The congregation, given the name "Handmaids", in honor of the Blessed Virgin Mary, quickly spread to other cities in Spain, and by 1921 the congregation had communities in other countries as well, in Italy, Argentina, England, Peru, and Cuba. In 1926 the congregation made foundations in Bolivia, Chile, and the US. As of 2019, there were approximately 1,000 members of the institute in 130 convents in 23 countries. The General Curia is in Rome. The congregation is a participant in UNANIMA International, a non-governmental organization (NGO) advocating on behalf of women and children (particularly those living in poverty), immigrants and refugees, and the environment.
Atlantic Europe Province The Atlantic Europe Province includes those convents in England, Ireland, Portugal, and France. The provincial house is in Lisbon.
United States In 1926, the Handmaids of the Sacred Heart of Jesus came to Philadelphia from Rome at the invitation of
Cardinal Dennis Dougherty. The Sisters opened a small chapel on 34th Street, near the University of Pennsylvania and began to teach classes in business skills, languages and the arts. These classes were well attended both by the women students at the university and by working women. In 1947 the Handmaids of the Sacred Heart opened a private elementary school for girls in Wyncote, Pennsylvania. The school was named Ancillae Academy, from the Latin word for handmaid. In 1957, the Handmaids started Assumpta Academy, a boys' school named after Mother Assumption, a founding sister. In 1969, the two merged to become
Ancillae Assumpta Academy. The Handmaids operate the Saint Raphaela Center in Haverford, Pennsylvania, are engaged in pastoral ministry in Miami, Florida, and work with immigrants in Athens, Georgia.
Philippines The Congregation came to the Philippines in 1966 and established schools. The Santa Rafaela Maria School Quezon City, started its operation in 1976.
India The Handmaids of the Sacred Heart of Jesus arrived in Mumbai in 1968 where they opened homes for the disabled, taught nursing courses, and provided aid to the poor. ==Schools founded by the institute==