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H H S Department of Health and Human Services
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Maternal and Child Health

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Healthy Tomorrows Partnership for Children Program

The Healthy Tomorrows Partnership for Children Program (HTPCP) promotes maternal and child health (MCH) in innovative community-based programs that improve access to care and reduce health care costs through health promotion, prevention, and early intervention.

Healthy Tomorrows began in 1989 as a grant program funded and administered by the Maternal and Child Health Bureau (MCHB).  A partnership was formed with the American Academy of Pediatrics in 1991 to offer technical assistance, resources and tools to HTPCP grantees and prospective applicants. To date, 272 projects (with 5-year project periods) have been funded by MCHB at approximately $50,000 per year. Projects in 47 States, Washington, DC, Puerto Rico, and Guam have been funded as Special Projects of Regional and National Significance (SPRANS) under Title V of the Social Security Act.

HTPCP’s projects must represent a new initiative within the community or an innovative component that builds on existing community resources.  Projects usually target vulnerable and underserved populations and address four key areas: (1) access to health care, (2) community-based health care, (3) preventive health care; and (4) service coordination.

Healthy Tomorrows grants have been awarded to a wide variety of organizations, including, but not limited to, medical centers, schools, local foundations and non-profit agencies, community-based clinics, community health centers, hospitals, and local and State health departments.

Healthy Tomorrows supports State Title V priority needs as identified in state needs assessments.  Projects serve as demonstration sites, examining program interventions in areas such as: early childhood development, school readiness, medical home (including enhanced family and youth engagement), care coordination and case management, nutrition and physical activity to address overweight and obesity, oral health, mental and behavioral health, and school-based health.  These focus areas advance key MCHB priorities. Projects serve as a testing ground for program innovations and models of care that will inform maternal and child health practices, changes in the health care system, and Bright Futures, and build the evidence base for community-based programs.


The Healthy Tomorrows Partnership for Children Program supports the development of family-centered, culturally competent, community-based initiatives that: 

  • Plan and implement innovative, cost-effective, and sustainable approaches for focusing resources to promote community-defined preventive child health and developmental objectives for vulnerable children and their families, especially those with limited access to quality health services;
  • Foster/promote cooperation among families, community organizations, consumers, health agencies, and businesses;
  • Involve pediatricians and other pediatric health professionals in community-based service programs; and
  • Build community and statewide partnerships among professionals in health (state and/or local MCH agencies, state and/or local AAP chapters), education, social services, government, and business to achieve self-sustaining programs to assure healthy children and families.


  • Reach. In FY2013, HTPCP projects served 536,127 women, infants, children, youth and families. 75% of individuals served by HTPCP projects are from racially and ethnically diverse groups.
  • Resources. In FY 2013, grantees produced a total of 103 products and publications.
  • Sustainability. 87% of HTPCP projects are fully or partially sustained five or more years after Federal funding ends.
  • Community Impact. 85% of HTPCP grantees report improved children's access to care; 77% report increased visibility of the organization; 77% report enhanced family participation in services; 71% report improved children's access to a medical home; 68% report increased advocacy; and 59% report improved lives of people served.
  • Evaluation. 65% of HTPCP grantees report that their projects are well evaluated. 78% of grantees used information collected from evaluations to improve services; 56% used information to obtain/leverage additional funding and support replication of their project; and 50% used information to advocate for their service population.


Healthy Tomorrows Infographic (PDF - 136 KB)

Fact Sheet (PDF - 440 KB)

Evaluating Your Community-Based Program: Part I- Designing Your Evaluation. 2006

Evaluating Your Community-Based Program: Part II- Putting Your Evaluation Plan to Work. 2008

The Healthy Tomorrows Partnership for Children Program: Highlights and Lessons Learned from the National Evaluation. 2006

The Healthy Tomorrows Partnership for Children Program in Review: Analysis and Findings of a Descriptive Survey. 1999 

The program is administered by the Division of MCH Workforce Development.

The National Healthy Tomorrows Technical Assistance Resource Center

Provides support for the activities of the Healthy Tomorrows Partnership for Children Program (HTPCP), community based grants that address priority issues determined by the community. Through a cooperative agreement, the Resource Center also offers consultation to HTPCP program participants to ensure successful implementation and sustainability of community-based initiatives; facilitates involvement of local partners such as pediatricians, state and/or local AAP chapters, state and/or local MCH agencies, and other private sector partners in HTPCP projects to promote successful implementation of community-based maternal and child health initiatives; and conducts a national evaluation of HTPCP projects that assesses critical factors contributing to program sustainability, effectiveness and impact of community-based projects post HTPCP funding, and the ability of projects to develop meaningful evaluation and sustainability plans.

Persons using assistive technology may not be able to fully access information in files linked from this page. For assistance, contact or 888-275-4772 (TTY: 877-489-4772).