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Perinatal Equity Initiative (PEI)

2019-2024 Results for the Perinatal Equity Initiative (PEI)

Background (Landing)

PEI measures the effectiveness of local health interventions for California's Black birthing population and families using the Results-Based Accountability (RBA) framework. This framework aids local health jurisdictions (LHJs) and communities in identifying desired health outcomes and determining the strategies needed to achieve them. PEI launched in California in fiscal year (FY) 2019-2020.

Using a collaborative approach, LHJ PEI coordinators worked together at the launch of the initiative to identify common performance measures for each of the interventions, with technical assistance from Maternal, Child and Adolescent Health (MCAH) and an RBA contractor. The PEI performance measures (PMs) are intended to keep the focus on what LHJs are accountable for: the people that they serve. Measures fall into three categories that RBA outlines to identify what matters most:

  1. How much did we do
  2. How well did we do it
  3. Is anyone better off

The data presented here covers the period between FYs 2019-2020 and 2023-2024. Each LHJ was responsible for working with their subcontractors on collecting individual data and submitting aggregated data to MCAH for each of the performance measures on a quarterly basis. The information presented here represents an aggregation of the data reported to MCAH, summing or averaging quarterly performance measures annually across LHJs.

Where We Serve

Eleven local health jurisdictions (LHJs) and their subcontractors implemented 10 different types of interventions in communities where most Black births occur, and where Black Infant Health program services are also available. All LHJs implemented Community Advisory Boards (CAB) and Public Awareness Campaigns (PAC). In consultation with their CABs, LHJs selected at least one evidence-based intervention, and at least one evidence-informed or innovative practice to implement in their communities. A total of $7.2 million were awarded to the jurisdictions each fiscal year (FY).

The number of PEI interventions that reported data to MCAH for their RBA performance measures (PMs) increased over time. There was an increase from 2 interventions reporting data in FY 2019-2020, to 8 interventions in FY 2020-2021, and 10 interventions in FYs 2021-2022 and 2022-2023. This number decreased to 9 in FY 2023-2024.

Use the filter features to select a fiscal year and learn how many LHJs reported data for an intervention for that year, and the amount of funding awarded to an LHJs for all the interventions they implemented. Use the LHJs filter to learn more about data reported by a jurisdiction.

Data Availability

Notably, PEI launched during the COVID-19 pandemic, which might have impacted timelines and service providers' availability in earlier years.

Otherwise, if data was not reported for a given time period(s), there could be various reasons including:

  • LHJs were in the process of subcontracting with community-based organizations to provide services or reaching expiration of a contract.
  • Local capacity building was needed prior to subcontracting for service delivery (i.e., training community-based doulas; design of innovative and community- centered fatherhood programs). In this case, data related to PMs was not available; LHJs did report qualitative information to MCAH (not shown).
  • Interventions that were initially selected were later phased out based on local community input.  This flexibility aligns with the community driven nature of the initiative.
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