Location & Reach
Evidence-based home visiting programs are operated by local agencies across the country. Local agencies are usually housed in a central location and serve families in nearby communities. They are operated by state and local government offices, such as departments of health, human services, or education, as well as schools and school districts, hospitals and health clinics, Indigenous organizations, nonprofit organizations, and faith-based organizations.
Which States Have the Greatest Reach in Serving Families?
Local agencies may serve families outside the counties in which they are physically located. This is often the case in rural areas in which families live miles from the local agency and in states with many smaller counties. To understand the reach—or coverage—of home visiting by state, the map below reflects the percentage of zip codes in each state where at least one family was served. A higher percentage indicates a greater geographic reach within that state.(Source: Estimates are based on data collected from 14 evidence-based model developers and from MIECHV on the zip codes their local agencies serve. The 14 models that provided service area data are ABC, Child First, Family Connects, Family Spirit, HANDS, HFA, HIPPY, MECSH, MIHOW, MIHP, NFP, PAT, PFL, and Promoting First Relationships (PFR). Seven of these models (Child First, Family Spirit, HFA, HIPPY, MECSH, MIHP, and NFP) provided county-level service data; all others provided zip codes served. We assumed that if a model served a county, it served all zip codes in that county, which may lead to an overestimate of service areas. MIECHV data were used to supplement model developer data, as not all evidence-based models had service area data available. Percentage served in each state was calculated based on the total number of unique zip codes served by home visiting and the total number of zip codes in each state. Zip codes with no population were excluded from the calculation to normalize across states. Population estimates are from the 2023 American Community Survey. Because not all evidence-based models were able to submit zip code service data, the calculated percentages may underrepresent home visiting coverage. Some zip codes not reported by model developers are accounted for in the MIECHV data.)Go to footnote #>1
Percentage of Zip Codes in Which Families Receive Evidence-Based Home Visiting by State (2024)
In 2024—
- Families within 71 percent of zip codes across the United States were served
- 26 states, 4 territories, and the District of Columbia served families in more than 75 percent of their zip codes
- 2 states and 1 territory served families in fewer than 25 percent of their zip codes