Note: JavaScript is disabled or is not supported by your browser.
Morbidity and Mortality
MICH-1 Reduce the rate of fetal and infant deaths
Baseline:
6.2 fetal deaths at 20 or more weeks of gestation per 1,000 live births and fetal deaths occurred in 2005.
Target:
5.6 fetal deaths per 1,000 live births and fetal deaths
Target-Setting Method:
10 percent improvement
Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
More Information:
Baseline:
6.6 fetal and infant deaths per 1,000 live births and fetal deaths occurred during the perinatal period (28 weeks of gestation to 7 days after birth) in 2005
Target:
5.9 perinatal deaths per 1,000 live births and fetal deaths
Target-Setting Method:
10 percent improvement
Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
More Information:
Baseline:
6.7 infant deaths per 1,000 live births occurred within the first year of life in 2006.
Target:
6.0 infant deaths per 1,000 live births
Target-Setting Method:
10 percent improvement
Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
More Information:
Baseline:
4.5 neonatal deaths per 1,000 live births occurred within the first 28 days of life in 2006.
Target:
4.1 neonatal deaths per 1,000 live births
Target-Setting Method:
10 percent improvement
Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
More Information:
Baseline:
2.2 postneonatal deaths per 1,000 live births occurred between 28 days and 1 year of life in 2006
Target:
2.0 postneonatal deaths per 1,000 live births
Target-Setting Method:
10 percent improvement
Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
More Information:
Baseline:
1.4 infant deaths per 1,000 live births were attributed to birth defects (all birth defects) in 2006
Target:
1.3 infant deaths per 1,000 live births
Target-Setting Method:
10 percent improvement
Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
More Information:
Baseline:
0.38 infant deaths per 1,000 live births were attributed to congenital heart and vascular defects in 2006
Target:
0.34 infant deaths per 1,000 live births
Target-Setting Method:
10 percent improvement
Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
More Information:
Baseline:
0.55 infant deaths per 1,000 live births were attributed to sudden infant death syndrome in 2006
Target:
0.50 infant deaths per 1,000 live births
Target-Setting Method:
10 percent improvement
Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
More Information:
Baseline:
0.93 infant deaths per 1,000 live births were attributed to sudden unexpected/unexplained causes in 2006
Target:
0.84 infant deaths per 1,000 live births
Target-Setting Method:
10 percent improvement
Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
More Information:
Baseline:
48.6 deaths within the first year of life per 1,000 infants diagnosed with Down syndrome occurred in 2005–06
Target:
43.7 deaths within the first year of life per 1,000 infants with Down syndrome
Target-Setting Method:
10 percent improvement
Data Source:
National Birth Defects Prevention Network (NBDPN), CDC, NCBDDD
More Information:
MICH-3 Reduce the rate of child deaths
Baseline:
28.6 deaths among children aged 1 to 4 years per 100,000 population occurred in 2007
Target:
25.7 deaths per 100,000 population
Target-Setting Method:
10 percent improvement
Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
More Information:
Baseline:
13.7 deaths among children aged 5 to 9 years per 100,000 population occurred in 2007
Target:
12.3 deaths per 100,000 population
Target-Setting Method:
10 percent improvement
Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
More Information:
MICH-4 Reduce the rate of adolescent and young adult deaths
Baseline:
16.9 deaths among adolescents aged 10 to 14 years per 100,000 population occurred in 2007
Target:
15.2 deaths per 100,000 population
Target-Setting Method:
10 percent improvement
Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
More Information:
Baseline:
61.9 deaths among adolescents aged 15 to 19 years per 100,000 population occurred in 2007
Target:
55.7 deaths per 100,000 population
Target-Setting Method:
10 percent improvement
Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
More Information:
Baseline:
98.3 deaths among young adults aged 20 to 24 years per 100,000 population occurred in 2007
Target:
88.5 deaths per 100,000 population
Target-Setting Method:
10 percent improvement
Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
More Information:
Baseline:
12.7 maternal deaths per 100,000 live births occurred in 2007
Target:
11.4 maternal deaths per 100,000 live births
Target-Setting Method:
10 percent improvement
Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
More Information:
Baseline:
31.1 percent of pregnant females suffered complications during hospitalized labor and delivery in 2007
Target:
28.0 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Hospital Discharge Survey (NHDS), CDC, NCHS
More Information:
MICH-7 Reduce cesarean births among low-risk (full-term, singleton, vertex presentation) women
Baseline:
26.5 percent of low-risk females giving birth for the first time had a cesarean birth in 2007
Target:
23.9 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
More Information:
Baseline:
90.8 percent of low-risk females giving birth with a prior cesarean birth had a cesarean birth in 2007
Target:
81.7 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
More Information:
MICH-8 Reduce low birth weight (LBW) and very low birth weight (VLBW)
Baseline:
8.2 percent of live births were low birth weight in 2007
Target:
7.8 percent
Target-Setting Method:
5 percent improvement
Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
More Information:
Baseline:
1.5 percent of live births were very low birth weight in 2007
Target:
1.4 percent
Target-Setting Method:
5 percent improvement
Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
More Information:
MICH-9 Reduce preterm births
Baseline:
12.7 percent of live births were preterm in 2007
Target:
11.4 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
More Information:
Baseline:
9.0 percent of live births were late preterm or occurred at 34 to 36 weeks of gestation in 2007
Target:
8.1 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
More Information:
Baseline:
1.6 of live births occurred at 32 to 33 weeks of gestation in 2007
Target:
1.4 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
More Information:
Baseline:
2.0 percent of live births occurred at less than 32 weeks of gestation in 2007
Target:
1.8 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
More Information:
Pregnancy Health and Behaviors
MICH-10 Increase the proportion of pregnant women who receive early and adequate prenatal care
Baseline:
70.8 percent of females delivering a live birth received prenatal care beginning in the first trimester in 2007
Target:
77.9 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
More Information:
Baseline:
70.5 percent of pregnant females received early and adequate prenatal care in 2007
Target:
77.6 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
More Information:
MICH-11 Increase abstinence from alcohol, cigarettes, and illicit drugs among pregnant women
Baseline:
89.4 percent of pregnant females aged 15 to 44 years reported abstaining from alcohol in the past 30 days in 2007–08
Target:
98.3 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Survey on Drug Use and Health (NSDUH), SAMHSA
More Information:
Baseline:
95.0 percent of pregnant females aged 15 to 44 years reported abstaining from binge drinking during the past 30 days in 2007–08
Target:
100 percent
Target-Setting Method:
Total coverage
Data Source:
National Survey on Drug Use and Health (NSDUH), SAMHSA
More Information:
Baseline:
89.6 percent of females delivering a live birth reported abstaining from smoking cigarettes during pregnancy in 2007
Target:
98.6 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
More Information:
Baseline:
94.9 percent of pregnant females aged 15 to 44 years reported abstaining from illicit drugs in the past 30 days in 2007–08
Target:
100 percent
Target-Setting Method:
Total coverage
Data Source:
National Survey on Drug Use and Health (NSDUH), SAMHSA
More Information:
Potential Data Sources:
Pregnancy Risk Assessment Monitoring System (PRAMS), CDC, NCCDPHP; California’s Maternal and Infant Health Assessment (MIHA), Maternal, Child and Adolescent Health Department, California State Health Department
Potential Data Source:
National Vital Statistics System (NVSS), CDC, NCHS
Preconception Health and Behaviors
Baseline:
23.8 percent of non-pregnant females aged 15 to 44 years reported a usual daily total intake of at least 400 μg of folic acid from fortified foods or dietary supplements in 2003–06
Target:
26.2 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS
More Information:
Baseline:
24.5 percent of non-pregnant females aged 15 to 44 years did have low red blood cell folate concentrations in 2003–06
Target:
22.1 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Health and Nutrition Examination Survey (NHANES) CDC, NCHS
More Information:
MICH-16 Increase the proportion of women delivering a live birth who received preconception care services and practiced key recommended preconception health behaviors
Potential Data Sources:
Pregnancy Risk Assessment Monitoring System (PRAMS), CDC, NCCDPHP; California’s Maternal and Infant Health Assessment (MIHA), Maternal, Child and Adolescent Health Department, California State Health Department
Baseline:
30.1 percent of females delivering a recent live birth took multivitamins/folic acid every day in the month prior to pregnancy as reported in 2007
Target:
33.1 percent
Target-Setting Method:
10 percent improvement
Data Sources:
Pregnancy Risk Assessment Monitoring System (PRAMS), CDC, NCCDPHP; California’s Maternal and Infant Health Assessment (MIHA), Maternal, Child and Adolescent Health Department, California State Health Department
More Information:
Baseline:
77.6 percent of females delivering a recent live birth did not smoke in the 3 months prior to pregnancy as reported in 2007
Target:
85.4 percent
Target-Setting Method:
10 percent improvement
Data Source:
Pregnancy Risk Assessment Monitoring System (PRAMS), CDC, NCCDPHP; California’s Maternal and Infant Health Assessment (MIHA), Maternal, Child and Adolescent Health Department, California State Health Department
More Information:
Baseline:
51.3 percent of females delivering a recent live birth did not drink alcohol in the 3 months prior to pregnancy as reported in 2007
Target:
56.4 percent
Target-Setting Method:
10 percent improvement
Data Sources:
Pregnancy Risk Assessment Monitoring System (PRAMS), CDC, NCCDPHP; California’s Maternal and Infant Health Assessment (MIHA), Maternal, Child and Adolescent Health Department, California State Health Department
More Information:
Baseline:
48.5 percent of females delivering a recent live birth had a normal weight (i.e., a BMI of 18.5-24.9) prior to pregnancy as reported in 2007
Target:
53.4 percent
Target-Setting Method:
10 percent improvement
Data Sources:
Pregnancy Risk Assessment Monitoring System (PRAMS), CDC, NCCDPHP; California’s Maternal and Infant Health Assessment (MIHA), Maternal, Child and Adolescent Health Department, California State Health Department
Potential Data Sources:
Pregnancy Risk Assessment Monitoring System (PRAMS), CDC, NCCDPHP; California’s Maternal and Infant Health Assessment (MIHA), Maternal, Child and Adolescent Health Department, California State Health Department
MICH-17 Reduce the proportion of persons aged 18 to 44 years who have impaired fecundity (i.e., a physical barrier preventing pregnancy or carrying a pregnancy to term)
Baseline:
12.0 percent of females aged 18 to 44 years had impaired fecundity in 2006-08
Target:
10.8 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Survey of Family Growth (NSFG), CDC, NCHS
More Information:
Potential Data Source:
National Survey of Family Growth (NSFG), CDC, NCHS
Postpartum Health and Behavior
Potential Data Sources:
Pregnancy Risk Assessment Monitoring System (PRAMS), CDC, NCCDPHP; California’s Maternal and Infant Health Assessment (MIHA), Maternal, Child and Adolescent Health Department, California State Health Department
Potential Data Sources:
Pregnancy Risk Assessment Monitoring System (PRAMS), CDC, NCCDPHP; California’s Maternal and Infant Health Assessment (MIHA), Maternal, Child and Adolescent Health Department, California State Health Department
Infant Care
Baseline:
69.0 percent of infants were put to sleep on their backs in 2007
Target:
75.9 percent
Target-Setting Method:
10 percent improvement
Data Sources:
Pregnancy Risk Assessment Monitoring System (PRAMS), CDC, NCCDPHP; California’s Maternal and Infant Health Assessment (MIHA), Maternal, Child and Adolescent Health Department, California State Health Department
More Information:
MICH-21 Increase the proportion of infants who are breastfed
Baseline:
74.0 percent of infants born in 2006 were ever breastfed as reported in 2007–09
Target:
81.9 percent
Target-Setting Method:
Modeling/projection
Data Source:
National Immunization Survey (NIS), CDC, NCIRD, and NCHS
More Information:
Baseline:
43.5 percent of infants born in 2006 were breastfed at 6 months as reported in 2007-09
Target:
60.6 percent
Target-Setting Method:
Modeling/projection
Data Source:
National Immunization Survey (NIS), CDC, NCIRD, and NCHS
More Information:
Baseline:
22.7 percent of infants born in 2006 were breastfed at 1 year as reported in 2007–09
Target:
34.1 percent
Target-Setting Method:
Modeling/projection
Data Source:
National Immunization Survey (NIS), CDC, NCIRD, and NCHS
More Information:
Baseline:
33.6 percent of infants born in 2006 were breastfed exclusively through 3 months as reported in 2007–09
Target:
46.2 percent
Target-Setting Method:
Modeling/projection
Data Source:
National Immunization Survey (NIS), CDC, NCIRD, and NCHS
More Information:
Baseline:
14.1 percent of infants born in 2006 were breastfed exclusively through 6 months as reported in 2007–09.
Target:
25.5 percent
Target-Setting Method:
Modeling/projection
Data Source:
National Immunization Survey (NIS), CDC, NCIRD, and NCHS
More Information:
Baseline:
25 percent of employers reported providing an on-site lactation/mother’s room in 2009
Target:
38 percent
Target-Setting Method:
Modeling/projection
Data Source:
Employee Benefits Survey, Society for Human Resource Management (SHRM)
More Information:
Baseline:
24.2 percent of breastfed newborns born in 2006 received formula supplementation within the first 2 days of life as reported in 2007–09
Target:
14.2 percent
Target-Setting Method:
10 percentage point improvement
Data Source:
National Immunization Survey (NIS), CDC, NCIRD, and NCHS
More Information:
Baseline:
2.9 percent of 2007 live births occurred in facilities that provide recommended care for lactating mothers and their babies as reported in 2009
Target:
8.1 percent
Target-Setting Method:
Modeling/projection
Data Source:
Breastfeeding Report Card, CDC, NCCDPHP
More Information:
Disability and Other Impairments
Baseline:
3.6 cases of fetal alcohol syndrome per 10,000 live births in 2006 were suspected or confirmed among children born in 2001–04
Target:
Not applicable
Target-Setting Method:
This measure is being tracked for informational purposes. If warranted a target will be set during the decade
Data Source:
Fetal Alcohol Syndrome Surveillance Network (FASSnet), CDC, NCBDDD
More Information:
Baseline:
15.1 percent of children aged 3 to 10 years diagnosed with a disorder through newborn bloodspot screening experienced developmental delay requiring special education services in 1991–2004
Target:
13.6 percent
Target-Setting Method:
10 percent improvement
Data Source:
The Metropolitan Atlanta Developmental Disabilities Surveillance Program (MADDSP), CDC, NCBDDD
More Information:
Baseline:
50.0 percent of children aged 8 years with cerebral palsy were born as low birth weight infants (less than 2,500 grams) as reported in 2006
Target:
45.0 percent
Target-Setting Method:
10 percent improvement
Data Source:
Autism and Developmental Disabilities Monitoring (ADDM) Network, CDC, NCBDDD
More Information:
MICH-28 Reduce occurrence of neural tube defects
Baseline:
34.2 live births and/or fetal deaths with spina bifida per 100,000 live births were diagnosed in 2005–06
Target:
30.8 live births and/or fetal deaths with spina bifida per 100,000 live births
Target-Setting Method:
10 percent improvement
Data Source:
National Birth Defects Prevention Network (NBDPN), CDC, NCBDDD
More Information:
Baseline:
24.6 live births and/or fetal deaths with anencephaly per 100,000 live births were diagnosed in 2005–06
Target:
22.1 live births and/or fetal deaths with anencephaly per 100,000 live births
Target-Setting Method:
10 percent improvement
Data Source:
National Birth Defects Prevention Network (NBDPN), CDC, NCBDDD
More Information:
MICH-29 Increase the proportion of young children with an Autism Spectrum Disorder (ASD) and other developmental delays who are screened, evaluated, and enrolled in early intervention services in a timely manner
Baseline:
19.5 percent of children aged 10 to 36 months who were screened for an Autism Spectrum Disorder (ASD) and other developmental delays were screened by 24 months of age as reported in 2007
Target:
21.5 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Survey on Children’s Health (NSCH), HRSA, MCHB and CDC, NCHS
More Information:
Baseline:
39.0 percent of children aged 8 years with an ASD had a first evaluation by 36 months of age as reported in 2006
Target:
42.9 percent
Target-Setting Method:
10 percent improvement
Data Source:
The Autism and Developmental Disabilities Monitoring (ADDM) Network, CDC, NCBDDD
More Information:
Baseline:
52.4 percent of children aged 8 years with an ASD were enrolled in special services by 48 months of age as reported in 2006
Target:
57.6 percent
Target-Setting Method:
10 percent improvement
Data Source:
Metropolitan Atlanta Developmental Disabilities Surveillance Program (MADDSP), CDC, NCBDDD
More Information:
Potential Data Source:
National Survey of Child’s Health (NSCH), HRSA, MCHB and CDC, NCHS
Potential Data Source:
National Survey of Child’s Health (NSCH), HRSA, MCHB and CDC, NCHS
Health Services
MICH-30 Increase the proportion of children, including those with special health care needs, who have access to a medical home
Baseline:
57.5 percent of children under age 18 years had access to a medical home in 2007
Target:
63.3 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Survey of Children’s Health (NSCH), HRSA, MCHB and CDC, NCHS
More Information:
Baseline:
47.1 percent of children under age 18 years with special health care needs had access to a medical home in 2007
Target:
51.8 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Survey of Children with Special Health Care Needs (NS-CSHCN), HRSA, MCHB and CDC, NCHS
More Information:
MICH-31 Increase the proportion of children with special health care needs who receive their care in family-centered, comprehensive, coordinated systems
Baseline:
20.4 percent of children aged 0 through 11 years with special health care needs received their care in family-centered, comprehensive, coordinated systems in 2005–06
Target:
22.4 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Survey of Children with Special Health Care Needs (NS-CSHCN), HRSA, MCHB and CDC, NCHS
More Information:
Baseline:
13.7 percent of children aged 12 through 17 years with special health care needs received their care in family-centered, comprehensive, coordinated systems in 2005–06
Target:
15.1 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Survey of Children with Special Health Care Needs (NS-CSHCN), HRSA, MCHB and CDC, NCHS
More Information:
MICH-32 Increase appropriate newborn blood-spot screening and follow-up testing
Baseline:
21 States verified through linkage with vital records that all newborns were screened shortly after birth for conditions mandated by their State-sponsored screening program in 2010
Target:
45 States (44 States and the District of Columbia)
Target-Setting Method:
115 percent improvement
Data Source:
National Newborn Screening and Genetics Resource Center, HRSA, MCHB
More Information:
Baseline:
98.3 percent of screen-positive children received follow-up testing within the recommended time period in 2006–08
Target:
100 percent
Target-Setting Method:
Total coverage
Data Source:
Title V Information System, HRSA, MCHB
More Information:
Potential Data Source:
National Newborn Screening and Genetic Resource Center, HRSA, MCHB
Baseline:
76.1 percent of VLBW infants were born at level III hospitals or subspecialty perinatal centers in 2008
Target:
83.7 percent
Target-Setting Method:
10 percent improvement
Data Source:
Title V Information System, HRSA, MCHB
More Information:
Back to Top
