Resource | Report

2019 Home Visiting Yearbook

Project: National Home Visiting Resource Center

available downloads

The 2019 Home Visiting Yearbook uses 2018 data to present the most up-to-date look at home visiting on the national and state levels. It provides critical information on who provides home visiting, where programs operate, the families and children receiving services, and those who could benefit but aren't being reached. 


The 2019 Home Visiting Yearbook marks NHVRC’s transition to a web-based publication. It includes data collected from evidence-based and emerging home visiting models and from awardees of the Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV).

Data are presented in multiple formats:

  • 1 national profile
  • 56 state profiles
  • 1 tribal profile
  • 26 model profiles
  • 55 MIECHV state data tables

Readers can navigate the site for data and download several short publications, including an executive summary.

Take-Home Messages

  • Evidence-based home visiting was implemented in all 50 states, the District of Columbia, 5 territories, 25 tribal communities, and 51 percent of U.S. counties in 2018.
  • In 2018, more than 286,000 families received evidence-based home visiting services over the course of more than 3.2 million home visits.
  • An additional 30,850 families received home visiting services through 9 emerging models that provided more than 455,000 home visits in 2018.
  • Home visitors and supervisors receive training to deliver voluntary services to families and young children in their homes. In 2018, more than 23,000 home visitors and supervisors delivered evidence-based services nationwide.
  • About 18 million pregnant women and families (including more than 23 million children) could benefit from home visiting but were not being reached in 2018. These numbers have held steady since 2015.
  • Since its inception in 2010, MIECHV has strengthened home visiting by supporting services, research, and local infrastructure. MIECHV expired in September 2017 but was reauthorized in February 2018 for an additional 5 years.
  • In 2018, MIECHV helped fund services for more than 77,000 families in states, territories, and tribal communities—a portion of the total families served by home visiting that year.
  • States continue to support home visiting by combining funds from tobacco settlements and taxes, lotteries, and budget line items. With limited resources, states are working to expand the reach of home visiting and serve as many families as they can in a way that makes sense on a local level.