HomeKnowledge LibraryA Solid Start for Every Child: The Netherlands Integrates Medical and Social Care, 2009−2022
HomeKnowledge LibraryA Solid Start for Every Child: The Netherlands Integrates Medical and Social Care, 2009−2022

A Solid Start for Every Child: The Netherlands Integrates Medical and Social Care, 2009−2022

This case study looks at how Solid Start scaled up from a small partnership into a national programme.

The Solid Start (Kansrijke start) programme in the Netherlands creates new links between service providers – such as physicians, midwives, municipal officials and social workers – to address inequalities in post-birth health outcomes between mothers from different social and economic backgrounds.

Despite having a sophisticated health-care system and spending more on health care than do most countries in the world, by the early 2010s the Netherlands experienced some of the poorest perinatal-health outcomes in the European Union. For example, women living in the country’s low-income neighborhoods were up to four times more likely to die during childbirth than the Dutch average.

This case study looks at how Solid Start began as a partnership between three municipalities and university researchers, and scaled up into a programme that is on course to cover every municipality in the country with the support of the national government.


We commissioned this case study with Princeton University as part of a series that explores Urban95 implementation from a municipal leadership perspective.

Urban95: Management Case Studies

This collection of seven case studies from Princeton University documents how municipalities have prioritised their youngest residents through Urban95.

Learn more