In 2022, Congress expanded the federal Tribal Maternal, Infant, and Early Childhood Home Visiting (Tribal MIECHV) Program to reach more American Indian Alaska Native (AIAN) families through evidence-based home visiting.
The decision doubled the percentage of MIECHV funds set aside for tribal home visiting from 3 to 6 percent. In 2023, the Administration for Children and Families announced funding opportunities for tribal entities with and without experience implementing evidence-based home visiting.
This brief considers the degree to which tribal communities have been able to access—and chosen to implement—evidence-based home visiting services. Questions include:
- What percentage of AIAN families were served by evidence-based home visiting provided by tribal-led organizations?
- Where did tribal-led organizations provide evidence-based home visiting services?
- How did services provided by tribal-led organizations vary by state?
The project team used 2021 data collected from seven evidence-based home visiting models and the Administration for Children and Families for the 2022 Home Visiting Yearbook. They also looked at opportunities to expand programs based on measures of population reach.