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<h1 class="page__title title" id="page-title">Chartbook on Healthy Living</h1> <h2>Maternal and Child Health Care</h2>
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</div>
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<div class="field field-name-ahrq-generic-body field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even"><h3>Maternal and Child Health Care Measures</h3>
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<ul>
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<li><a href="#Access">Access</a>:
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<ul>
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<li>Periods of uninsurance.</li>
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</ul>
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</li>
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<li><a href="/research/findings/nhqrdr/2014chartbooks/healthyliving/hl-mch2.html">Effectiveness</a>:
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<ul>
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<li>Prenatal care.</li>
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<li>Receipt of recommended immunizations by young children.</li>
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<li>Children's vision screening.</li>
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<li>Well-child visits in the last year.</li>
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<li>Receipt of meningococcal vaccine by adolescents.</li>
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<li>Receipt of human papillomavirus (HPV) vaccination by adolescents.</li>
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</ul>
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</li>
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<li><a href="/research/findings/nhqrdr/2014chartbooks/healthyliving/hl-mch3.html">Person-Centered Care</a>:
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<ul>
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<li>Children who had a doctor's office or clinic visit in the last 12 months who reported poor communication with health providers.</li>
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</ul>
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</li>
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<li><a href="/research/findings/nhqrdr/2014chartbooks/healthyliving/hl-mch4.html">Patient Safety</a>:
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<ul>
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<li>Birth trauma—injury to neonates.</li>
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</ul>
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</li>
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<li><a href="/research/findings/nhqrdr/2014chartbooks/healthyliving/hl-mch5.html">Care Coordination</a>:
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<ul>
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<li>Children and adolescents whose health provider usually asks about prescription medications and treatments from other doctors.</li>
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<li>Emergency department (ED) visits with a principal diagnosis related to mental health, alcohol, or substance abuse.</li>
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<li>ED visits for asthma.</li>
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</ul>
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</li>
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</ul>
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<p><a id="Access" name="Access"> </a></p>
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<h3>Access: Children and Adolescents With Periods of Uninsurance</h3>
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<ul>
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<li>Coverage gaps ("uninsurance") are a significant factor in children's access to and use of care, as well as their health outcomes.<sup><a href="/research/findings/nhqrdr/2014chartbooks/healthyliving/hl-mch6.html#ref1">1-3</a></sup></li>
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<li>Resources through the Children's Health Insurance Program Reauthorization Act (CHIPRA) are designed to increase Medicaid/CHIP enrollment:
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<ul>
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<li>Outreach programs.</li>
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<li>Simplified enrollment strategies.<sup><a href="/research/findings/nhqrdr/2014chartbooks/healthyliving/hl-mch6.html#ref4">4</a></sup></li>
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</ul>
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</li>
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<li>Coverage gaps are still found for as many as 40 percent of new CHIP enrollees<sup><a href="/research/findings/nhqrdr/2014chartbooks/healthyliving/hl-mch6.html#ref5">5</a></sup> despite changes in State enrollment, renewal, and outreach processes.</li>
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</ul>
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<h4><strong>Children and Adolescents Without Insurance</strong></h4>
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<p><strong>Children and adolescents ages 0-17 years with any period of uninsurance during the year, by insurance, 2002-2012, and by race/ethnicity and income, 2012</strong></p>
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<p><img alt="Charts show children and adolescents ages 0-17 years with any period of uninsurance during the year, by insurance, by race/ethnicity and income. For details, go to tables below." src="hl-mchfig1.jpg" style="width: 695px; height: 355px;" /></p>
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<p>Left Chart:</p>
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<table border="1" cellpadding="3" style="width: 90%;">
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<tbody>
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<tr>
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<th scope="col">Year</th>
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<th scope="col">Total</th>
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<th scope="col">Other Non-Medicaid / CHIP</th>
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<th scope="col">Any Medicaid / CHIP</th>
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</tr>
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<tr>
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<td scope="row">2002</td>
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<td align="center">19.1</td>
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<td align="center">8.5</td>
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<td scope="row">20</td>
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</tr>
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<tr>
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<td scope="row">2003</td>
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<td align="center">18.4</td>
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<td align="center">8.1</td>
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<td align="center">19.5</td>
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</tr>
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<tr>
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<td scope="row">2004</td>
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<td align="center">17.9</td>
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<td align="center">7.8</td>
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<td align="center">17.7</td>
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</tr>
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<tr>
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<td scope="row">2005</td>
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<td align="center">17.7</td>
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<td align="center">8</td>
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<td align="center">19.1</td>
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</tr>
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<tr>
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<td scope="row">2006</td>
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<td align="center">18.2</td>
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<td align="center">8</td>
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<td align="center">20.2</td>
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</tr>
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<tr>
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<td scope="row">2007</td>
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<td align="center">19.7</td>
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<td align="center">8.4</td>
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<td align="center">19.6</td>
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</tr>
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<tr>
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<td scope="row">2008</td>
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<td align="center">20.1</td>
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<td align="center">9.9</td>
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<td align="center">19.4</td>
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</tr>
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<tr>
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<td scope="row">2009</td>
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<td align="center">16.7</td>
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<td align="center">7.1</td>
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<td align="center">17.1</td>
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</tr>
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<tr>
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<td scope="row">2010</td>
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<td align="center">15.8</td>
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<td align="center">6.2</td>
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<td align="center">16</td>
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</tr>
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<tr>
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<td scope="row">2011</td>
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<td align="center">15.1</td>
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<td align="center">6.3</td>
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<td align="center">14.7</td>
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</tr>
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<tr>
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<td scope="row">2012</td>
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<td align="center">14.3</td>
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<td align="center">7.2</td>
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<td align="center">12.9</td>
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</tr>
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</tbody>
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</table>
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<p>
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Right Chart:</p>
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<table border="1" cellspacing="3" style="width: 60%;">
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<tbody>
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<tr>
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<th scope="col">Race / Ethnicity</th>
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<th scope="col">Percent</th>
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</tr>
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<tr>
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<td scope="row">White</td>
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<td align="center">11.6</td>
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</tr>
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<tr>
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<td scope="row">Black</td>
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<td align="center">15.9</td>
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</tr>
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<tr>
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<td scope="row">Hispanic</td>
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<td align="center">19.6</td>
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</tr>
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<tr>
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<td scope="row">Poor</td>
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<td align="center">13.9</td>
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</tr>
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<tr>
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<td scope="row">Low Income</td>
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<td align="center">19.3</td>
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</tr>
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<tr>
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<td scope="row">Middle Income</td>
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<td align="center">17.5</td>
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</tr>
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<tr>
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<td scope="row">High Income</td>
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<td align="center">6.7</td>
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</tr>
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</tbody>
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</table>
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<p>
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<strong>Key: </strong>CHIP = Children's Health Insurance Program.<br />
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<strong>Source: </strong>Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2012.<br />
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<strong>Note: </strong>White and Black are non-Hispanic. Hispanic includes all races.</p>
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<ul>
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<li><strong>Trends: </strong>
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<ul>
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<li>The overall percentage of children and adolescents ages 0-17 years with any period of uninsurance during the year declined from 19.1% in 2002 to 14.3% in 2012.</li>
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<li>Among children and adolescents with any Medicaid or CHIP insurance, the percentage with any period of uninsurance during the year declined from 20.0% in 2002 to 12.9% in 2012.</li>
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<li>Among children and adolescents with other insurance alone, the percentage with any period of uninsurance during the year declined to a statistically nonsignificant degree, falling from 8.5% in 2002 to 7.2% in 2012.</li>
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</ul>
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</li>
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<li><strong>Groups With Disparities:</strong>
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<ul>
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<li>In 2012, White children (11.6%) were less likely to have a period of uninsurance than both Blacks (15.9%) and Hispanics (19.6%).</li>
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<li>In 2012, children in families with high incomes (i.e., those <u>></u>400% of the Federal poverty level) were less likely than children in every other income category (poor, low income, middle income) to have experienced a period of uninsurance (6.7% versus 13.9%, 19.3%, and 17.5%, respectively).</li>
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</ul>
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</li>
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</ul>
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<p><a href="/research/findings/nhqrdr/2014chartbooks/healthyliving/index.html">Return to Contents</a></p>
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</div></div></div><div class="field field-name-field-last-reviewed field-type-datestamp field-label-hidden">
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Page last reviewed <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2015-06-30T00:00:00-04:00">June 2015</span> <br />Page originally created September 2015 </div>
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Internet Citation: Maternal and Child Health Care. Content last reviewed June 2015. Agency for Healthcare Research and Quality, Rockville, MD. https://archive.ahrq.gov/research/findings/nhqrdr/2014chartbooks/healthyliving/hl-mch.html<div class="citation-flag"> </div> </div> <!--</div>--> <div class="footnote"> <p> The information on this page is archived and provided for reference purposes only.</p> </div> <p> </p> </div> </div></td> </tr> </tbody> </table> </td> </tr> </tbody> </table> </div>
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</body>
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</html>
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