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Health Reports & Data

Maternal, Infant, and Child Health

Goal

Improve the health and well-being of women, infants, children, and families.

Overview

Improving the well-being of mothers, infants, and children is an important public health goal for the United States. Their well-being determines the health of the next generation and can help predict future public health challenges for families, communities, and the health care system. The objectives of the Maternal, Infant, and Child Health topic area address a wide range of conditions, health behaviors, and health systems indicators that affect the health, wellness, and quality of life of women, children, and families.

Why are Maternal, Infant, and Child Health Important?

Pregnancy can provide an opportunity to identify existing health risks in women and to prevent future health problems for women and their children. These health risks may include:

  • Hypertension and heart disease
  • Diabetes
  • Depression
  • Genetic conditions
  • Sexually transmitted diseases (STDs)
  • Tobacco use and alcohol abuse
  • Inadequate nutrition
  • Unhealthy weight

The risk of maternal and infant mortality and pregnancy-related complications can be reduced by increasing access to quality preconception (before pregnancy) and interconception (between pregnancies) care.1 Moreover, healthy birth outcomes and early identification and treatment of health conditions among infants can prevent death or disability and enable children to reach their full potential.2,3,4

Additional Resources

HP2020’s National Objectives for Maternal, Infant, and Child Health
HHDW Reports on Maternal, Infant, and Child Health

References

  1. Centers for Disease Control and Prevention (CDC), Agency for Toxic Substances and Disease Registry (ATSDR). Recommendations to improve preconception health and health care—United States: A report of the CDC/ATSDR Preconception Care Work Group and the Select Panel on Preconception Care. Atlanta: CDC; 2006. 23 p. (MMWR Recomm Rep. 2006;55[RR-06]).
  2. Centers for Disease Control and Prevention (CDC). Newborn screening for cystic fibrosis: evaluation of benefits and risks and recommendations for state newborn screening programs. Atlanta: CDC; 2004. 37 p. (MMWR Recomm Reps. 2004;53[RR-13])
  3. Centers for Disease Control and Prevention (CDC). Identifying infants with hearing loss—United States, 1999–2007. Atlanta: CDC; 2010. (MMWR. 2010;59[8]:220-3).
  4. Watson MS, Mann MY, Lloyd-Puryear MA, et al.; American College of Medical Genetics, Newborn Screening Expert Group. Newborn screening: Toward a uniform screening panel and system [executive summary]. Pediatrics. 2006;117(5 Pt. 2):S296-307.
ID
OBJECTIVES AND SUB-OBJECTIVES

MICH-1
Reduce the rate of fetal and infant deaths
State Indicator Definition:
Number of fetal deaths at 20 or more weeks of gestation per 1,000 live births and fetal deaths. A fetal death is the spontaneous intrauterine death of a fetus. The national indicator is defined in exactly the same way.

State Baseline:
5.4 fetal deaths per 1,000 live births and fetal deaths (2010)

Most Recent State Value:
4.7 fetal deaths per 1,000 live births and fetal deaths (2013)

HP2020 Target:
National: 5.6 fetal deaths per 1,000 live births and fetal deaths

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHDW Report
HHM Report

State Indicator Definition:
Number of fetal and infant deaths during the perinatal period (28 weeks of gestation to 7 days after birth) per 1,000 live births and fetal deaths.

State Baseline:
7.8 deaths per 1,000 live births and fetal deaths (2010)

Most Recent State Value:
8.3 deaths per 1,000 live births and fetal deaths (2013)

HP2020 Target:
National: 5.9 deaths per 1,000 live births and fetal deaths

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHM Report

State Indicator Definition:
Number of infant deaths occurring with the first year of life per 1,000 live births. The national indicator is defined in exactly the same way.

State Baseline:
5.7 deaths per 1,000 live births (2010)

Most Recent State Value:
5.7 deaths per 1,000 live births (2015)

HP2020 Target:
National: 6.0 deaths per 1,000 live births

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHDW Report
HHM Report

State Indicator Definition:
Number of neonatal deaths (within the first 28 days of life) per 1,000 live births. The national indicator is defined in exactly the same way.

State Baseline:
3.8 deaths per 1,000 live births (2010)

Most Recent State Value:
3.6 deaths per 1,000 live births (2015)

HP2020 Target:
National: 4.1 deaths per 1,000 live births

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHDW Report
HHM Report

State Indicator Definition:
Number of post-neonatal deaths (between 28 days and 1 year) per 1,000 live births. The national indicator is defined in exactly the same way.

State Baseline:
1.9 deaths per 1,000 live births (2010)

Most Recent State Value:
2.1 deaths per 1,000 live births (2015)

HP2020 Target:
National: 2.0 deaths per 1,000 live births

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHDW Report
HHM Report

State Indicator Definition:
Number of infant (under 1 year old) deaths related to birth defects (ICD-10 codes Q00-Q99) per 1,000 live births. The national indicator is defined in exactly the same way.

State Baseline:
0.7 infant deaths per 1,000 live births (2010-2012)

Most Recent State Value:
0.8 infant deaths per 1,000 live births (2013-2015)

HP2020 Target:
National: 1.3 deaths infant deaths per 1,000 live births

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHDW Report
HHM Report

State Indicator Definition:
Number of infant (under 1 year old) deaths related to congenital heart or vascular birth defects (ICD-10 codes Q20-Q28) per 1,000 live births. The national indicator is defined in exactly the same way.

State Baseline:
0.2 infant deaths per 1,000 live births (2003-2012)

Most Recent State Value:
0.1 infant deaths per 1,000 live births (2006-2015)

HP2020 Target:
National: 0.34 deaths infant deaths per 1,000 live births

National Data Source:
National Vital Statistics System>

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHDW Report
HHM Report

State Indicator Definition:
Number of infant (under 1 year old) deaths due to sudden infant death syndrome (ICD-10 code R95) per 1,000 live births. The national indicator is defined in exactly the same way.

State Baseline:
0.2 infant deaths per 1,000 live births (2008-2012)

Most Recent State Value:
0.2 infant deaths per 1,000 live births (2011-2015)

HP2020 Target:
National: 0.50 infant deaths per 1,000 live births

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHDW Report
HHM Report

State Indicator Definition:
Number of infant (under age 1 year) deaths attributed to sudden unexpected/unexplained causes ((ICD-10 codes: R95 (SIDS), R99 (Unknown Cause) and W75 (Accidental Suffocation and Strangulation in Bed)) per 1,000 live births. The national indicator is defined in exactly the same way.

State Baseline:
0.6 deaths per 1,000 live births (2010-2012)

Most Recent State Value:
0.6 deaths per 1,000 live births (2013-2015)

HP2020 Target:
National: 0.84 deaths per 1,000 live births

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHDW Report
HHM Report

MICH-3
Reduce the rate of child deaths
State Indicator Definition:
Number of fetal and infant deaths during the perinatal period (28 weeks of gestation to 7 days after birth) per 1,000 live births and fetal deaths.

State Baseline:
23 deaths per 100,000 children aged 1 to 4 years (2010)

Most Recent State Value:
25 deaths per 100,000 children aged 1 to 4 years (2013)

HP2020 Target:
National: 26.5 deaths per 100,000 children aged 1 to 4 years

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHM Report

State Indicator Definition:
Number of deaths among children aged 5-9 years per 100,000 children in the same age group. The national indicator is defined in exactly the same way.

State Baseline:
7.2 deaths per 100,000 children aged 5-9 years (2010-2012)

Most Recent State Value:
10.4 deaths per 100,000 children aged 5-9 years (2013-2015)

HP2020 Target:
National: 12.4 deaths per 100,000 children aged 5-9 years

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHDW Report
HHM Report

MICH-4
Reduce the rate of adolescent and young adult deaths
State Indicator Definition:
Number of deaths among adolescents aged 10-14 years per 100,000 persons in the same age group. The national indicator is defined in exactly the same way.

State Baseline:
13.5 deaths per 100,000 adolescents aged 10-14 years (2010-2012)

Most Recent State Value:
9.7 deaths per 100,000 adolescents aged 10-14 years (2013-2015)

HP2020 Target:
National: 14.8 deaths per 100,000 adolescents aged 10-14 years

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHDW Report
HHM Report

State Indicator Definition:
Number of deaths among adolescents aged 15-19 years per 100,000 persons in the same age group. The national indicator is defined in exactly the same way.

State Baseline:
40.8 deaths per 100,000 adolescents aged 15-19 years (2010)

Most Recent State Value:
43.9 deaths per 100,000 adolescents aged 15-19 years (2015)

HP2020 Target:
National: 54.3 deaths per 100,000 adolescents aged 15-19 years

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHDW Report
HHM Report

State Indicator Definition:
Number of deaths among young adults aged 20-24 years per 100,000 persons in the same age group. The national indicator is defined in exactly the same way.

State Baseline:
70.5 deaths per 100,000 persons aged 20-24 years (2010)

Most Recent State Value:
64.0 deaths per 100,000 persons aged 20-24 years (2015)

HP2020 Target:
National: 88.3 deaths per 100,000 persons aged 20-24 years

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHDW Report
HHM Report

State Indicator Definition:
Number of women who died from obstetric complications (ICD-10 codes: A34, O00-O-95, O98-O99) per 100,000 live births.

State Baseline:
10.5 deaths per 100,000 live births (2007-2011)

Most Recent State Value:
9.3 deaths per 100,000 live births (2010-2014)

HP2020 Target:
National: 11.4 deaths per 100,000 live births

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHM Report

MICH-7
Reduce cesarean births among low-risk (full-term, singleton, and vertex presentation) women
State Indicator Definition:
Percentage of births delivered by cesarean section to women who had never previously had a cesarean birth. The national indicator is restricted to low-risk women, defined as women with at least 37 weeks gestation, a single fetus, and vertex fetus (head facing downward in the birth canal).

State Baseline:
16.8% (2010)

Most Recent State Value:
13.7% (2013)

HP2020 Target:
National: 23.9%

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHDW Report
HHM Report

MICH-8
Reduce low birth weight (LBW) and very low birth weight (VLBW)
State Indicator Definition:
Percentage of total live births with a birth weight of less than 2,500 grams. The national indicator is defined in exactly the same way

State Baseline:
8.3% (2010)

Most Recent State Value:
8.3% (2015)

HP2020 Target:
National: 7.8%

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHDW Report
HHM Report

State Indicator Definition:
Percentage of total live births with a birth weight of less than 1,500 grams. The national indicator is defined in exactly the same way.

State Baseline:
1.2% (2010)

Most Recent State Value:
1.4% (2015)

HP2020 Target:
National: 1.4%

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHDW Report
HHM Report

MICH-9
Reduce preterm births
State Indicator Definition:
Percentage of total live births in which the baby was born before 37 completed weeks of gestation. The national indicator is defined in exactly the same way.

State Baseline:
10.4% (2010)

Most Recent State Value:
10.1% (2015)

HP2020 Target:
National: 11.4%

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHDW Report
HHM Report

State Indicator Definition:
Percentage of total live births in which the baby was born between 34 and 36 weeks of gestation. The national indicator is defined in exactly the same way.

State Baseline:
5.9% (2010)

Most Recent State Value:
6.0% (2015)

HP2020 Target:
National: 8.1%

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHDW Report
HHM Report

State Indicator Definition:
Percentage of total live births in which the baby was born at 32 to 33 weeks of gestation. The national indicator is defined in exactly the same way.

State Baseline:
1.2% (2010)

Most Recent State Value:
1.3% (2015)

HP2020 Target:
National: 1.4%

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHDW Report
HHM Report

State Indicator Definition:
Percentage of total live births in which the baby was born at less than 32 weeks of gestation. The national indicator is defined in exactly the same way.

State Baseline:
1.9% (2010)

Most Recent State Value:
2.4% (2015)

HP2020 Target:
National: 1.8%

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHDW Report
HHM Report

MICH-10
Increase the proportion of pregnant women who receive early and adequate prenatal care
State Indicator Definition:
Percentage of pregnant women who received prenatal care beginning in their first trimester. The national indicator is defined in exactly the same way.

State Baseline:
84.8% (2010)

Most Recent State Value:
85.9% (2013)

HP2020 Target:
National: 77.9%

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHDW Report
HHM Report

State Indicator Definition:
Percentage of women with a recent birth who had adequate prenatal care according to the Adequacy of Prenatal Care Utilization Index.

State Baseline:
70.6% (2010)

Most Recent State Value:
65.5% (2014)

HP2020 Target:
National: 77.6%

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Pregnancy Risk Assessment Monitoring System

Data Reports:
Hawaii-IBIS
HHM Report

MICH-11
Increase abstinence from alcohol, cigarettes, and illicit drugs among pregnant women
State Indicator Definition:
Percentage of mothers who did not drink alcohol during their last 3 months of pregnancy. The national indicator is defined differently as the percentage of pregnant females aged 15 to 44 years who reported abstaining from alcohol in the previous 30 days.

State Baseline:
92.8% (2010)

Most Recent State Value:
91.5% (2014)

HP2020 Target:
National: 98.3%

National Data Source:
National Survey on Drug Use and Health

State Data Source:
Hawaii Pregnancy Risk Assessment Monitoring System

Data Reports:
Hawaii-IBIS
HHM Report

State Indicator Definition:
Percentage of pregnant women aged 15 to 44 years who reported no binge drinking (4 or more drinks on one occasion) in the past 30 days. The national indicator is defined in exactly the same way.

State Baseline:
92.2% (2006-2009)

HP2020 Target:
National: 100%

National Data Source:
National Survey on Drug Use and Health

State Data Source:
National Survey on Drug Use and Health

Data Reports:
HHM Report

State Indicator Definition:
Percentage of women with a recent live birth who reported not smoking cigarettes during their pregnancy. The national indicator is defined in exactly the same way.

State Baseline:
95.2% (2010)

Most Recent State Value:
95.7% (2013)

HP2020 Target:
National: 98.6%

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHDW Report
HHM Report

State Indicator Definition:
Percentage of mothers who abstained from using illicit drugs during their pregnancy. The national indicator is defined differently as the percentage of pregnant women aged 15-44 years who abstained from illicit drug use during the past 30 days

State Baseline:
97.5% (2010)

Most Recent State Value:
96.6% (2011)

HP2020 Target
National: 100%

National Data Source:
National Survey on Drug Use and Health

State Data Source:
Hawaii Pregnancy Risk Assessment Monitoring System

Data Reports:
Hawaii-IBIS
HHM Report

State Indicator Definition:
Percentage of women with a recent birth who report having attended a childbirth class during their pregnancy.

State Baseline:
22.2% (2012)

Most Recent State Value:
20.5% (2014)

HP2020 Target:
National: TBD

National Data Source:
Pregnancy Risk Assessment Monitoring System

State Data Source:
Hawaii Pregnancy Risk Assessment Monitoring System

Data Reports:
Hawaii-IBIS
HHM Report

State Indicator Definition:
Percentage of women with a recent birth who gained the recommended amount of weight during pregnancy.

State Baseline:
31.1% (2012)

Most Recent State Value:
27.4% (2014)

HP2020 Target:
National: TBD

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Pregnancy Risk Assessment Monitoring System

Data Reports:
Hawaii-IBIS
HHM Report

MICH-16
Increase the proportion of women delivering a live birth who received preconception care services and practiced key recommended preconception health behaviors
State Indicator Definition:
Percentage of women with a recent live birth who discussed preconception health with a health care worker prior to becoming pregnant. The national indicator is developmental; the definition and target have yet to be established.

State Baseline:
37.3% (2010)

Most Recent State Value:
40.7% (2011)

HP2020 Target:
National: TBD

National Data Source:
Pregnancy Risk Assessment Monitoring System

State Data Source:
Hawaii Pregnancy Risk Assessment Monitoring System

Data Reports:
Hawaii-IBIS
HHM Report

State Indicator Definition:
Percentage of women with a recent live birth who took multivitamins/folic acid 4 or more times per week in the month prior to pregnancy. The national indicator is defined differently as the percentage of women with a recent live birth who took multivitamins/folic acid every day in the month prior to pregnancy.

State Baseline:
33.7% (2010)

Most Recent State Value:
40.4% (2014)

HP2020 Target:
National: 33.3%

National Data Source:
Pregnancy Risk Assessment Monitoring System

State Data Source:
Hawaii Pregnancy Risk Assessment Monitoring System Report

Data Reports:
Hawaii-IBIS
HHM Report

State Indicator Definition:
Percentage of mothers who did not smoke in the 3 months prior to pregnancy. The national indicator is defined in exactly the same way.

State Baseline:
79.1% (2010)

Most Recent State Value:
86.3% (2014)

HP2020 Target:
National: 87.8%

National Data Source:
Pregnancy Risk Assessment Monitoring System

State Data Source:
Hawaii Pregnancy Risk Assessment Monitoring System

Data Reports:
Hawaii-IBIS
HHM Report

State Indicator Definition:
Percentage of mothers who did not drink alcohol in the 3 months prior to pregnancy. The national indicator is defined in exactly the same way.

State Baseline:
48.4% (2010)

Most Recent State Value:
50.6% (2014)

HP2020 Target:
National: 55.6%

National Data Source:
Pregnancy Risk Assessment Monitoring System

State Data Source:
Hawaii Pregnancy Risk Assessment Monitoring System

Data Reports:
Hawaii-IBIS
HHM Report

State Indicator Definition:
Percentage of women with a recent live birth who had a healthy body weight (Body Mass Index (BMI) of 18.5 to 24.9) prior to pregnancy. The national indicator is defined in exactly the same way.

State Baseline:
55.5% (2010)

Most Recent State Value:
55.7% (2014)

HP2020 Target:
National: 57.8%

National Data Source:
Pregnancy Risk Assessment Monitoring System

State Data Source:
Hawaii Pregnancy Risk Assessment Monitoring System Report

Data Reports:
Hawaii-IBIS
HHM Report

State Indicator Definition:
Percentage of women with a recent live birth who report smoking after delivery, among women who quit smoking during pregnancy. The national indicator is developmental; the definition and target have yet to be established.

State Baseline:
40.7% (2010)

Most Recent State Value:
39.4% (2014)

HP2020 Target:
National: 38.2%

National Data Source:
Pregnancy Risk Assessment Monitoring System

State Data Source:
Hawaii Pregnancy Risk Assessment Monitoring System Report

Data Reports:
Hawaii-IBIS
HHM Report

State Indicator Definition:
Percentage of women with a recent birth who report having had a postpartum care visit with a health worker within six months of delivery.

State Baseline:
91.8% (2010)

Most Recent State Value:
90.3% (2014)

HP2020 Target:
National: TBD

National Data Source:
Pregnancy Risk Assessment Monitoring System

State Data Source:
Hawaii Pregnancy Risk Assessment Monitoring System

Data Reports:
Hawaii-IBIS
HHM Report

State Indicator Definition:
Percentage of infants who were put to sleep on their backs. The national indicator is defined in exactly the same way

State Baseline:
74.5% (2010)

Most Recent State Value:
78.6% (2014)

HP2020 Target
National: 75.8%

National Data Source:
Pregnancy Risk Assessment Monitoring System

State Data Source:
Hawaii Pregnancy Risk Assessment Monitoring System

Data Reports:
Hawaii-IBIS
HHM Report

MICH-21
Increase the proportion of infants who are breastfed
State Indicator Definition:
Percentage of caregivers to infants aged 19-35 months who report the infant was ever breastfed or fed breast milk. The national indicator is defined in exactly the same way.

State Baseline:
87.5% (2010)

Most Recent State Value:
90.6% (2015)

HP2020 Target
National: 81.9%

National Data Source:
National Immunization Survey

State Data Source:
National Immunization Survey

Data Reports:
HHM Report

State Indicator Definition:
Percentage of caregivers to infants aged 19-35 months who report the infant was breastfed or fed breast milk any amount at six months of age. The national indicator is defined in exactly the same way.

State Baseline:
60.4% (2010)

Most Recent State Value:
65.3% (2015)

HP2020 Target
National: 60.6%

National Data Source:
National Immunization Survey

State Data Source:
National Immunization Survey

Data Reports:
HHM Report

State Indicator Definition:
Percentage of caregivers to infants aged 19-35 months who report the infant was exclusively breastfed (given nothing but breast milk) through three months of age. The national indicator is defined in exactly the same way.

State Baseline:
42.3% (2010)

Most Recent State Value:
54.8% (2015)

HP2020 Target
National: 46.2%

National Data Source:
National Immunization Survey

State Data Source:
National Immunization Survey

Data Reports:
HHM Report

State Indicator Definition:
Percentage of caregivers to infants aged 19-35 months who report the infant was exclusively breastfed (given nothing but breast milk) through six months of age. The national indicator is defined in exactly the same way.

State Baseline:
16.0% (2010)

Most Recent State Value:
30.0% (2015)

HP2020 Target
National: 25.5%

National Data Source:
National Immunization Survey

State Data Source:
National Immunization Survey

Data Reports:
HHM Report

State Indicator Definition:
Percentage of caregivers to infants aged 19-35 months who report the infant received formula supplementation within the first two days of life. The national indicator is defined in exactly the same way.

State Baseline:
26.3% (2010)

Most Recent State Value:
14.6% (2015)

HP2020 Target
National: 14.2%

National Data Source:
National Immunization Survey

State Data Source:
National Immunization Survey

Data Reports:
HHM Report

State Indicator Definition:
Percentage of live births that occur in hospitals and birthing centers designated as providing all the recommended elements of care for lactating mothers and their babies (i.e. Baby-Friendly facilities with the following elements: (1) Have a written breastfeeding policy that is routinely communicated to all health care staff; (2) Train all health care staff in skills necessary to implement the policy; (3) Inform all pregnant women about the benefits and management of breastfeeding; (4) Help mothers initiate breastfeeding within one hour of birth; (5) Show mothers how to breastfeed and how to maintain lactation, even if they are separated from their infants; (6) Give newborn infants no food or drink other than breast milk, unless medically indicated; (7) Practice “rooming in” – allow mothers and infants to remain together 24 hours a day; (8) Encourage breastfeeding on cue; (9) Give no pacifiers or artificial nipples to breastfeeding infants; (10) Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic). The national indicator is defined in exactly the same way.

State Baseline:
8.7% (2010)

Most Recent State Value:
19.5% (2015)

HP2020 Target
National: 8.1%

National Data Source:
Breastfeeding Report Card

State Data Source:
Breastfeeding Report Card

Data Reports:
HHM Report

MICH-28
Reduce occurrence of neural tube defects
State Indicator Definition:
Number of cases of spina bifida per 10,000 births.

State Baseline:
41 cases per 10,000 live births (1986-2005)

HP2020 Target:
National: 30.8 cases per 100,000 births

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHM Report

State Indicator Definition:
Number of cases of anencephaly per 10,000 births.

State Baseline:
34 cases per 100,000 live births (1986-2005)

HP2020 Target:
National: 22.1 cases per 100,000 live births

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHM Report

MICH-30
Increase the proportion of children, including those with special health care needs, who have access to a medical home
State Indicator Definition:
Percentage of youth under 18 years of age whose families report their child has at least one personal doctor or nurse, a usual source for care, family-centered care, effective care coordination, and necessary referrals.

State Baseline:
60.1% (2007)

Most Recent State Value:
57.4% (2011-2012)

HP2020 Target:
National: 63.3%

National Data Source:
National Survey of Children’s Health

State Data Source:
National Survey of Children’s Health, via Data Resource Center for Child & Adolescent Health

Data Reports:
HHM Report

State Indicator Definition:
Percentage of youth under 18 years of age with special health care needs whose families report their child has at least one personal doctor or nurse, a usual source for care, family-centered care, effective care coordination, and necessary referrals.

State Baseline:
45.4% (2009-2010)

HP2020 Target:
National: 51.8%

National Data Source:
National Survey of Children with Special Health Care Needs

State Data Source:
National Survey of Children with Special Health Care Needs, via Data Resource Center for Child & Adolescent Health

Data Reports:
HHM Report

MICH-31
Increase the proportion of children with special health care needs who receive their care in family-centered, comprehensive, and coordinated systems
State Indicator Definition:
Percentage of children aged 0 to 11 years with special health care needs whose families report satisfaction with the health care services they receive, have adequate insurance to pay for services, and who report their child receives coordinated care, early screening, and community-based services.

State Baseline:
45.5% (2009-2010)

HP2020 Target:
National: 22.4%

National Data Source:
National Survey of Children with Special Health Care Needs

State Data Source:
National Survey of Children with Special Health Care Needs, via Data Resource Center for Child & Adolescent Health

Data Reports:
HHM Report

State Indicator Definition:
Percentage of adolescents aged 12 to 17 years with special health care needs whose families report satisfaction with the health care services they receive, have adequate insurance to pay for services, and who report their adolescents receives coordinated care, early screening, community-based services, and the services necessary to transition to adult life.

State Baseline:
47.5% (2009-2010)

HP2020 Target:
National: 15.1%

National Data Source:
National Survey of Children with Special Health Care Needs

State Data Source:
National Survey of Children with Special Health Care Needs, via Data Resource Center for Child & Adolescent Health

Data Reports:
HHM Report