Maternal, Infant and Early Childhood Homevisiting Grant Program - Address: 5666 Tafuna Rd. Tafuna, American Samoa 96799 Project Director:Tina Ioane Telephone Number: Office: (684) 699-3905; Cellphone (684) 254-3426 Email Address:tina.ioane@doh.as Purpose: In supporting of this FY2024 funding opportunity, the main purpose of the MIECHV Base Grant award is to improve maternal and child health, early childhood development, and family well-being of pregnant mothers and parents with children up to kindergarten entry—especially those living in communities identified as at risk for poor maternal and child health outcomes—by supporting the delivery of coordinated and comprehensive high quality and voluntary early childhood home visiting services to eligible families. AS requested $1,058,860.00 in the base funds and $437,750.00 in matching funds using the waiver for territories. Goal: Provide high quality and comprehensive home visiting services to women, their infants and families who are low income and reside in high-risk communities; develop a system of island wide coordinated home visiting services that befits long term and unduplicated outcomes of home visiting services and locally coordinated referrals; coordinate necessary services outside of home visiting programs to address the needs of enrolled families, and delivered services by a competent trained home visiting workforce.The AS MIECHV plan to focus on improvement of performance for the MIECHV families, ensuring resources for the needs of the target population. AS MIECHV continues to utilize the Healthy Families America (HFA) Model to provide quality services for pregnant mothers, children, and their families. The AS MIECHV program will continue some of the plans in the work plan from FY 2023. It has improved the quality of services for the at-risk communities thus far. Objectives: 1) Identify and provide comprehensive home visiting services to improve outcomes for eligible families living in-at risk communities; 2) Strengthen and improve programs and activities that address preventive and primary care services for pregnant mothers, infants, and children under the Title V of the Social Security Act; 3) Improve coordination of services in at-risk communities. 4) Continue to partnership with local partners regarding referral coordination and expansion of home visiting services to the outer island; 5) Continue to increase the number of referrals to additional services when a participant need is identified from utilizing the screening tools for developmental delay services, depression, tobacco cessation, substance use, mental healthcare, intimate partner violence, or child abuse/neglect; 6) Continue to identify and provide training and services relevant to high quality home visiting and early childhood services to continue obtain a competent qualified workforce for high quality service delivery while encouraging and empowering self-development. By September 29, 2026- 1). AS will increase enrollment of expectant mothers, 1st trimester in the program from 45% to 50%. 2). AS will improve family retention for enrolled families up to 5%. 3). AS MIECHV in Manu’a will increase the number of families enrolled in the program up to 3 families. 4).AS will improve coordination of transition and continue serving children 5 years up to 7 children 5 years. Methodology: The funding will provide the Aiga Manuia Program of the American Samoa MIECHV home visiting services to 225 families for both years of the project period in 15 counties of American Samoa archipelago and its outer islands. 1. The grantee-recipient implements Healthy Families America (HFA), an evidenced-based model for fidelity to improve home visiting service delivery and performance. 2. Based on the approved FY2022 needs assessment, the grantee-recipient program will served ten counties in the main island known as Tutuila and the five counties in the island of Manu’a of AS.