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Implementing Maternal Early Childhood Sustained Home-Visiting Program (MECSH)

Meets DHHS criteria for an evidenced based model

Estimated Costs of Implementation

Last Updated

May 2014


Average Cost per Family

The average cost per family per year is $4,800 [2008 AUD], or approximately $6,000 [2012 USD]. This includes staff salaries and materials.


Labor Costs

Salaries for nurses are $70,275 and salaries for social workers are $73,653 [2008 AUD], or approximately $88,000 and $92,000, respectively [2012 USD].


Purchase of Program Model or Operating License

Initial licensing fees for support services range from $150,000  to $300,000 [2014 AUD], or approximately $141,300 [2014 USD], depending on the supports and training needed. A reduced fee can be negotiated for sites participating in research.

In adding to the licensing fee, the primary health care service agency must meet the costs for data systems, program materials, resources, equipment, vehicles, and accommodation for the home visiting team.


Materials and Forms

The Learning to Communicate Parent Handbook and DVD, which each parent receives, costs $25 [2008 AUD], or approximately $31 [2012 USD].

The MECSH manual and Learning to Communicate manual, which each nurse and nurse coordinator receives, costs $60 [2014 AUD], or approximately $57 [2012 USD].

Licensed users can download manuals and assessment, service delivery, and fidelity forms free of charge.


Training and Technical Assistance

The costs of online and in-person training and technical assistance are included in the license’s support service fee.



The primary health care service agency must meet the costs of providing data systems to track fidelity. The online fidelity reporting data system is included in the license’s support service fee.


Recruitment and Retention

Clients are identified, assessed for eligibility, recruited, and retained through the routine care provided by universal maternal, child, and family health services systems.



The information contained on this page was last updated in May 2014. Recommended Further Reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by Dr. Lynn Kemp at the University of New South Wales on May 11, 2014. HomVEE reserves the right to edit the profile for clarity and consistency.