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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

Baby-Friendly Facility

Hospital practices in the hours and days after birth influence initiation and duration of breastfeeding. The World Health Organization and The United Nations Children’s Fund launched the Baby-Friendly Hospital Initiative in 1991 to promote and support breastfeeding around the world. A facility is designated baby-friendly when it has implemented 10 Steps to Successful Breastfeeding and passed a formal evaluation process. Implementation of the Baby-Friendly Hospital Initiative has led to increased rates of breastfeeding. Fifty-three percent of US hospitals have implemented the majority of the 10 Steps to Successful Breastfeeding.

Percentage of live births occurring at facilities that adhere to 10 Steps to Successful Breastfeeding and are designated baby-friendly by Baby-Friendly USA

Data source: CDC, Breastfeeding Report Card, 2014 For details:www.americashealthrankings.org/ALL/baby-friendly



Home Health Visit

Through planned home health visits, trained professionals offer health and social support services to parents. Home health visits help foster healthy child development, prevent child abuse and neglect, and improve family self-sufficiency in child-rearing. They remove common barriers to receiving timely health care visits, such as lack of transportation and availability of child care. Among high-risk families, home health visits may improve health care utilization, reduce emergency department visits and hospitalizations, and reduce child maltreatment. The Federal Home Visiting Program was created in 2010 to provide federal grants to states, tribal organizations, and non-profit organizations to support evidence-based home visiting service programs for pregnant women and families, particularly those at-risk.

Percentage of children, or their parent, receiving a home health visit between pregnancy and time child was 3 years old

Data source: National Survey of Children’s Health, 2011-2012 For details: www.americashealthrankings.org/ALL/home_visit



mPINC

The Maternity Practices in Infant Nutrition and Care (mPINC) survey measures the quality of hospital practices to support breastfeeding in US hospitals and birth centers that routinely provide maternity care services. Scores range from 0 to 100 with higher scores representing better maternity care practices. Seven dimensions of care are examined: labor and delivery care, feeding of breastfed infants, breastfeeding assistance, contact between mother and infant, facility discharge care, staff training, and structural and organizational aspects of care delivery. Each participating hospital and birth center receives a report that compares its policies and practices to recommended standards, presents the evidence behind these standards, and identifies opportunities for improvement.

Maternity Practices in Infant and Nutrition Care survey score based on seven birth facility policies and practices with higher scores denoting better maternity care practices and policies

Data source: CDC, Breastfeeding Report Card, 2014 For details: www.americashealthrankings.org/ALL/mPINC





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