Date of Submission

Fall 12-29-2022

Document Type


Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Dr. Trinette Radasa

Second Advisor

Dr. Jo Loomis



Those who have ever been affected by an adverse childhood experience (ACE) have a greater likelihood of having poor birth outcomes. These include low infant birth weight, preterm delivery and can even lead to pregnancy loss.


Latina women have been identified by the Centers for Disease Control (CDC) as those most affected by ACEs. The direct relationship is that Latinas therefore have poor birth outcomes.


For this project, The Save the Children organization in partnership with the University of San Francisco Doctorate of Nursing Practice students and Community Health Workers (CHWs) of the Central Valley of California have come together to positively impact the birth outcomes of future generations.

Proposed Interventions

CHWs will be provided training developed by an advanced practice nurse. The education and implementation of CHWs will facilitate an impact on the community which includes decreasing health care costs, adopting healthier choices for mother and child, and providing support and connection within a community.

Proposed Measures

This quality improvement project will assess the education levels and motivation levels of CHWs before and after having 6 to 8 hours of nurse led training and education over a 3 month time period.