What's The Big Deal?
Keeping babies alive is one of Michigan’s highest priorities. Infant mortality, the rate at which babies born alive die before reaching their first birthday, is a significant public health problem in our state. For every 1,000 babies born in Michigan, almost 7 die by age of one year. Infant mortality rates are much higher for certain racial and ethnic groups. The infant mortality rate for African American and American Indian babies is more than twice that of Caucasian Americans. Social determinants of health are the social, economic and environmental factors that contribute to the overall health of individuals and communities. Examples of social determinants include: socioeconomic status, basic needs, healthcare access, poverty, transportation, affordable housing, neighborhood safety and stress. Harambee Care MIHP addresses these factors during home visits with our Medicaid beneficiaries.
Michigan’s Rank in Infant Mortality
Michigan Medicaid Births
Michigan Children Living in Low Income Households
Percent of children born with less than adequate prenatal care-Wayne County
Percent of children born with less than adequate prenatal care-Oakland County
What Do Participants Receive?
Risk Identifier and up to nine visits for the mom.
Risk Identifier and up to nine visits for the infant and an additional nine with a physician’s order. Substance exposed infants may receive up to 18 additional visits.
Assistance with childbirth/parenting education and transportation.
How Is Harambee Care MIHP Effective?
Increased Well-Child Visits
Increases odds of ever presenting for well-child visits and of receiving the appropriate number of such visits over the first year of life.
Increased Healthcare Utilization
Improves maternal and infant healthcare utilization and health outcomes beginning during pregnancy, continuing at birth, and sustained through the first year of life.
Increased Prenatal Care and Postnatal Visits
Increases the odds of receiving any prenatal care, the adequacy of prenatal care, and the odds of new mothers receiving appropriate postnatal visits.
Lower Adverse Birth Outcomes
Reduces the risk for adverse birth outcomes (prematurity, extreme prematurity, low birth weight, very low birth weight)