Guam's MIECHV Program: Project Bisita I Familia
Resource information on state policies and initiatives that impact infants, toddlers and their families
Guams Home Visiting program, known as Project Bisita I Familia, first received MIECHV funding in July 2010. Initial funds were used to prioritize island-wide needs assessment of risk factors before implementing home visiting services for 60 families in 2011. Five other home visiting programs outside of MIECHV funding in Guam are available to families, but only Project Bisita employs the Healthy Families America (HFA) evidence-based home visiting model.
Project Bisita partners with Guams Early Childhood System of Care program (Project Karinu) to provide comprehensive services for families and to promote cross-agency collaboration. As a territory of the United States, Project Bisita receives federal funding through the Compact of Free Association between the United States and the Federated States of Micronesia (FSM). Though FSM receives federal funding, its territory status means it is denied access from some grant opportunities afforded to constituted states, which results in families participating in federal programs being underserved due to imposed funding caps. These obstacles to funding imposed challenges to implementation, such as hiring personnel and staff retention. In 2014, Project Bisita provides home visiting services to 27 families and plans to expand services to 33 more within the year.
To create a more sustainable approach to home visiting, state and local communities have focused on two key priorities: systems building and leveraging private sector resources.
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