Nurse-Family Partnership

Nurse-Family Partnership® is a nurse home visiting program that has been proven to help low-income, first-time families improve their lives and the lives of their children.

Specially trained nurses regularly visit low-income expectant mothers (median age 19) during their first pregnancy and the first two years of their children’s lives, teaching them parenting and life skills and helping them gain access to job training and education programs.

Developed by Dr. David Olds and fortified by three decades of rigorous research, Nurse-Family Partnership (NFP) has been scientifically proven to improve pregnancy outcomes, child health and development, and families’ economic self-sufficiency.

In 2005, the Rand Corporation calculated that every dollar invested in the program returned up to $5.70, and in 2011 the Washington State Institute for Public Policy estimated the program produces a long-term net return of more than $20,000 per family served.

Leading policymakers including the Brookings Institution, The Coalition for Evidence-Based Policy, and Marian Wright Edelman of the Children's Defense Fund have called for dramatically expanding the program. Bipartisan support led to the creation in 2010 of the Maternal, Infant, and Early Childhood Home Visitation (MIECHV) program and authorization of $1.5 billion in federal funding for NFP and other evidence-based programs.

2014 Highlights

  • Roxane White, chief of staff for Colorado Gov. John Hickenlooper, assumed the role of CEO in November 2014.
  • NFP received an EMCF grant to support its transition plan.
  • Ten states expressed interest in funding implementation of NFP’s program through Pay for Success agreements. NFP was one of five recipients of flexible funding and technical assistance awards from the Nonprofit Finance Fund and James Irvine Foundation to help it structure a Pay for Success contract in California.

  • Efficiency initiatives increased NFP’s average nurse caseload by 15 percent while maintaining the program’s quality. In 15 months, new efficiencies enabled NFP to serve an additional 4,259 mothers―as many mothers as it added during the previous 2 1/2 years.
  • NFP launched a new Strengths and Risks (STAR) Framework that helps nurse home visitors modify the intensity and frequency of services in order to meet families’ individual needs.

Families Enrolled

Revenue (in millions)


Mothers who do not become pregnant within 2 years after their first child's birth
  • Legend:
  • Actual
  • Projected