Defining the Problem


Timely health check-ups are essential to support the optimal health and well-being of babies, toddlers, and young children across North Carolina. During well-child visits, healthcare professionals provide preventive care, such as immunizations, health screenings, such as lead screenings, and developmental and social-emotional screenings to identify possible health concerns as early as possible. Parents also have a chance to talk about their concerns for their child, get information, guidance, and advice about their child’s health and development, and get connected to the right services for their child.

The North Carolina Early Childhood Action Plan focuses on timely well-child check-ups, and also includes other important indicators of children’s health. For example, access to health insurance for children and families is critical to ensure that children receive the healthcare they need. Other services, including oral healthcare, lead screening, and immunizations, are important ways of protecting children from potential harmful environmental exposures and disease.

Goal 2 Target

Percent of North Carolina Children Aged 0 – 15 Months Enrolled in Medicaid and Health Choice Who Receive Regular Well-Child Visits 

Data Source: NC Medicaid, Healthcare Effectiveness Data and Information Set (HEDIS) Measures

*Technical note: Data assess children who turned 15 months old during the measurement year and had at least six well-child visits with a primary care physician during their first 15 months of life.

Percent of North Carolina Children Ages 3 – 6 Years Enrolled in Medicaid and Health Choice Who Receive Regular Well-Child Visits

Data Source: NC Medicaid, Healthcare Effectiveness Data and Information Set (HEDIS) Measures

*Technical note: Data assess children 3-6 years of age who received one or more well-child visits with a primary care practitioner during the measurement year.

Sub-Targets

Sub-Target 1: Health Insurance

Percent of Children Ages 0 – 8 in North Carolina by Insurance Status, 2016 

Percent of Children Ages 0 – 8 in North Carolina Without Health Insurance by Race, Ethnicity, 2016

Data Source: American Community Survey (ACS), U.S. Census Bureau

Percent of Heads of Household with Children Ages 0 - 8 by Insurance Status in North Carolina, 2016

Percent of Heads of Household with Children Aged 0 - 8 in North Carolina Without Health Insurance by Race, Ethnicity, 2016

Data Source: American Community Survey (ACS), U.S. Census Bureau

Sub-Target 2: Immunizations

 Percent of 19 – 35 Month-Old Children in North Carolina Who Are Up-To-Date on Immunizations

Data Source: National Immunization Survey, Centers for Disease Control

Sub-Target 3: Annual Dental Services

Percent of Children in North Carolina Enrolled in Medicaid Receiving at Least One Dental Service by a Dentist in the Last Year by Age Group, 2017

Data source: Dental Quality Alliance (DQA) Performance Measures, Division of Medical Assistance, North Carolina Department of Health and Human Services

*Technical note: This data comes from the Dental Quality Alliance (DQA) NQF# 2511 Utilization of Services measure. The measure identifies all children enrolled in Medicaid and Health Choice under age 21 who received at least one dental service within the reporting year. Data adheres to continuous enrollment of 180 days per technical specifications. Data above are shown for children enrolled in Medicaid only for specific age groups.

Sub-Target 4: Dental Varnishings 

Percent of Children Enrolled in Medicaid or Health Choice Receiving 4 or More Varnishings by 42 Months of Age

Data Source: Community Care for North Carolina (CCNC) Quarterly Measures and Feedback

Sub-Target 5: Lead Screening

Percent of Children in North Carolina Ages 1 and 2 Receiving Lead Screening

Data Source: NCLEAD Surveillance System, NC Childhood Blood Lead Surveillance System, Children’s Environmental Health, Division of Public Health (DPH), NC Department of Health and Human Services (NCDHHS) 

*Technical note: The above percentages are calculated by dividing the number of children ages 1 and 2 in North Carolina by the unduplicated count of children with blood lead samples collected during the calendar year in North Carolina. Starting in 2013, children are counted as being "tested" for lead poisoning until they are confirmed to have a lead level ≥5 micrograms per deciliter (µg/dL).  After a child has a "confirmed" lead level, the child is no longer counted as "tested" during subsequent years. Blood lead tests after lead level confirmation are considered "follow-up" test results and are not counted in the surveillance tables.The numbers reported for North Carolina Childhood Blood Lead Surveillance Data may vary somewhat from previous reports due to ongoing improvements in data quality and receipt of previously unreported test results from laboratories. 

Percent of Children in North Carolina Enrolled in Medicaid Receiving Lead Screening by 2nd Birthday

Data Source: NC Medicaid, Healthcare Effectiveness Data and Information Set (HEDIS) Measures

Percent of Children in North Carolina Ages 1 and 2 Receiving Lead Screening by County

Data Source: NCLEAD Surveillance System, NC Childhood Blood Lead Surveillance System, Children’s Environmental Health, Division of Public Health (DPH), NC Department of Health and Human Services (NCDHHS) 

*Technical note: The above percentages are calculated by dividing the number of children ages 1 and 2 in North Carolina by the unduplicated count of children with blood lead samples collected during the calendar year in North Carolina. Starting in 2013, children are counted as being "tested" for lead poisoning until they are confirmed to have a lead level ≥5 micrograms per deciliter (µg/dL).  After a child has a "confirmed" lead level, the child is no longer counted as "tested" during subsequent years. Blood lead tests after lead level confirmation are considered "follow-up" test results and are not counted in the surveillance tables.The numbers reported for North Carolina Childhood Blood Lead Surveillance Data may vary somewhat from previous reports due to ongoing improvements in data quality and receipt of previously unreported test results from laboratories. 


Sub-Target 6: Poverty

Percent of Families in North Carolina with Children Aged 0 - 8 Living at or Below 200% of the Federal Poverty Level

Data Source: American Community Survey (ACS), U.S. Census Bureau

Percent of Families in North Carolina with Children Aged 0 – 8 Living at or Below 200% of the Federal Poverty Level by Race, Ethnicity, 2016

Data Source: American Community Survey (ACS), U.S. Census Bureau