Border States CoIIN

A Collaborative Improvement & Innovation Network to Reduce Infant Mortality
The CoIIN is a three-year project funded by a grant from the Health Resources and Services Administration of the U.S. Department of Health & Human Services and implemented by Project Concern International (PCI) in Arizona, California, New Mexico, and Texas. The CoIIN builds upon the foundational work of the Healthy Start Border Alliance to forge border- wide collective impact goals and a network of HRSA-funded Healthy Start programs in the Border States organized around common benchmarks and strategies.
The Border States CoIIN will facilitate collaborative learning, innovation development and quality improvement efforts in key target areas identified by state teams, and provide funding for 18-month demonstration projects to pilot successful innovation prototypes.

Why Early Prenatal Care?
- Early prenatal care is associated with improved birth weight and decreased risk of preterm delivery, both of which are important contributors to infant mortality.
- Accessing early prenatal care increases the opportunity for mothers and families to access other supports (health, social, legal, environmental, etc.) that can impact the health of both mother and baby across the life course.
- Access to early and adequate prenatal care is widely used as an indirect measure of access to health care in general.
- Increasing the proportion of pregnant women who receive early prenatal care is a National Healthy People 2020 goal.
Resources
- Technical Brief: U.S. Border States CoIIN Initiative
Using Human Centered Design and Quality Improvement Strategies to Drive Health Innovations and Improve Outcomes - Technical Brief: California Initiative of the Border States CoIIN
Cross-border Prenatal Care Utilization: Using Design Thinking to Drive Improvements in Birth Data Quality - Technical Brief: Texas Initiative of the Border States CoIIN
Enhancing the Pregnancy Test Visit to Increase Timely Prenatal Care - Technical Brief: Arizona Initiative of the Border States CoIIN
Youth-led development of a Chatbot to Increase Early Prenatal Care Utilization in Santa Cruz County, Arizona
Our Team

At the core of each State CoIIN is a Border Healthy Start Lead and a State Title V delegate. Together, all members of each State-level CoIIN, along with our panel of experts and technical advisors, make up the Interstate CoIIN.
Our Partners