Table 1.

MIECHV COVID-19 codebook for survey and focus group transcript analysis

Domain/parent code	Subcode	Definition/example
MIECHV workforce wellbeing	# of staff who report that they are doing well	Mention coping well, adjusting, managing new demands
	# of staff who report that they are struggling	Mention difficulty with transition, work-life balance, stress due to the pandemic or work
	Facilitators to staff adjustment	Previous experience, support and cooperation with other agencies, positive response from families to virtual services, maintaining a sense of confidence and optimism
	Barriers to staff adjustment	Uncertainty and anxiety about the situation, work-life balance (e.g. childcare), difficulties in reaching families by phone or virtually, engaging/interacting with families (missing inperson contact, not being able to observe child-parent interaction, concerns regarding domestic violence), helplessness due to not being able to provide financial support to families, confusion about budget amendments, worry about benchmarks and expectations
	Staff needs during COVID-19	Funds to purchase essential items for families), access to MIECHV documents (separate, fillable forms; assisting families in filing for unemployment; documents in multiple languages), tips/activities for virtual home visits, flexibility and understanding for staff and program requirements, equipment (phone, data) for video conferencing, or “everything is working smoothly, I have no additional needs”
Family needs	Resources needed by families	Financial assistance due to unemployment, lack of unemployment benefits due to immigration status, mental health services and support, medical services, childcare, internet or data for phone, transportation, housing
	Items needed by families	Diapers, formula, wipes, or toiletries, food, disinfectant, cleaning supplies, medical supplies
Virtual MIECHV services	Transition to virtual services	% of staff responding: most visits virtual vs. most visits virtual with some in person vs. planning to transition to virtual
	Logistics of virtual Services	Virtual platforms, consent processes, phone apps, text messages or phone calls, enrolling new families virtually, privacy concerns, client barriers (e.g. data, bandwidth)
	Support provided to families	Supplying essential items (e.g. dropping off to client), communication (listening, checking in, referrals, resources), public health education, activities for children
	Frequency of virtual services (survey analysis)	% reporting: providing services at the same frequency as before COVID-19 vs. less frequent services compared to before COVID-19