Developed in Australia, the Maternal Early Childhood Sustained Home-Visiting (MECSH) program is designed to enhance maternal and child outcomes by providing prenatal and postnatal services. The model can be adapted for systems outside of Australia and to meet local needs. MECSH serves parents or caregivers at risk of adverse parental and/or child health and development outcomes. Registered nurses with experience with and/or postgraduate training in child and family health conduct a minimum of 22 (for postnatal enrollment) to 25 (for prenatal enrollment) 60- to 90-minute home visits. Nurse home visitors deliver services until the child’s second birthday. During the visits, nurses focus on parent education, child development, parent-child relationships, 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 dietitians and drug and alcohol counselors).