Lessons Learned from Using a Results-Based Accountability Framework to Monitor the Impact of Statewide Collaborations to Improve Birth Outcomes for Black Infants and Families

This session aims to present lessons learned from using the Results-Based Accountability™ framework to collaboratively determine how to monitor the effectiveness of health interventions implemented through the California Perinatal Equity Initiative (PEI). The goal of PEI is to improve Black infant and maternal health in California and decrease health disparities for Black infants and birthing people through interventions that show promise and can enhance the impact of existing programming in California. Interventions include group prenatal care, preconception/interconception care, fatherhood or partner initiatives, home visiting, and other strategies like doula care/midwifery. Preliminary results of a survey suggest that RBA provides a good common framework to discuss and assess the collective impact of the various PEI interventions. The results also indicate a need to update the process to identify common performance measures by better balancing the uniqueness of each grantee’s program with the collective impact the State is seeking to achieve. The survey results will be used to improve the technical assistance and scientific support for PEI interventions.