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February 2019Vol. 20, No. 1Special Issue Highlights State-Led Evaluations of Efforts to Scale Up Home Visiting Programs

A special issue of Maternal and Child Health Journal highlights the state-led evaluations of efforts to replicate and scale up evidence-based home visiting under the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program.

The introductory article, "Introduction to the Special Issue on Taking Home Visiting to Scale: Findings from the MIECHV Program State-Led Evaluations," describes the special issue and its focus on the evaluations from 11 state awardees (Arkansas, Florida, Illinois, Iowa, Maryland, Massachusetts, Michigan, New Jersey, Oregon, Pennsylvania, and Tennessee).

MIECHV has provided over 3.3 million home visits to at-risk families since it was launched in 2010. States and territories receiving MIECHV funding are encouraged to evaluate their programs in order to contribute to the overall understanding of their replication, scale up, and effectiveness. Each year, 3 percent of MIECHV funding supports research and evaluation on the implementation and effectiveness of these programs. The article notes that 124 state-led evaluations have been conducted since 2011, with 58 having been completed.

The authors note that the abstracts for this special issue were selected based on their rigor and potential relevance for the home visiting field. The resulting articles address four topics: understanding and enhancing the quality and fidelity of home visiting programs, family engagement, workforce development, and the impacts of home visiting—including evidence-based models, promising approaches, and model enhancements—on maternal and child health outcomes.

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