With a focus on pregnant immigrant women receiving prenatal services at participating prenatal clinics or participating home visitation programs in Hudson County, Newark, Elizabeth and Perth Amboy, Gateway NW Maternal & Child Health Network has implemented the Baby Basics Prenatal Health Literacy Program model. In collaboration with the Hudson Perinatal Cooperative, Central MCHC and the What to Expect Foundation, this program integrates health literacy into prenatal home visiting programs and within community clinics to enhance communication between the patient, clinic and service providers, improve patient satisfaction, increase adherence to prenatal visits, and influence the attendance rate for postpartum visits to ultimately improve the health literacy skills of new families. Literacy experts train and mentor the Baby Basics Program staff, health educators from participating clinics, and incorporate ESL education into health literacy and prenatal education efforts, to further improve health literacy.