U.S. Department of Health and Human Services, Health Resources and Services Administration

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The Health Resources and Services Administration’s Maternal and Child Health Bureau (MCHB) is pleased to present Child Health USA 2008-2009, the 19th annual report on the health status and service needs of America’s children. MCHB’s vision is that of a Nation in which the right to grow to one’s full potential is universally assured through attention to the comprehensive physical, psychological, and social needs of the maternal and child population. To assess the progress toward achieving this vision, MCHB has compiled this book of secondary data for more than 50 health status and health care indicators. It provides both graphical and textual summaries of relevant data, and addresses long-term trends where applicable and feasible.

This edition of Child Health USA combines 2 calendar years in order to provide more timely data for public use. All of the data discussed within the text of these pages are from the same sources as the information in the corresponding graphs, unless otherwise noted. Data are presented for the target populations of Title V Maternal and Child Health Block Grant funding: infants, children, adolescents, children with special health care needs, and women of childbearing age. Child Health USA 2008-2009 addresses health status and health services utilization within this population, and offers insight into the Nation’s progress toward the goals set out in the MCHB’s strategic plan—to assure quality of care, eliminate barriers and health disparities, and improve the health infrastructure and system of care for women, infants, children, and families.

Child Health USA is published to provide the most current data available for public health professionals and other individuals in the public and private sectors. The book’s succinct format is intended to facilitate the use of the information as a snapshot of children’s health in the United States.

Population Characteristics is the first section and presents statistics on factors that influence the well-being of children, including poverty, education, and child care. The second section, entitled Health Status, contains vital statistics and health behavior information for the maternal and child population. Health Services Financing and Utilization, the third section, includes data regarding health care financing and utilization of selected health services. The final sections, State Data and City Data, contain information on selected indicators at those levels.

Child Health USA is not copyrighted and readers may duplicate and use all of the information contained herein; however, the photographs are copyrighted and permission may be required to reproduce. This and all editions of Child Health USA since 1999 are available online at http://www.mchb.hrsa.gov/mchirc/chusa.

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