DPH Home Visiting Program

The DPH Home Visiting Program provides home visiting services during pregnancy and up to the infant’s first birthday following delivery. Pregnant women with high-risk conditions, or who have identified risk factors that put them at risk for poor pregnancy outcomes, will be targeted for home visiting services and interventions, but enrollment can occur after delivery.

The DPH Home Visiting Program provides additional monitoring between provider appointments that will increase the opportunity to identify warning signs, complications, and problems earlier and refer to the provider for further assessment and intervention when indicated.

DPH Home Visiting Program services include:

  • Clinical assessment of mother and baby
  • Care coordination
  • Case management
  • Education for high-risk pregnant women and their families
  • Linkages to needed resources
Maternal home visiting service components:

Clinical assessment for pregnancy and postpartum complications including:

  • BP assessment
  • Fingerstick for blood glucose (if indicated)
  • Weight
  • Urine dipstick
  • Fetal heart (FHTs)

Screening for pregnancy and postpartum warning signs and symptoms:

  • Vaginal bleeding or fluid leaking during pregnancy
  • Vaginal bleeding or discharge after pregnancy
  • Severe headaches
  • Severe belly pain
  • Extreme swelling of hands or face
  • Changes in vision
  • Severe swelling, redness, or pain in leg or arm
  • Trouble breathing
  • Chest pain or fast-beating heart
Infant home visiting service components:

Clinical assessment including:

  • Feeding
  • Weight
  • Head circumference
  • Developmental screening
Referral to the program is recommended for:
Maternal patients with:

  • Hypertension or Gestational Hypertension
  • Preeclampsia
  • Diabetes
  • Multiple gestation
  • Prior preterm delivery
  • Preterm labor
  • Chronic conditions or co-morbidities
  • Prior 2nd trimester pregnancy loss
  • Prior fetal/neonatal death
  • Pre-existing health conditions
  • Substance use disorder
  • Mental health condition
  • Poor support system
  • Difficulty complying with provider recommendations and/or follow up (e.g., keeping appointments)
  • Other medical conditions or concerns for poor outcomes
 Infants with:

  • Recent NICU discharge
  • VLBW or LBW
  • <36 weeks gestation at delivery
  • Positive maternal screening for substances at delivery
  • Suspected or confirmed congenital syphilis or HIV infection
  • Poor maternal support system or other environmental concerns

The DPH Home Visiting Program provides services in all counties within the Southeast Health District.

I’m Interested

These services are available at no cost to the client.

Additional Resources

DPH Home Visiting Program Referral Form (PDF)

Southeast Health District program referrals can be made using the DPH Home Visiting Program Referral Form or by contacting our office.

  • Please send encrypted email eFax referrals to 19123872758@srfax.com
  • Please send regular non-encrypted fax referrals to 912-389-0189

For additional information or questions related to the DPH Home Visiting Program, please call 855-473-4374