Fig. 1.

STAR MAMA Program. (1) The woman is enrolled in the program 6 weeks post-partum. (2). The system “pushes” weekly calls using touch tone responses, which a health coach reviews (3) in a weekly report and then engages the patient in follow-up health coaching telephone calls, based on pre-determined ‘triggers’ for weekly responses. (4) Health coaches provide linkages to clinic and community resources