X1055754

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT TITLE: HAWAII MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (MIECHV) FORMULA GRANT PROJECT FY 2026 APPLICANT NAME: HAWAII STATE DEPARTMENT OF HEALTH ADDRESS: 1250 PUNCHBOWL STREET, HONOLULU, HAWAII 96813-2416 PROJECT DIRECTOR NAME: MATTHEW J. SHIM, PHD, MPH, CHIEF, FAMILY HEALTH SERVICES DIVISION CONTACT PHONE NUMBERS: 808-586-4122 EMAIL ADDRESS: MATTHEW.SHIM@DOH.HAWAII.GOV ANNOTATION: THE HAWAII MIECHV FORMULA GRANT PROJECT FY 2026 MAINTAINS COLLABORATION ACROSS COMPREHENSIVE HOME VISITING SERVICES SYSTEMS TO SUPPORT SCREENING AND REFERRAL EFFORTS. THE RESULT IS A NETWORK OF PARTNERSHIPS WITH BIRTHING HOSPITALS; PHYSICIANS; THE SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN (WIC); COMMUNITY HEALTH CENTERS; AND PRENATAL CLINICS THAT OFFER VOLUNTARY HOME VISITING SERVICES TO PREGNANT WOMEN OR CAREGIVERS OF CHILDREN BIRTH TO KINDERGARTEN ENTRY. THESE SERVICES IMPROVE OUTCOMES AND REDUCE HEALTH DISPARITIES FOR FAMILIES LIVING IN AT-RISK COMMUNITIES. PROBLEM: ACCORDING TO THE 2025 MIECHV NEEDS ASSESSMENT, FAMILIES RESIDING IN HAWAII FACE UNEQUAL BIRTH, HEALTH, AND DEVELOPMENTAL OUTCOMES BASED ON THEIR COMMUNITY OF RESIDENCE. PURPOSE: THE FORMULA GRANT PROJECT FY 2026 WILL PROVIDE A COMPREHENSIVE EARLY IDENTIFICATION (EID) SYSTEM AND EVIDENCE-BASED HOME VISITING SERVICES TO FAMILIES RESIDING IN ONE OF THE DESIGNATED PRIORITY AT-RISK GEOGRAPHIC AREAS TO IMPROVE OUTCOMES FOR AT-RISK CHILDREN. GOALS AND OBJECTIVES: THE GRANTEE WILL ACHIEVE FOUR (4) GOALS: 1) INCREASE PROGRAM SUCCESS IN REACHING, ENGAGING, AND RETAINING HIGH-RISK FAMILIES; 2) INCREASE PROGRAM SUCCESS IN RECRUITING AND RETAINING HOME VISITORS; 3) STRENGTHEN HOME VISITING EFFECTIVENESS IN THE COORDINATION OF REFERRALS; AND 4) PROMOTE THE SUSTAINABILITY OF THE HOME VISITING PROGRAM THROUGH A CONTINUOUS QUALITY IMPROVEMENT (CQI) PROCESS. THE GRANTEE WILL MEET THESE GOALS BY PURSUING THE FOLLOWING OBJECTIVES: 1) MAINTAIN 85% CAPACITY UTILIZATION THROUGHOUT THE PERIOD OF PERFORMANCE; 2) UTILIZE THE RESULTS OF THE TRAINING NEEDS ASSESSMENT TO PRIORITIZE AND IMPLEMENT PROFESSIONAL DEVELOPMENT OPPORTUNITIES FOR HOME VISITORS AND SUPERVISORS; 3) STRENGTHEN HOME VISITING EFFECTIVENESS IN THE COORDINATION OF REFERRALS BY INCREASING THE NUMBER OF CLEAR POINTS OF CONTACT FOR RECOMMENDED MENTAL HEALTH SERVICES DURING THE PERIOD OF PERFORMANCE, WITH SPECIAL CARE GIVEN TO OFFERING CLEAR POINTS OF CONTACT FOR APPROPRIATE SERVICES WITHIN THE COMMUNITY; AND 4) ENSURE THAT THE PROGRAM IS SUSTAINABLE AND CONTINUOUSLY IMPROVING SO THAT IT CAN HAVE A POSITIVE IMPACT ON OUTCOMES AND REDUCE HEALTH AND DEVELOPMENTAL DISPARITIES IN THE COMMUNITY. WE WILL CONTINUE TO HOLD QUARTERLY MEETINGS WITH LOCAL IMPLEMENTING AGENCIES (LIAS) THROUGHOUT THE PERIOD OF PERFORMANCE TO: 1) SHARE ADVANCEMENTS IN THE FIELD OF CQI; 2) ENSURE CONSISTENCY OF CQI EFFORTS ACROSS LIAS; AND 3) PROVIDE CONTINUED TECHNICAL ASSISTANCE (TA) IN CQI EFFORTS THROUGHOUT THE PERIOD OF PERFORMANCE. HAWAII IS REQUESTING $3,894,545.00 IN BASE FUNDING AND REQUESTING A MATCH OF $1,630,975.00 FOR A TOTAL BUDGET OF $5,525,520.00 PLANNED TO PROVIDE EVIDENCE-BASED HOME VISITING SERVICES. SOURCE OF NON-FEDERAL FUNDING: HAWAII STATE GENERAL FUNDS. METHODOLOGY: THE MIECHV EID PROGRAM SCREENS AND REFERS FAMILIES WHO RESIDE IN PRIORITY AT-RISK COMMUNITIES STATEWIDE, AS DESCRIBED UNDER SUBSECTION 511(B)(1)(A). THE EID SYSTEM APPROACHES PRENATAL WOMEN AND PARENTS OF NEWBORNS WHO RESIDE IN THE DESIGNATED PRIORITY AT-RISK GEOGRAPHIC AREA TO SCREEN FOR HOME VISITING PROGRAM ELIGIBILITY. KEY ACTIVITIES INCLUDE PARTNERSHIPS WITH TITLE IV-E, TITLE V, EARLY CHILDHOOD COMPREHENSIVE SERVICES GRANTEES TO IMPROVE INTEGRATION WITH EARLY CHILDHOOD SYSTEMS. MODELS: HFA, HIPPY, AND PAT. COMMUNITIES SERVED: EAST HAWAII, KAUAI, LANAI, LEEWARD, MAUI, METRO HONOLULU, MOLOKAI, SOUTHCENTRAL, AND WEST HAWAII. PROPOSED CASELOAD SLOTS: 472 (FY27), 556 (FY28). CURRENT CASELOAD SLOTS: 439.

Hawaii Department Of Health

THE MIECHV PROGRAM SUPPORTS PREGNANT WOMEN AND PARENTS WITH YOUNG CHILDREN WHO LIVE IN COMMUNITIES THAT FACE GREATER RISK AND BARRIERS TO ACHIEVE POSITIVE MATERNAL AND CHILD HEALTH OUTCOMES. BUILDING UPON DECADES OF GOLD-STANDARD SCIENTIFIC RESEARCH, THE MIECHV PROGRAM PROVIDES VOLUNTARY, COORDINATED AND COMPREHENSIVE, HIGH-QUALITY EARLY CHILDHOOD HOME VISITING SERVICES TO ELIGIBLE FAMILIES. HOME VISITS BY A NURSE, SOCIAL WORKER, OR OTHER TRAINED PROFESSIONAL DURING PREGNANCY, AND IN THE FIRST YEARS OF LIFE CAN IMPROVE THE LIVES OF CHILDREN AND FAMILIES BY: HELPING TO PREVENT CHILDHOOD AND ADULT CHRONIC DISEASE AND BEHAVIORAL HEALTH CONDITIONS; SUPPORTING FAMILIES TO PREVENT CHILD ABUSE AND NEGLECT; PROMOTING CHILD DEVELOPMENT AND SCHOOL READINESS; AND BOOSTING FAMILIES ECONOMIC SELF-SUFFICIENCY. HRSA ADMINISTERS THIS PROGRAM IN PARTNERSHIP WITH ACF. WITH INCREASES IN APPROPRIATIONS UNDER THE MIECHV PROGRAM FOR FY 2026 AND FY 2027, HRSA STRONGLY ENCOURAGES AWARDEES TO EXPAND HOME VISITING SERVICES TO NEW COMMUNITIES AND/OR ADDITIONAL FAMILIES IN CURRENTLY SERVED COMMUNITIES THROUGH THIS FUNDING OPPORTUNITY.

93.870 - Maternal, Infant and Early Childhood Home Visiting Grant

HRSA Office of Federal Assistance Management (OFAM) [HHS - HRSA]

Maternal and Child Health Bureau (MCHB) [HHS - HRSA]

Hawaii United States

State-Wide

HRSA-26-091