Nutrition and Physical Activity

1. Increase access and consumption of affordable, healthy foods for children 0-5 and their families.

Indicator: % of total households that reported on the Maricopa County Behavioral Risk Factor Surveillance System that they received food through the WIC program in the past 12 months.

Baseline Data: 6% (2013)

2020 Target: Increase the % of WIC eligible families receiving WIC in Maricopa County to X%.

Data Source: Maricopa County Special Health Status Report 2013

Indicator: % of children ages 0-4 participating in WIC in Maricopa County.

Baseline Data: 50% (2013)

2020 Target: Increase the number of WIC-eligible children

Data Source: AZ Kids Count July 2014

Indicator: % of children 0-5 receiving SNAP in Maricopa County.

Baseline Data: 48% (2014)

2020 Target: Increase to 50%

Data Source: Arizona Department of Economic Security (2014)

2. Promote collaboration with early childhood education (ECE) programs to support healthy nutrition and physical activity of young children.

Indicator: # of children through age 5 enrolled in ADE School breakfast, lunch, Afterschool Care Snack Program in Maricopa County.

2020 Target: Goal needed

Data Source: ADE

Access to Care

1. Improve health care literacy of families with children age 0-5.

Indicator: Number of child deaths in Maricopa due to medical conditions (excluding SIDS and prematurity).

Baseline Data: 547 (2014), 513 (2013)

2020 Target: Reduce to 535

Data Source: Arizona Child Fatality Review Program (2015). Twenty-Second Annual Report.

2. Increase utilization of preventive care by families with children ages 0-5.

Indicator: % of children receiving at least six well-child visits within the first 15 months of life in Maricopa County.

AzMUAs in Maricopa County

3. Increase access to health care for uninsured families with children ages 0-5.

Indicator: # of Arizona medically underserved (AzMUA) primary care areas (PCA) in Maricopa County.

Baseline Data: 37 AzMUAs in Maricopa County (2016)

2020 Target: Reduce to 35

Data Source: Arizona Department of Health Services (2016). Arizona Underserved Areas and Special Tax Districts Report.

4. Reduce the number of children without health insurance.

Indicator: % of children ages birth to 5 without health insurance in Maricopa County.

Baseline Data: 10% (2014)

2020 Target: Reduce to 7%

Data Source: US Census Bureau (2014). 2009-2013 American Community Survey 5 Year Estimates, Table B27001

Indicator: % of children ages 0-5 living in poverty in Maricopa County.

Baseline Data: 26% (2013)

2020 Target: Hold at 26%

Data Source: US Census Bureau (2014). 2009-2013 American Community Survey 5 Year Estimates, Table B27001

Prenatal and Newborn Health

1. Encourage women to engage in prenatal health care during their first two trimesters.

Indicator: % of pregnant women in Maricopa County who receive prenatal care in their first trimester.

Baseline Data: 67.2% (2014)

2020 Target: Increase to 71%

Data Source: ADHS Advanced Vital Statistics by County 2014

2. Promote nutrition education for mothers and their babies.

Indicator: % of pregnant women in Maricopa County who receive prenatal care in their first trimester.

Baseline Data: 4.9% (2014)

2020 Target: Increase to 71%

Data Source: ADHS Advanced Vital Statistics by County 2014

3. Promote breastfeeding for a minimum of 6 months.

Indicator: % of pregnant women in Maricopa County who receive prenatal care in their first trimester.

Baseline Data: 39.5% of children born were breastfed exclusively through 3 months. 14.6% were breastfed exclusively through 6 months. (2004)

2020 Target: Increase to 71%

Data Source: ADHS Advanced Vital Statistics by County 2014

4. Reduce preterm birth rates and low birth rates

Indicator: % of infants born preterm (< 37 weeks) in Maricopa County.

Baseline Data: 9.1% (2014)

2020 Target: Reduce to 8.7%

Data Source: ADHS Vital Statistics (2014)

7.0% LBW (2014) - 1.2% VLBW (2014)

Indicator: % of infants born with a low birth weight (LBW) or very (V) LBW in Maricopa County.

Baseline Data: 7.0% LBW (2014), 1.2% VLBW (2014)

2020 Target: Reduce to 6% LWB - Reduce to 1% VLBW

Data Source: ADHS Vital Statistics (2014)

5. Reduce infant mortality rates

Indicator: Rate of fetal deaths at 20 or more weeks of gestation per 1,000 live births or fetal demise in Maricopa County.

Baseline Data: 5.7/1,000 live births or fetal demise (2013)

2020 Target: Reduce to 5.1

Data Source: ADHS Vital Statistics (2014)

Indicator: Rate of neonatal deaths (within the first 28 days of life) per 1,000 live births in Maricopa County.

Baseline Data: 4.1/1,000 live births (2014)

2020 Target: Reduce to 3.7

Data Source: ADHS Vital Statistics (2014)

Developmental and Mental Health

1. Increase early screenings, detection, diagnosis, and interventions.

Indicator: % of kindergarteners in Maricopa County that have immunization coverage.

Baseline Data: 93.7% DTaP, 4.3% Polio, 93.8% MMR, 95.2% Hep B, 96.6% Varicella (2015-16)

2020 Target: Increase all to 99%

Data Source: ADHS 2015-16

Indicator: % of children entering kindergarten exiting preschool special education to regular education.

Baseline Data: Phoenix/Maricopa County: 22.4% (2012)

2020 Target: Increase to 30%

Data Source: First Things First Regional Benchmarks 2020

Indicator: # of Quality First Child Care Programs in Phoenix rated 3 to 5 stars for child 0-5

Baseline Data: 225 providers within a 20-mile area around 85020 zip code (2016)

2020 Target: Increase to 250

Data Source: Quality First 2016

2. Increase access to and quality of developmental disabilities programs.

Indicator: % of Quality First Child Care Programs in Phoenix rated 3 to 5 stars for children ages 0-5.

Baseline Data: 22% (2013)

2020 Target: Increase to 35%

Data Source: First Things First Regional Benchmarks 2020

3. Promote education for parents of children 0-5 with developmental delays, disabilities, and/or mental health issues.

Indicator: % of parents who receive information from their doctor or other health care professionals when they have a concern about their children’s learning, development, or behavior.

Baseline Data: 53.1% (2012) AZ level data

2020 Target: Increase to 57%

Data Source: National Survey of Children's Health

4. Promote positive parenting behaviors to promote healthy parent-child relationships.

Indicator: % of families who report they are competent and confident about their ability to support their child’s safety, health, and well-being

Baseline Data:
Central Phoenix: 30%
North Phoenix: 34%
South Phoenix: 28%

2020 Target: Increase to:
Central Phoenix: 35%
North Phoenix: 37%
South Phoenix: 30%

Data Source: First Things First Regional Benchmarks 2020

Oral Health

1. Increase rate of dental screenings and dental varnishes.

Indicator: # of children who have received services from the Maricopa County Dental Sealant Program.

Baseline Data: 6,207 screened, 4,120 sealed, 15,536 sealants applied. (2015-16 school year)

2020 Target: Increase by 25%

Data Source: MCDPH Dental Sealant Program

2. Increase access and consumption of affordable, healthy foods for children 0-5 and their families.

See Nutrition and Physical Activity Indicators.

3. Increase oral health education at pediatrician’s offices and early child care centers.

Indicator: % of children ages 1-5 who had an annual dental visit in Maricopa County.

Baseline Data: 77% (2015)

2020 Target: Increase to 90%

Data Source: FTF Oral Health Report 2016

4. Identify and address key barriers to young children receiving follow-up and restorative oral health care treatment.

Data

Indicator: % of children in kindergarten in Maricopa County with tooth decay.

Baseline Data: 51% (2015)

2020 Target: Reduce to 35%

Data Source: FTF Oral Health Report 2016

Data

Indicator: % of children in kindergarten in Maricopa County with untreated tooth decay in their primary teeth.

Baseline Data: 25% (2015)

2020 Target: Reduce to 21%

Data Source: FTF Oral Health Report 2016

Data

Indicator: % of children in kindergarten in Maricopa County who have dental insurance.

Baseline Data: 74% (2015)

2020 Target: Increase to 85%

Data Source: FTF Oral Health Report 2016

5. Encourage families to reduce consumption of sugary drinks and foods through educational campaigns.

Indicator not yet determined

Injury Prevention

1. Reduce rates of child maltreatment of children ages 0-5.

Indicator: # of substantiated child maltreatment reports for children ages 0-5 in Maricopa County.

Baseline Data: Data needed

Data Source: DCS

2. Reduce motor vehicle traffic injuries.

Indicator: % of child fatalities (ages 0-4) caused by motor vehicle collisions in Maricopa County.

Baseline Data: 2% of all 0-4 fatalities reported (2013)

2020 Target: Reduce to 1.8%

Data Source: AZ Child Fatality Review Report for Maricopa County 2014

3. Reduce rates of suffocation and drowning.

Indicator: % of child (ages 0-4) fatalities caused by unintentional drowning in Maricopa County.

Baseline Data: 3% of all 0-4 fatalities reported (2013)

2020 Target: Reduce to 2.5%

Data Source: AZ Child Fatality Review Report for Maricopa County 2014

4. Promote a reduction in safety hazards in homes with children ages 0-5.

Indicator:% of unintentional suffocation deaths for children 0-12 months in Maricopa County.

Baseline Data: 4.3% (2014)

2020 Target: Reduce to 3.5%

Data Source: AZ Child Fatality Review Report for Maricopa County 2014

Indicator: # of non-fatal emergency department visits for injuries in children 0-5 in Maricopa County.

Baseline Data: 29,432 (2014)

2020 Target: Reduce by 10%

Data Source: AZ Child Fatality Review Report for Maricopa County 2014

Indicator: % of children 0-4 years who died from an accidental death in Maricopa County.

Baseline Data: 14.6% of all 0-4 fatalities reported (2014)

2020 Target: Reduce to 13.8%

Data Source: AZ Child Fatality Review Report for Maricopa County 2014