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.

3,153
local agencies delivered evidence-based home visiting

Where are Home Visiting Programs Located?

Home visiting programs operate in all 50 states, 5 U.S. territories, and the District of Columbia. The map below highlights the presence of evidence-based home visiting programs by county.(Source: Estimates are based on data collected from the Administration for Children and Families on behalf of Tribal MIECHV grantees and 17 evidence-based model developers on the locations of their local agencies. The 17 models that provided location data are Attachment and Biobehavioral Catch-Up (ABC), Child First, Early Head Start Home-Based Option (EHS), Family Connects, Family Spirit, Health Access Nurturing Development Services (HANDS), Healthy Families America (HFA), Home Instruction for Parents of Preschool Youngsters (HIPPY), Maternal Early Childhood Sustained Home-Visiting (MECSH), Maternal Infant Health Outreach Worker Program (MIHOW), Maternal Infant Health Program (MIHP), Nurse-Family Partnership (NFP), Parents as Teachers (PAT), Play and Learning Strategies (PALS), Preparing for Life — Home Visiting (PFL), Promoting First Relationships (PFR), and SafeCare Augmented. See [methodology](https://nhvrc.org/yearbook/2026-yearbook/methodology/) for details.)Go to footnote #>1

Counties With at Least One Local Agency Delivering Evidence-Based Home Visiting (2025)

In 2025—

  • 51 percent of U.S. counties have at least 1 local agency offering evidence-based home visiting
  • 17 states, 2 territories, and the District of Columbia have evidence-based home visiting agencies in 75 percent or more of their counties
  • 5 states and 2 territories have home visiting agencies in fewer than 25 percent of their counties

Where are families served by home visiting located?

Local agencies serve as community-based hubs providing the local infrastructure for home visitors to serve families in surrounding communities. 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 families served by home visiting, the map reflects the counties where families are served.(Source: Estimates are based on service data collected from 14 evidence-based model developers. 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 PFR. Six of these models (Child First, Family Spirit, HANDS, HFA, MIHP, and NFP) provided county-level service data; all others provided zip codes served. Three evidence-based home visiting models reported only local agency addresses, which we used as a proxy for service area (Early Head Start, PALS, and SafeCare Augmented). Because not all evidence-based models were able to submit service data, the calculated percentages may underrepresent home visiting coverage.)Go to footnote #>2

Counties in Which Families Receive Evidence-Based Home Visiting (2025)

In 2025—

  • Families within 85 percent of counties across the United States were served
  • 44 states, 4 territories, and the District of Columbia served families in more than 75 percent of their counties
  • 1 state and 1 territory served families in fewer than 25 percent of their counties

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