Extended postnatal home visiting programme
Integration of newly arrived children and families
21 May 2018
The Rinkeby Programme – A concrete example of “proportionate universalism”, as a strategy to reduce inequalities in health – applying a universal intervention with increased intensity in groups that have a greater need for it.
In spite of a well-developed welfare system in Sweden, there are important health divides between residential areas in Stockholm county, with shorter life expectancy in disadvantaged areas. These socioeconomic and health divides also affect children. In the Rinkeby area in Stockholm, Sweden, where a large proportion are recent immigrants and more than 50% are at-risk of poverty extra efforts and organized collaboration by different authorities have been developed to meet the greater needs of children growing up in these areas.
The content of the intervention
The Child health centre and Social Services in Rinkeby has developed an extended postnatal home visiting programme. The interventions consists of a child health nurse and a social service parental advisor, offering all parents of first-born children attending Rinkeby child health centres five extra home visits when the child is aged between 2–15 months by a child health nurse and a social service parental advisor. Home visits follows the regular child health program and includes discussions on children’s development, parenting and information about the Swedish society system.
The home visits have been well recieved
The program has reached almost the entire target group (95% participation rate) and the parents perceive the support as strengthening and supportive. Parents have expressed, among other things, that they have gained new knowledge and new insights as well as increased knowledge of society’s support for parenting. Through cooperation, the staff have also been able to strengthen the effects of their respective activities. They find this approach to be in line with their professional intentions and appreciate the inter-professional collaboration. One of the strengths of the program is that it is carried out from regular activities and based on already available skills. The intervention has also sparked activities also in other sectors (the local library, the open child day care centre) of the local area.
More to follow
The Rinkeby programme will soon be implemented in futher places in the county: Rågsved, Skärholmen, Hässelby, Fittja, Rissne-Hallonbergen, Flemingsberg and Kista-Husby.