During the 2018-19 evaluation year, 69% of children participated in family engagement/home visiting services, and 29% in center-based programs generally offering full-day, year-round childcare services.

While Sixpence-funded programs serve large concentrations of children in the state's major metropolitan areas, the large majority (68%) of Sixpence programs are distributed throughout Nebraska's rural communities.

Census data indicates Nebraska's rural communities have seen the most rapid growth in the local population of infants and toddlers at risk.