Empty rural road runs through the base of mountains
State & Tribal Landscape

State & Tribal Profiles

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2023 Yearbook


Models implemented in Missouri included Early Head Start Home-Based Option, Family Check-Up, Family Spirit, Healthy Families America, Nurse-Family Partnership, and Parents as Teachers. Statewide, 107 local agencies operated at least one of these models.

home visits provided
including 25,166 virtual visits
families served
children served


6% Hispanic or Latino

Caregiver Education

9% No high school diploma

Child Age

13% <1 year

42% 1-2 years

45% 3-5 years

Child Insurance Status

97% Public

1% Private

1% None

Primary Language

94% English

3% Spanish

3% Another language

Potential Beneficiaries

In Missouri, there were 340,900 pregnant women and families with children under 6 years old not yet in kindergarten who could benefit from home visiting. These families included 434,600 children.

434,600 children could benefit from home visiting

Of the 434,600 children who could benefit —

340,900 families could benefit from home visiting

Many home visiting services are geared toward particular subpopulations. The NHVRC estimated the percentage of families who could benefit in Missouri who met the following priority criteria:

  • Child <1 20%
  • Single mother 22%
  • Parent with no high school diploma 5%
  • Pregnant woman or mother <21 3%
  • Low income 23%

Of the 340,900 families who could benefit —

48% of families met one or more priority criteria

18% of families met two or more priority criteria

NHVRC State Profiles present data provided by evidence-based models, which include both MIECHV and non-MIECHV data. This State Profile includes participant data from the following evidence-based models: EHS, Family Spirit, HFA, NFP, and PAT. • Missing and unknown data were not included in calculations. • Percentages may not add to 100 due to rounding. • Public insurance includes Medicaid, CHIP, and TRICARE. • Low income is defined as family income below the federal poverty threshold. • Single mothers include single, never married mothers or pregnant women. • EHS did not require reporting on 2020 data due to the COVID-19 pandemic. The number of children served in 2019 was included as a proxy for children and families served in 2020. • Family Spirit reported children served, families served, and home visits only. • HFA reported primary language of caregivers. • NFP reported primary language of caregivers. • PAT data for child insurance status and primary language were not included.