expectant mom supporting her belly

What We Do

TNFP is a free, voluntary program through which nurses partner with first-time mothers to improve prenatal care and provide one-on-one child development education and counseling. Families start the partnership with TNFP by their 28th week of pregnancy and can receive support until their child reaches 2 years of age.

TNFP is funded through:

  • Maternal Infant Early Childhood Home Visiting (MIECHV). MIECHV is a federal grant that supports the implementation of a combination of the following evidence-based home visiting models: Nurse-Family Partnership (NFP), Parents as Teachers (PAT), Home Instruction for Parents of Preschool Youngsters (HIPPY), and Healthy Families America (HFA). These funds support the coordination of local and state early childhood coalitions to build comprehensive early childhood systems. The unique Texas model uses both service and system-level strategies to improve broad child and family outcomes.
  • Healthy Outcomes through Prevention & Early Support (HOPES).  HOPES is an existing PEI program that provides a variety of innovative community-based initiatives and support for families with children 0-5 years of age.

Who We Serve

First -time, low income mothers and their families from before their 28th week of pregnancy through their child’s second birthday.

Map of Providers and Communities

Map of Texas, showing providers across the state. For a text version of TNFP providers, check the PEI Provider Directory.

For additional provider details, see the Fiscal Year 2021 PEI Provider Directory.

How We Measure Success

  • Children remain safe during services, within 1 year (96% in FY20) and 3 years.
  • Increase in parent/child interaction, ability to cope with parental stress.
  • Support positive health outcomes by addressing premature birth outcomes, attending well child visits, and support breastfeeding.

Program Data

  • Program Start Date: 2008
  • Target Number of Youth/Families Served Annually, FY21: 3,075
  • Average Number of Youth/ Families Served Per Month, FY20: 2,120
  • Counties Served: 26
  • Annual Budget for Community Contracts: $15,864,356
  • Total Number of Community Grantees: 16
  • Average Grantee Budget: $991,522

TNFP Success Story

City of Port Arthur, Jefferson

Dee is a twenty-year-old mother to eight-month-old Jay. She and Jay relocated from New Orleans when Jay was two months old and she transferred to a TNFP program in her new area. After learning that her ethnic group has some of the lowest breastfeeding rates, she expressed interest in encouraging other young mothers to breastfeed. Dee began asking friends what they knew about breastfeeding and realized the statistics were right. During each visit Dee initiated conversation with her Nurse Home Visitor about breastfeeding and asked what she could do to help other mothers successfully breastfeed their babies.

The Nurse Home Visitor was working with another mother, Jane, who had begun experiencing some problems breastfeeding and had stopped talking to anyone outside of her immediate circle. After securing consent, the Nurse Home Visitor introduced Dee to Jane to provide Jane peer support with her breastfeeding efforts. Dee lost her job in April due to the coronavirus pandemic, but she is still actively participating in regular telehealth visits with her Nurse Home Visitor and is taking this time to enjoy being a mom to Jay and supporting other mothers, including Jane, in their breastfeeding journey. Recognizing Dee’s passion and initiative the Nurse Home Visitor has provided Dee with additional lactation information. Dee is now preparing to return to school and is exploring the possibility of becoming a lactation consultant.