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Early Childhood Systems Programming

HRSA invests in a portfolio of Early Childhood Systems programs and partnerships. These investments support states and communities, health and other service systems, and service providers to work effectively and efficiently as a team in support of families with young children. They create systems of care that address all aspects of early childhood health and well-being, improve health equity, and put family needs and experiences first.

When partners and providers from different sectors and systems work together as a whole, all families and communities benefit. Over 30% of children have complex health needs and risks that require a coordinated approach1. Siloed services are inefficient and create barriers for families to access support they need. Supporting the family as a whole and starting as early as possible improves children’s chances to thrive and avoid future challenges.

HRSA's Early Childhood Systems efforts work to:

  • Make health and well-being promotion and prevention services available to all families, focusing on the prenatal period and first 3 years of life
  • Connect different sectors and providers, so that they work together to strengthen families
  • Build services and systems that intentionally advance health equity and support family and community leadership
  • Improve policies and practices across states and communities that support early childhood health and create long-lasting change

In Fiscal Year 2022, HRSA supported Early Childhood Systems grants in 29 states and provided nationwide technical assistance and leadership. Programs include:

Details regarding current award recipients can be found using HRSA's Find Grants tool and filtering by program name or state.

1June 2020 NSCH Data Brief regarding adverse childhood experiences (PDF - 450 KB)

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