This study evaluates the effects of the Nurse Family Partnership (NFP), an established home-visiting program, using a scientifically rigorous individual-level randomized controlled trial. The study will be based in South Carolina, where a Medicaid waiver in combination with a pay-for-success contract will allow expansion of the program to women on Medicaid. The study plans to enroll 4000 low-income, first time mothers and their children into the intervention group, and another 2000 into the control group. The study will evaluate the program's impacts on outcomes using administrative records. This study aims to yield new evidence on the effect of NFP in a modern context, applied to a new population, across a broad range of outcomes, and financed by a novel public-private partnership based on accountability for outcomes.
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Number of Participants With a Composite Birth Outcome
Timeframe: 0-7 days after index birth; vital records, mortality records, and fetal death records
Number of Participants Whose Child Experienced a Major Injury or Concern for Abuse or Neglect
Timeframe: within 24 months after index birth; Medicaid claims or hospital discharge data
Number of Participants With an Inter-birth Interval of < 21 Months
Timeframe: within 21 months after index birth; vital records