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Poor birth and infant outcomes and pronounced racial disparities persist in Allegheny County, Pennsylvania, despite robust maternal and child health and social service systems. The authors use predictive models of which interventions women are likely to participate in, develop a causal inference framework to estimate the effectiveness of those interventions, and reveal how that effectiveness varies for women with different risk and other factors.

Table of Contents

  • Chapter One


  • Chapter Two


  • Chapter Three

    Intervention Types and the Evidence Base

  • Chapter Four

    National, State, and Local Infant Mortality Prevention Efforts

  • Chapter Five

    Inventory of Allegheny County Programs, Services, and Supports Related to Preventing Infant Mortality

  • Chapter Six

    Allegheny County Birth Outcomes, Risk and Contextual Factors, and Intervention Participation

  • Chapter Seven

    Understanding Participation in Select Programs, Services, and Supports in Allegheny County

  • Chapter Eight

    Examining Effectiveness of Select Programs, Services, and Supports in Allegheny County

  • Chapter Nine

    Examining Variation in Effectiveness for Select Allegheny County Programs, Services, and Supports

  • Chapter Ten

    Recommendations and Next Steps

Research conducted by

This research was sponsored by the Richard King Mellon Foundation and conducted by the Social and Behavioral Policy Program within RAND Social and Economic Well-Being.

This report is part of the RAND Corporation research report series. RAND reports present research findings and objective analysis that address the challenges facing the public and private sectors. All RAND reports undergo rigorous peer review to ensure high standards for research quality and objectivity.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.