Maternal Early Childhood Sustained Home-Visiting Program (MECSH)
Last updated: May 2013
Evidence of Model Effectiveness
This model meets the criteria established by the Department of Health and Human Services (HHS) for an “evidence-based early childhood home visiting service delivery model” for the general population, but does not meet the criteria for tribal populations.
Based in Australia, the Maternal Early Childhood Sustained Home-Visiting (MECSH) program is designed to enhance maternal and child outcomes by providing antepartum services in addition to the traditional postpartum care women receive through Australia’s universal system for maternal, child, and family health services. MECSH targets disadvantaged, pregnant women at risk for adverse maternal and/or child health and development outcomes. Registered nurses conduct a minimum of 25 60- to 90-minute home visits, from pregnancy and until the child’s second birthday. During the visits, nurses focus on parent education, maternal health and well-being, family relationships, goal setting, and other issues such as housing and finances. Also available are parenting groups, activities to link families to the community, and referrals to other specialized care (such as dieticians and drug and alcohol counselors). For more information, please read the Model Overview.
Extent of Evidence
Summary of Findings
Please read Describing Effects for more information on these categories. Only results from studies that meet the standards for the high or moderate ratings are included above.
Criteria Established by the Department of Health and Human Services
Please read the HHS Criteria for Evidence-Based Models for more information.