Home Visiting

The Maternal, Infant, and Early Childhood Home Visiting Program gives pregnant women and families, particularly those considered at-risk, necessary resources and skills to raise children who are physically, socially, and emotionally healthy and ready to learn.

What Are the Goals of the Program?

From birth to kindergarten entry, MCHB, in partnership with the Administration for Children and Families (ACF)funds states, territories, and tribal entities to develop and implement evidence-based, voluntary programs that best meet the needs of their communities. Goals for every program are to:

  • improve maternal and child health,
  • prevent child abuse and neglect,
  • encourage positive parenting, and
  • promote child development and school readiness.

What Does the Program Do for Participants?

By electing to participate in local home visiting programs, families receive help from health, social service, and child development professionals. Through regular, planned home visits, parents learn how to improve their family's health and provide better opportunities for their children. Home visits may include:

  • supporting preventive health and prenatal practices
  • assisting mothers on how best to breastfeed and care for their babies
  • helping parents understand child development milestones and behaviors,
  • promoting parents’ use of praise and other positive parenting techniques, and
  • working with mothers to set goals for the future, continue their education, and find employment and child care solutions.

Who Are the Current Grantees and What Funding Do We Provide Them?

States, territories, and tribal entities receive funding through the Maternal, Infant, and Early Childhood Home Visiting Program. Grantees must give priority to families living in at-risk communities as identified by the statewide needs assessment.

Current Grantees

View the list of current grantees for the state and territory formula awards, the innovation awards and awards made through the Tribal Program.
 

Maternal, Infant and Early Childhood Home Visiting Program Funding

In February 2018, the Maternal, Infant, and Early Childhood Home Visiting Program was allocated $400 million per year through fiscal year 2022. On September 20, 2018, HRSA awarded approximately $361 million in funding to 56 states, territories, and nonprofit organizations to support communities in providing voluntary, evidence-based home visiting services through the Maternal, Infant, and Early Childhood Home Visiting Program. By law, state and territory grantees must spend the majority of their grants to implement evidence-based home visiting models, with up to 25 percent of funding available to implement promising approaches that will undergo rigorous evaluation.

Maternal, Infant and Early Childhood Home Visiting Program Home Visiting Research and Development Platform

On May 28, 2017, HRSA awarded $1.3 million to Johns Hopkins University to support a cooperative agreement for the Home Visiting Research and Development (R&D) Platform. This funding aims to support one transdisciplinary research network for scientific collaboration and infrastructure building for innovative home visiting research.  The research network will produce meaningful impacts that will significantly extend the evidence-base of home visiting. The Maternal, Infant, and Early Childhood Home Visiting Program responds to the diverse needs of children and families in at-risk communities and is required to carry out a continuous program of research and evaluation activities in order to increase knowledge about the implementation and effectiveness of home visiting programs. The goal of the Home Visiting R&D Platform is to plan for, develop, and sustain a R&D network of early childhood development and learning researchers and practitioners who will frame, implement, and report on innovative, transdisciplinary research related to precision interventions to improve meaningful outcomes for at-risk families and communities.

How Does the Program Ensure Effectiveness?

The Department of Health and Human Services launched the Home Visiting Evidence of Effectiveness (HomVEE) to conduct a thorough and clear review of home visiting program models to ensure effectiveness. Grantees are able to select one of the following service delivery models:

 

How Does the Program Measure Success?

The legislation that established the Maternal, Infant, and Early Childhood Home Visiting program requires that grantees demonstrate measurable improvement in at least four of the following six benchmark domains:

  • Improvement in maternal and newborn health
  • Reduction in child injuries, abuse, and neglect
  • Improved school readiness and achievement
  • Reduction in crime or domestic violence
  • Improved family economic self-sufficiency
  • Improved coordination and referral for other community resources and supports

In FY2016, states served approximately 160,000 parents and children in 893 counties in all 50 states, DC, and five territories. Nearly 43% of those were new enrollees.

The number of children and parents served by the Maternal, Infant, and Early Childhood Home Visiting program has increased nearly five-fold since 2012, and the number of home visits provided has increased more than five-fold, with more than 3.3 million home visits provided over the past five years.

Home Visiting Infographic

Download the FY2017 Home Visiting Infographic (PDF - 777 KB)

In FY 2017 the MIECHV Program served over 156,000 parents and children and provided more than 942,000 home visits.

Date Last Reviewed:  April 2018