Nurse-Family Partnership Impact Evaluation in South Carolina

This study is an individual-level randomized controlled trial, with randomization
post-consent. The study will enroll pregnant women who are income-eligible for Medicaid, less
than 28 weeks pregnant, and have not had a previous live birth. All eligible applicants who
provide written consent will be randomly assigned either to a treatment group that is offered
access to NFP or to a control group that is not. Two-thirds of those recruited will be
randomized to the treatment group and one-third to the control group. Control group members
will have access to the standard of care and whatever other programs and services are
available in the community.

The investigators will assess the effect of NFP on a range of short- and long-run maternal
and child outcomes using administrative data that will be available for all members of both
treatment and control groups. Several of the outcomes the investigators will evaluate are
required as part of the Medicaid waiver and pay-for-success financing model.

Inclusion Criteria:

- Female

- No previous live births

- Currently pregnant

- Gestation period less than 28 weeks (i.e. less than or equal to 27 weeks, 6 days) at
time of recruitment

- Ages 15-55

- Income level meets Medicaid eligibility criteria

- Live within an area serviced by a NFP Implementing Agency

- Not currently enrolled in the study

- Not incarcerated or living in lock down facilities

Exclusion Criteria:

- Men

- Women who have had a previous live birth

- Women who are not currently pregnant

- Women who are past their 28th week of gestation (i.e. greater than or equal to 28
weeks, 0 days) at time of recruitment

- Women who are younger than 15 or older than 55 years of age

- Women whose income level does not meet Medicaid eligibility criteria

- Women who live outside of an area serviced by a NFP Implementing Agency

- Women who are currently enrolled in the study

- Women who are currently incarcerated or living in a lock down facility