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Driver Diagram for Reducing Infant Deaths
A driver diagram is a visual display of a theory of what “drives,” or contributes to, the achievement of a project aim. It shows the relationship between the overall aim of the
project, the primary drivers that contribute directly to achieving the aim, the secondary drivers that are components of the primary drivers, and a set of ideas for activating the
drivers. It is important to note that a driver diagram is a high-level summary of a strategic approach, and just a starting point for more detailed action planning.
In this driver diagram the aim is to reduce infant deaths in the six localities within Hampton and Peninsula Health Districts. The primary drivers include identifying at-risk
populations, providing community outreach and education, and connecting pregnant and parenting mothers and infants to health care and community supports. The
secondary drivers are shown in relation to each primary driver. The action ideas present a set of community action strategies and a menu of evidence-informed interventions
that can be tailored to advance each of the multiple drivers.
Aim Primary Drivers Secondary Drivers Action Ideas
Community Action Strategies:
Use data and community insight to Follow these action steps to implement one or more evidence-
identify at-risk groups and disparities informed interventions from the menu that follows.
Identify populations at risk for Focus on one or more at-risk populations
infant mortality Engage willing partners
Tailor community interventions to
address identified needs Assess population needs
Design evidence-informed interventions (see menu)**
Develop capacity for implementation
Reduce Infant
Implement and optimize based on feedback
Deaths Evaluate progress and impact
Increase awareness and health Scale, sustain, and spread
efficacy of pregnant and parenting
Provide community outreach adults and infants Evidence-Informed Intervention Menu:**
and education for at-risk
Select interventions based on needs of the focus population,
community members and
community will, and community capacity, building on existing
community professionals Promote healthy practices for community initiatives wherever possible.
pregnant and parenting adults and
infants with tailored outreach for 1. Perinatal periods of risk analysis (PPOR)
those at higher risk 2. Safe sleep education campaigns
3. Home visiting programs
4. Community-based pregnancy and parenting classes
5. Breast feeding education and support
6. Prenatal and postnatal health care
Assure access to the spectrum of 7. Family planning support
health care from pre-conception to 8. Maternal mental health support
delivery and beyond 9. Maternal smoking cessation programs
Connect pregnant and 10. Nutrition and food assistance programs
parenting mothers and infants Assure access to emergency 11. Transportation and access supports
to timely health care (including response for adverse events 12. Mobile clinics and outreach services
maternal mental health) and 13. Community health worker supports
community supports 14. Community linkages
Assure access to health-related
social supports
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