLine Citation:
PMID:  10746753     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: The implementation of the Fetal and Infant Mortality Review (FIMR) process was examined as part of the evaluation of the national Healthy Start program, a federal program designed to reduce infant mortality in several communities. The implementation of the FIMR process over the 5-year funding period is described in terms of productivity, barriers and facilitators to implementation, and project expenditures. METHODS: Data were derived from grant continuation applications and personal interviews with program staff to produce a qualitative description. RESULTS: As of the summer of 1996, 14 of the 15 Healthy Start sites in the national evaluation had successfully implemented the FIMR process. Most sites had developed a two-tiered review process for examination of case data in which a review by health and social services professionals was followed by community review. In the period 1993 to 1995, the percentage of fetal and infant deaths reviewed had a median of 34% with a range of 4-79% across the sites at a cost of $600 to $3400 per death reviewed. Recommendations were variably implemented. CONCLUSIONS: The FIMR process provides an important opportunity to contribute to the knowledge base regarding infant mortality in these communities. The process, however, has important logistical requirements and may require substantial financial resources that may affect implementation of confidential inquiries into infant mortality and other health problems.
M Baltay; M C McCormick; P H Wise
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Maternal and child health journal     Volume:  3     ISSN:  1092-7875     ISO Abbreviation:  Matern Child Health J     Publication Date:  1999 Sep 
Date Detail:
Created Date:  2000-04-27     Completed Date:  2000-04-27     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9715672     Medline TA:  Matern Child Health J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  141-50     Citation Subset:  IM    
Department of Maternal and Child Health, Harvard School of Public Health, Boston, Massachusetts 02115, USA.
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MeSH Terms
Data Collection
Fetal Death*
Health Promotion / economics,  standards*,  statistics & numerical data
Infant Mortality*
Infant, Newborn
Maternal Health Services / economics,  standards*,  statistics & numerical data
Program Evaluation
Grant Support
240-93-0050//PHS HHS
Comment In:
Matern Child Health J. 1999 Sep;3(3):173-6   [PMID:  10746757 ]

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