Nurse-Family Partnership Implementation

This page shares information NFP provided on how the program scaled in South Carolina during the course of this study. 

In 2009, the national Nurse-Family Partnership (NFP) program launched in South Carolina. Over the next seven years with the support from generous philanthropic partners and the federal Maternal, Infant and Early Childhood Home Visiting (MIECHV) Program, Nurse-Family Partnership grew to serve more first-time mothers throughout the state. In 2016, prior to the launch of the Pay for Success project, NFP was serving 1,200 mothers in 27 counties. With more than 11,000 women in South Carolina eligible for NFP, there was a significant need to expand Nurse-Family Partnership and promote long-term sustainability. 

Public and private partners came together to launch this unprecedented South Carolina Pay for Success project to be able to successfully scale Nurse-Family Partnership. Nurse-Family Partnership was a pioneer in embarking on the first U.S. maternal and child health Pay for Success project. From 2016-2020, Nurse-Family Partnership grew to serve 3,794 mothers across 32 counties in South Carolina. This was the fastest statewide expansion of NFP to date. 

To successfully scale the Nurse-Family Partnership in South Carolina over four years, NFP also piloted new innovations that are now used throughout the country. The Pay for Success project served as an incubator for new ways of doing business to maximize efficiency and support fidelity. These included: 

  • Telehealth. NFP nurses in South Carolina were among the first group of NFP nurses in the country to have formal training and guidance on how to implement telehealth visits, which was not only a key retention strategy but later the foundation for how NFP has been exclusively implemented throughout the COVID-19 pandemic. 
  • Strengths and Risks Framework – The South Carolina expansion better informed this exclusive NFP nursing practice where nurses assess mothers’ strengths and risks and have the flexibility to adjust the frequency of visits based on each mother’s needs. 
  • Specially-branded Marketing, Public Relations & Outreach – Client Enrollment Campaign helped to enroll pregnant women. This combined campaign resulted in over 2,360 leads and 1,565 referrals (women who met enrollment qualifications). 

Example Marketing Materials:










For more information, click here to visit the Nurse-Family Partnership website.


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