Nurse Family Partnership

The Skagit County Child and Family Consortium serves as the Advisory Board for the Nurse-Family Partnership in Skagit County.  This program is part of the Skagit County Public Health & Community Services department.

Nurse-Family Partnership in our community

Nurse-Family Partnership® (NFP) is an evidence-based, community health program that helps transform the lives of vulnerable mothers pregnant with their first child. Each mother served by NFP is partnered with a registered nurse early in her pregnancy and receives ongoing nurse home visits that continue through her child’s second birthday. Independent research proves that communities benefit from this relationship — every dollar invested in Nurse-Family Partnership can yield more than five dollars in return.

Nurse-Family Partnership Goals

  1. Improve pregnancy outcomes by helping women engage in good preventive health practices, including thorough prenatal care from their healthcare providers, improving their diets, and   reducing their use of cigarettes, alcohol and illegal substances;
  2. Improve child health and development by helping parents provide responsible and competent care; and
  3. Improve the economic self-sufficiency of the family by helping parents develop a vision for their own future, plan future pregnancies, continue their education and find work.

Positive Outcomes for NFP Clients in our Community

92% of babies were born full term

95% of mothers initiated breastfeeding

92% of babies were born at a healthy weight – at or above 5.5lbs

40% of mother’s who entered the program without a diploma/GED have since earned their diploma/GED, and another 40% are working towards obtaining one.

Client Demographics

Median Age: 18

88% Unmarried
90%Medicaid recipients


3.5%American Indian/Alaska Native 
2%Black or African American 
3.5%Declined to self-identify/No response 


50% Hispanic/Latina 

Demographics at the time of intake.  Cumulative data as of March 31, 2014.  All data is client self-identified.

In Skagit County,Nurse-Family Partnership currently can serve up to 75 clients.

Implementing Agency Context

The Skagit County Nurse-Family Partnership is implemented by Skagit County’s Department of Public Health & Community Services. It began in 2006 with four nurses and after budget cuts allowed for only minimal services for a time. The program was restored in October 2012. A partnership formed with Whatcom County in 2012 enabled Whatcom to start a Nurse-Family Partnership team of two nurse home visitors in association with our Skagit team.

Funding Context

Varied funding sources support Nurse-Family Partnership in Skagit County. The Prevention Center at the NW Educational Services District provided start-up funding when awarded a county-wide Safe Schools, Healthy Students grant. Funding now primarily comes from federal Maternal, Infant, Early Childhood Home Visiting (MIECHV) dollars, administered by Thrive part of Washington’s Home Visiting Services Account Other funding sources have included the Maternal-Child Health Block Grant, Medicaid maternity support services/infant case management and general County funds.


Societal Benefits

Nurse-Family Partnership is one of the only community health programs that is based on evidence from randomized, controlled trials – 30 years of research proves that it works. This evidence shows our clients – eligible first-time mothers – that if they follow the program and work with their nurse, they can transform their lives and the lives of their children. Moreover, independent policy research makes clear that every public health dollar policymakers and communities invest in Nurse-Family Partnership could realize more than five dollars in return.

National Recognition

  • The Washington State Institute for Public Policy, The RAND Corporation and The Brookings Institution have concluded that investments in Nurse-Family Partnership lead to significant returns to society and government, giving taxpayers a $2.88-5.70 return per dollar invested in the program.
  • The Partnership for America’s Economic Success finds investments in early childhood programs, such as Nurse-Family Partnership, to be stronger investments than state business subsidies when viewed from a long-term, national perspective.

To Learn More:

Email:  Jennifer Walton at [email protected]

Call: (360) 336-9383

Visit:  &