Development of a home visit program directed at the Norwegian Child Health Care Service- a focus on maternal and child health, early intervention and innovation

The overall goal of this project has been to strengthen families with children and improve the health of mother and child to ensure that full potential is realized. Furthermore, the project has had three sub-goals, the first was to conduct a feasibility study, in which acceptance for and benefit of individual follow-up of a health nurse through and after pregnancy is optimized. The second was to develop a pilot program for individual follow-up of mother and child in the health station in accordance with signals from the Ministry of Health and Care Services and the Norwegian Directorate of Health. This was also based on intention in new legislation, information from the research literature, key informant interviews and focus groups with nurses and users of the health station service. The third and final sub-goal was to develop instruments and protocols for evaluation and monitoring of the program, and to carry out the follow-up evaluation. The project's hypothesis was as follows: By developing and establishing a preventive and health-promoting program at the health center focused on strengthening the mother's coping ability and security in the mother role, the need for secondary and tertiary measures in primary health and care services can be reduced and mother and child health improved.本项目的总体目标为强化有子女家庭的抚育支持能力，改善母婴健康状况，保障儿童潜能充分实现。本项目共设有三项子目标：其一，开展可行性研究，旨在优化孕期及产后健康护士个体化随访服务的接受度与获益效果；其二，参照挪威卫生与护理服务部与挪威卫生局发布的政策指引，结合新立法导向、研究文献成果、关键知情人访谈结果，以及针对健康站护士与服务使用者开展的焦点小组讨论结论，开发面向健康站场景的母婴个体化随访试点项目；其三，开发项目评估与监测所需的工具及规程，并开展项目后续评估工作。本项目的核心假设如下：通过在健康中心开发并推行以强化母亲育儿应对能力与角色安全感为核心的预防性健康促进项目，可降低基层医疗卫生服务中二级与三级干预措施的需求，同时改善母婴健康水平。