Nurse-Family Partnership Program - Bulgaria

The Nurse-Family Partnership Program in Bulgaria targets young pregnant women living in poverty. Our clients are under 22 years old and up to the 28th week of their first pregnancy. The NFP home-visitors (nurses and midwives) provide support, care and new knowledge to the future parents within 50 to 64 home visits per family. The Nurse-Family Partnership Program in Bulgaria targets young pregnant women living in poverty. Our clients are under 22 years old and up to the 28th week of their first pregnancy. The NFP home-visitors (nurses and midwives) provide support, care and new knowledge to the future parents within 50 to 64 home visits per family.

  • Improved prenatal health
  • Improved pregnancy outcomes
  • Fewer accidents and injuries among children
  • Fewer cases of child abuse and neglect
  • Increased spacing between pregnancies
  • Increased employment rate among mothers
  • Improved school readiness
  • Decreased involvement in criminal activities

Reduced dependence on welfare

In line with the national policies in the field of maternal and infant health, the Trust for Social Achievement Foundation (TSA) became a license holder and started the program implementation. The organization successfully secured funding for the first two program stages – adaptation to the Bulgarian context and pilot testing. The license includes the provision of services to 200 low-income families by a team of 10 full-time home-visitors and 4 full-time health mediators.

In 2016, in cooperation with Sheynovo Hospital, our team welcomed its first clients in the capital city of Sofia. Three years later, in partnership with St. George University Hospital, the program expanded to Bulgaria's second largest city – Plovdiv, covering the neighborhood with the highest number of vulnerable women and children.

TSA is also partnering with the Open Society Institute-Sofia, responsible for the formative evaluation of the program. Two local NGOs - the Health and Social Development Foundation in Sofia and the National Alliance for Volunteer Action in Plovdiv, support our teams with psychological supervision and social work consultations.

The NFP Program in Bulgaria is managed by a Project Manager and supported by a Clinical Leader, a Data Analyst, and a Project Coordinator. It gets additional guidance by an international implementation team at the University of Denver, Colorado, under the leadership of Prof. David Olds. On a national level the program is reinforced by a National and Local Advisory Boards that contribute to its quality and sustainability, and to the integration of the service into the health care system.

We are eager to move on with the next phase of the program that consists of an impact assessment analysis, a randomized controlled trial and a national dissemination.