Community Health Access and Navigation in Tennessee (CHANT) is the TDH initiative to improve maternal and child health through enhanced family and community engagement, as well as medical and social service care coordination for all members of a family unit. It employs a screening to identify service needs and then delivers care coordination via sixteen potential pathways of care. Target populations include pregnant and postpartum adolescents and women, children birth to 21 years, and children and youth with special healthcare needs birth to 21 years. Families are assigned to a Care Coordinator to navigate, refer and follow-up on all services to minimize redundancy and burden on families with multiple needs. The average number of pathways for those currently enrolled is seven.

CHANT engagement is initiated by referral from internal and external public health programs, evidence-based home visiting programs, medical providers, self-referrals, targeted community outreach events, and those at moderate or high risk for infant mortality based on factors identified in their birth file. The goal of CHANT is to reduce infant mortality, maternal morbidity and mortality, Adverse Childhood Experiences (ACEs), as well as increase well child visit adherence, healthy behaviors, health access, personal economics, and education attainment. This program was made possible by weaving of Title V funds with additional state funding in order to impact high priority goals.