The Nurse Family Partnership Program

1
The Nurse Family Partnership Program Clarissa
Igle, RN Nurse Manager, Visiting Nurse Service of
New York Nurse-Family Partnership March 26,
2009
2
Home Visit Overview

• Personal Health
• Health Maintenance Practices
• Nutrition and Exercise
• Substance Use
• Mental Health Functioning
• Environmental Health
• Home
• Work, School, and Neighborhood
• Life Course Development
• Family Planning
• Education and Livelihood

Maternal Role Mothering Role Physical
Care Behavioral and Emotional Care Family and
Friends Personal network Relationships Assistance
with Childcare Health and Human Services Service
utilization
March 2009
3
3
There is a magic window during pregnancyits a
time when the desire to be a good mother and
raise a healthy, happy child creates motivation
to overcome incredible obstacles including
poverty, instability or abuse with the help of a
well-trained nurse. David Olds, PhD, Founder,
Nurse-Family Partnership
March 2009
4
Bronx Comparison to Other Boroughs Key
Indicators of Maternal/Infant Health
On markers of Maternal Infant Health, the Bronx
is the borough most at risk.
Source IMR and LBW NYC Vital Statistics, DOHMH
(2007) . PPD and IPV- NYC PRAMS (Pregnancy Risk
Assessment Monitoring System, 2006)
5
VNSNY NFP Impact on Women and Children in the
Bronx

• Reduced domestic violence
• More women breastfeeding
• High immunization rates
• Lower rates of subsequent pregnancy

March 2009
6
Domestic Abuse During Pregnancy Bronx NFP Results
There is a 41 decrease in reported physical
abuse during pregnancy, and a 44 decrease in
reported fear of partner.
Source NYC NFP Nurse-Family Partnership Data
through 12/30/2008
March 2009
7
Breastfeeding Initiation Rate VNSNY NFP, NYC and
US
Source NYC NFP Nurse-Family Partnership Data
through 12/30/2008 and NYC First time births on
Medicaid from PRAMS 2006. US National
Immunization Service (NIS), 2005
Healthy people 2010 goal 75
Breastfeeding is optimal for the physical and
cognitive development of the infant, and for
maternal infant bonding. VNSNY NFP sites
consistently exceed breastfeeding initiation
rates when compared to New York City and the
Healthy People 2010 goal.
March 2009
8
Percentage of Children up to Date with
Immunizations
Source NYC NFP Nurse-Family Partnership Data
through Dec 30 2008- NYC and US comparisons from
Citizens Committee for Children Status Report
2008
9
Cumulative Percent of Women with Subsequent
Pregnancy 6 Months 18 Months Postpartum New
York City NFP vs. US
Subsequent pregnancies that occur shortly after
the original pregnancy put both the mother and
infant at higher risk for health complications
and economic hardships. The rates of subsequent
pregnancy in the Bronx NFP are lower than the
national average. Decreasing this rate even
further at 18 months is currently an area of
focus.
Source Source US CDC 2006 Pregnancy Nutrition
Surveillance System (PNSS) NFP data from
Nurse-Family Partnership (NFP) Data through
12/30/2008
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• This program saves money. It raises healthy
  babies and creates better parents. It reduced
  childhood injuries and unintended pregnancies,
  increased father involvement and women's
  employment, reduced use of welfare and food
  stamps, and increased children's school
  readiness. And it produced more than 28,000 in
  net savings for every high-risk family enrolled
  in the program.
• Barack Obama,
• U.S. President

March 2009