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Executive SummaryIntroductionExplore the Health of Women, Children and InfantsFindingsThe Health of Women and Children between StatesThe Health of Women and Children within StatesHealthy Communities for ChildrenClinical Preventive Services for ChildrenRacial Disparities in Measures of MortalityVariations in SmokingMeasures of Women's HealthBehaviors | Measures of Women’s HealthCommunity & Environment | Measures of Women’s HealthPolicy | Measures of Women’s HealthClinical Care | Measures of Women’s HealthOutcomes | Measures of Women’s HealthMeasures of Infants' HealthBehaviors | Measures of Infants’ HealthCommunity & Environment | Measures of Infants’ HealthPolicy | Measures of Infants’ HealthClinical Care | Measures of Infants’ HealthOutcomes | Measures of Infants’ HealthMeasures of Children's HealthBehaviors | Measures of Children’s HealthCommunity & Environment | Measures of Children’s HealthPolicy | Measures of Children’s HealthClinical Care | Measures of Children’s HealthOutcomes | Measures of Children’s HealthState SummariesAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingDistrict of ColumbiaUnited StatesAppendixData Sources and Measures of Women’s HealthData Sources and Measures of Infants’ HealthData Sources and Measures of Children’s HealthMethodologyModel DevelopmentAmerica’s Health Rankings® Health of Women and Children Steering GroupThe Team
The model and measures for the America’s Health Rankings® Health of Women and Children Report were developed by an advisory steering group of experts in the field of maternal and child health. The panel was charged with developing a model for assessing the health of women and children at the state level.
The steering group convened over a series of meetings to establish the broad categories to include in the model. Life course theory was layered on top of America’s Health Rankings® five component model of population health. This produced a three-tiered scorecard. The three tiers describe the behaviors, community & environment, policy, clinical care, and outcomes for 1) women of reproductive age, 2) infants, and 3) children using 64 different health measures.
Concurrently with meetings, a series of surveys were sent to steering group members to identify specific determinant measures and outcome measures to be included in the model and to narrow down the list of possible measures. The weighting of each category within the model was similarly discussed and agreed upon by the steering group.

Selection of Measures

Five primary considerations drove the selection of measures included in the Health of Women and Children Report:
  1. The measure represents a broad range of health issues that affect the health of women and children.
  2. The measure uses common measurement criteria across the 50 states.
  3. The measure is available at the state level.
  4. The measure must be current and updated periodically.
  5. The aspect being measured should be amenable to change.
While imperfect, the measures selected are believed to be the best available indicators at this time and will be reviewed for improvement on an annual basis by the steering group.

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