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Children First

PurposeMom with baby

Children First is a primary prevention program.  Registered nurses work with families expecting to deliver and/or parent their first child.  The goals of the program include: 

  • Improvement of pregnancy outcomes
  • Improvement of child health
  • Improvement of child development
  • Strengthened bond between child and parent
  • Achievement of personal goals
  • Improved utilization of and collaboration with community resources

The program encourages early and continuous prenatal care, personal development, and the involvement of fathers, grandparents and other supporting persons in parenting.

OSDH Children First Web:  Children First


The following services are provided to participating families:

  • Health assessments
  • Child development assessments
  • Parenting education
  • Nutrition education
  • Breastfeeding education
  • Health and safety information
  • Linking families with services for health care, child care, mental health, and job training
  • Referrals to appropriate community service agencies

Eligibility Criteria

In order for a woman to enroll in the Children First Program, she must meet the following criteria:

  • Be before the 29th week of gestation when the initial Children First visit occurs.
    • The Children First Maternal Health Assessment MIS Form is to be completed during the first visit. The completion of this form verifies that the client is eligible for services
    • Every effort should be made to enroll women as early as possible during the pregnancy and visits should be consistently made during the perinatal period.
  • Be a first-time mother meeting one or more of the following definitions:
    • Expecting her first live birth, has never parented and plans on parenting this child; or
    • Expecting her first live birth, has never parented and is contemplating placing the child for adoption; or
    • Expecting her first live birth, but has parented stepchildren or younger siblings; or
    • Expecting her first live birth, has been pregnant before, but the pregnancy did not result in a live birth; or
    • Expecting a live birth, has been pregnant and delivered a child in the past, but that child died within the first few months of life.
    • Expecting a live birth, has been pregnant and delivered a child in the past, but the mother’s parental rights were legally terminated within the first few months of life.
  • Have a household income no greater than 185% above the Federal Poverty Level (meet the same income eligibility criteria as WIC and Medicaid).  Income eligibility should be determined before the first home visit if at all possible.


No fee is charged.


Services are generally provided Monday through Friday from 8:00 to 5:00.  Hours vary depending on the needs of the individuals.  

How to make an appointment

Services by appointment only.  Call (580) 585-6702 for appointment.

Important information

Public Health Nurses provide home visitation services during pregnancy and the first two years of the child's life using the following schedule:

  • Weekly visits during the first month
  • Visits every other week until delivery
  • Weekly visits during the first six weeks after delivery
  • Every other week visits until the 21st month of childhood
  • Monthly visits until the child reaches age two


Public Health nurses make the home visits.

Contact person for questions

Please contact Jennifer England RN (580) 585-6702 for questions or concerns.



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