Complete Roadmap

Prenatal-to-3 State Policy Roadmap

Through comprehensive reviews of the most rigorous evidence available, the Prenatal-to-3 Policy Impact Center identified 11 effective solutions, including 5 effective policies and 6 effective strategies, that foster the nurturing environments infants and toddlers need and many of which, reduce longstanding disparities in outcomes among racial and ethnic groups and socioeconomic statuses.

As the evidence base grows and more information becomes available, the list of effective policies and strategies will expand, and additional information on the return on investment of each effective solution will be provided. Currently, states should strive to fully implement the 11 PN-3 solutions with the strongest evidence of effectiveness to date.

The complete Roadmap (PDF) explains in detail the 8 PN-3 policy goals, 5 effective policies, 6 effective strategies, and outcome measures to measure the wellbeing of children and their families. Each of the 50 states and DC can also see how they stand and how to move forward on the Roadmap policies and strategies in their own state Roadmap (PDF) and the state data interactive.

To download the complete 2020 Prenatal-to-3 State Policy Roadmap (PDF), the Executive Summary (PDF), and your state’s Roadmap, choose from the download menu options on this page.


For an ongoing inventory of rigorous evidence reviews, including more detailed analysis of each Roadmap policy and strategy, go to the Prenatal-to-3 Policy Clearinghouse.

Recommended Citation

Prenatal-to-3 Policy Impact Center. (2020). Prenatal-to-3 State Policy Roadmap 2020: Building a Strong and Equitable Prenatal-to-3 System of Care. Child and Family Research Partnership. Lyndon B. Johnson School of Public Affairs, University of Texas at Austin.


Explore more of the 2020 Prenatal-to-3 State Policy Roadmap:

  • Roadmap Framework – Overview of the four steps states can take to strengthen their prenatal-to-3 systems of care grounded in the evidence
  • Roadmap Summary – The Roadmap at-a-glance chart showing alignment of the eight science-driven goals and the most effective policies and strategies
  • State Data Interactives – Interactive dashboards of the robust data from the Roadmap showing where states are and how they compare to other states