Two national evaluations of the Family Nurse Partnership (FNP) programme were published this year: one in the Netherlands and one in England. The conclusions could not have been more different.
The Dutch findings say: "We conclude that the Dutch version of the FNP, VoorZorg, is an effective intervention for young disadvantaged pregnant women that prevents child maltreatment, and improves home environment and child behavioural problems."
The study also concluded that, in view of the high societal cost of child maltreatment, the programme was cost-effective.
The English study had a very different focus: it used four medically-oriented measures - birth weight, smoking in pregnancy, emergency child hospital visits, and gap to second pregnancy - finding the programme was not cost-effective.
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