Nurse-Family Partnership

At a Glance

National Office: 
1900 Grant Street, Suite 400
Denver, CO 80203
Phone: 866-864-5226
People Served: 
23,000
Year Founded: 
2003
Tax ID: 
20-0234163

Focus area(s):

Maternal & Child Health

Description

Nurse-Family Partnership ® (NFP) helps transform the lives of vulnerable first-time mothers pregnant with their first child through evidence-based nurse home visiting.   Each mother NFP serves is partnered with a registered nurse early in her pregnancy and receives ongoing nurse home visits that continue through her child’s second birthday.  Independent research shows that communities can benefit from this relationship – every dollar invested in Nurse-Family Partnership can yield up to five dollars in return.

Impact and Outcomes

Improves pregnancy outcomes by helping women engage in preventive health practices, including getting prenatal care from their healthcare providers, improving their diets, and reducing their use of cigarettes, alcohol, and illegal substances.
Improves child health and development by helping parents provide responsible and competent care.
Improves the economic self-sufficiency of the family by helping parents develop a vision for their future and plan subsequent pregnancies, as well as ensure that they continue their education and/or find work.

Mission & Goals

The Nurse-Family Partnership's mission is to empower mothers living in poverty to successfully change their lives and the lives of their children through evidence-based nurse home visiting.

Nurse-Family Partnership has three main goals:

  1. Improve pregnancy outcomes by helping women engage in good preventive health practices, including thorough prenatal care from their healthcare providers, improving their diets, and reducing their use of cigarettes, alcohol and illegal substances.
  2. Improve child health and development by helping parents provide responsible and competent care.
  3. Improve the economic self-sufficiency of the family by helping parents develop a vision for their own future, plan future pregnancies, continue their education and find work.

Program

Nurse-Family Partnership has more than 35 years of research from randomized, controlled trials that prove it works — delivering multi-generational outcomes that benefit communities and eliminate the costs of long-term social service programs. 

Distinguishing Program Features

  • Nurse-Family Partnership focuses on first-time mothers. It is during a first pregnancy that the best chance exists to promote and teach positive health and development behaviors between a mother and baby.
  • The Nurse-Family Partnership program is delivered by registered nurses who are perceived as trusted and competent professionals, fostering a powerful bond between nurse and mother.
  • Nurse-Family Partnership has sufficient duration. Typically, a client begins to work with her nurse home visitor during her first trimester and continues through the child’s second birthday. This early intervention during pregnancy allows for any critical behavioral changes needed to improve the health of the mother and child.
  • Nurse-Family Partnership also has sufficient intensity, combining relevant content valued by the mother with a therapeutic relationship focused on self-efficacy.
  • The Nurse-Family Partnership National Service Office provides intensive education for nurse home visitors who utilize Visit-to-Visit Guidelines, clinical consultation and intervention resources to translate the program’s theoretical foundations and content into practice in a way that is adaptable to each family.
  • Nurse-Family Partnership maintains fidelity to its model by using a performance management system designed to collect and report NFP family characteristics, needs, services provided and progress toward accomplishing program goals as recorded by NFP Nurses.

Impact

Nurse-Family Partnership has approximately 23,000 families currently enrolled in the program in 42 states in the U.S.  Every home visit is recorded and entered into a national database which returns reports to each NFP agency on the outcomes of their program on a quarterly or as- needed basis.  

The cost per family served by Nurse-Family Partnership varies greatly by geography; however, it averages out to approximately $4,500 per family per year.  

Nationally, in program replication, Nurse-Family Partnership finds the following characteristics of mothers at time of enrollement.
  • Median age: 19
  • 85% unmarried
  • 66% have not completed high school
  • Median annual household income: $16,000

The following outcomes have been observed among participants in at least one of the trials of the program:

Improved Pregnancy Outcomes:

  • Improvement in women’s prenatal health: 79% reduction in preterm delivery for women who smoke, and reductions in high-risk pregnancies as a result of greater intervals between first and subsequent births

Improved Child Health and Development:

  • Reduction in criminal activity: 59% reduction in child arrests at age 15
  • Reduction in injuries: 39% fewer injuries among children 56% reduction in emergency room visits for accidents and poisonings 48% reduction in child abuse and neglect
  • Increase in children’s school readiness: 50% reduction in language delays of child age 21 months; 67% reduction in behavioral/ intellectual problems at age six

Increased Economic Self-Sufficiency:

  • Fewer unintended subsequent pregnancies: 32% fewer subsequent pregnancies
  • Increase in labor force participation by the mother: 83% increase by the child’s fourth birthday
  • Reduction in welfare use: 20% reduction in months on welfare
  • Increase in father involvement: 46% increase in father’s presence in household
  • Reduction in criminal activity: 60% fewer arrests of the mother; 72% fewer convictions of the mother

Growth Plan

Nurse-Family Partnership’s current economic model is a blend of revenue from its agencies and private funds such as foundations, corporations and individuals.  In 2012, the budget for the NFP National Service Office is $12 million with a projected 2013 budget of about $12.4 million.  In 2012, Nurse-Family Partnership projected its earned revenue to represent approximately one-third of its revenues, while in 2013 it anticipates that earned revenue will be more than half of the budget. Nurse-Family Partnership has a goal of reaching financial sustainability through agency revenues with only a modest amount of philanthropic support between 2018 and 2020.  In 2007, Nurse-Family Partnership began a Growth Capital Aggregation Pilot led by the Edna McConnell Clark Foundation as the lead investor with a $50 million goal.  NFP successfully completed the Growth Capital Aggregation Pilot in 2011.

By the end of 2015 Nurse-Family Partnership plans to increase the number of:

  • families served by 80%
  • agencies implementing NFP by 141%
  • NFP nurses serving families by 91% 

Following are the four key strategies the NFP National Service Office has identified to successfully scale the program to a point of sustainability:

  1. Program Development– to work directly with state, county, and community agencies to help them establish and grow the program for eligible families in their areas.
  2. Federal and State Policy– advocate for preferential funding of evidence-based programs, among which NFP is pre-eminent, to increase funding availability to implementing agencies from both Federal and state sources.
  3. National Marketing & Communications– to broaden community awareness and support for NFP.
  4. Infrastructure Development– to improve operating scale economies while maintaining NFP’s high standards of fidelity to the research model.

Location of Sites

National Office: 
1900 Grant Street, Suite 400
Denver, CO 80203
Phone: 866-864-5226
List of locationsMap of locations

To make a contribution to a program site:

  1. Click on the "Make a Contribution Now" button and include the name, city and state of the program you would like to support, in the "notes" text box on the organization's donation form, if available.
  2. If a "notes" or "designation" box is not available, write the city and state on your check in the "notes" section or call the national office to designate your contribution to a local program site.

Locations in the following states:

Alaska

Alabama

Arkansas

Arizona

California

Colorado

Connecticut

Delaware

Florida

Georgia

Iowa

Idaho

Illinois

Indiana

Kentucky

Louisiana

Maryland

Michigan

Minnesota

Missouri

Montana

North Carolina

North Dakota

New Jersey

New Mexico

Nevada

New York

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Virginia

Vermont

Washington

Wisconsin

Wyoming

Financials

Most Recent Budget

Year Ended:

2014

REVENUE

Corporate Grants: 
$334,662
Foundation Grants: 
$2,827,082
Government Funding: 
$176,025
Contributions from Individuals: 
$318,087
Special Events: 
$0
Program Services Fees: 
$7,120,290
Membership Dues: 
$0
Other Earned Income: 
$0
Other Revenue: 
$39,388
Other Revenue (Description): 
Investment income
Total Revenue: 
$10,815,534

EXPENSES

Salaries, Related Salaries & Professional Fees: 
$7,313,387
Occupancy: 
$280,857
Travel & Entertainment: 
$949,780
Office Supplies, Printing, Postage: 
$417,227
Telephone & Communications: 
$446,145
Payments to Affiliates: 
$383,826
Other Expenses: 
$3,532,602
Other Expenses (Description): 

Nurse education, nurse meetings, board meetings, and misc. expenses.

Other Expenses (Description): 

Total Expenses: 
$13,323,824

NET GAIN/LOSS

Net Gain/Loss: 
$-2,508,290

Prior Year Actuals

Year Ended:

2013

REVENUE

Corporate Grants: 
$33,514
Foundation Grants: 
$3,121,718
Government Funding: 
$420,647
Contributions from Individuals: 
$378,721
Program Services Fees: 
$5,251,410
Membership Dues: 
$0
Other Earned Income: 
$0
Other Revenue: 
$90,870
Other Revenue (Description): 
Interest and dividend income
Special Events: 
$7,276
Total Revenue: 
$9,304,156

EXPENSES

Salaries, Related Salaries & Professional Fees: 
$7,466,779
Occupancy: 
$277,029
Travel & Entertainment: 
$822,344
Office Supplies, Printing, Postage: 
$436,916
Telephone & Communication: 
$428,187
Payments to Affiliates: 
$357,697
Other Expenses: 
$2,253,581
Other Expenses (Description): 

Advertising & marketing, training & meetings, depreciation, telephone, professional services, dues & subscriptions, staff development, client services, insurance, legal and other.

Total Expenses: 
$12,042,533

NET GAIN/LOSS

Net Gain / Loss: 
$-2,738,377

Major Funders

Bill and Melinda Gates Foundation

Edna McConnell Clark Foundation

Kresge Foundation

Robert Wood Johnson Foundation

Robertson Foundation

Trustees' Philanthropy Fund of the Fidelity Charitable Gift Fund

Wellpoint Foundation

W.K. Kellogg Foundation