north carolina early childhood action plan · 2019. 11. 4. · young children in henderson county...

COUNTY DATA REPORTHENDERSON

NORTH CAROLINAEARLY CHILDHOODACTION PLAN

Table of Contents

Introduction………………………………………………………………………………….…….............…….. 3

County Demographics…………………………………………………………………………….............……. 4

Goal 1: Healthy Babies……………………………………………………………………………............……. 7

Goal 2: Preventive Health Services…………………………………………………………........….…........ 10

Goal 3: Food Security……………………………………………………………………………............……. 13

Goal 4: Safe and Secure Housing…………………………………….…………………........….…............ 15

Goal 5: Safe and Nurturing Relationships……………………………….……….…………........….…....... 18

Goal 6: Permanent Families for Children in Foster Care…………………………….……….…….……… 21

Goal 7: Social-Emotional Health and Resilience…………………………….……….…….……….……… 26

Goal 8: High-Quality Early Learning…………………………….……….….....….….......…………............ 27

Goal 9: On Track for School Success…………………………….……….….….….......…………............. 29

Goal 10: Reading at Grade Level…………………………….……….….….….......………….................... 32

Additional County Data Resources…………………………….……….….….….......…………................. 38

Acknowledgements…………………………….……….….….….......………….............……......……........ 39

Visit www.ncdhhs.gov/early-childhood to view the full North Carolina Early Childhood Action Plan............................................................................................................................................................................................... 2

........................................................................................................................................................................................................................................................................................................................................................................NC EARLY CHILDHOOD ACTION PLAN: HENDERSON COUNTY DATA REPORT TABLE OF CONTENTS

Introduction: NC Early Childhood Action Plan County Data ReportsThe NC Early Childhood Action Plan County Reports provide local data for the 10 goals and more than 50 measures that arethe foundation of the state’s Early Childhood Action Plan to achieve a bold vision: all North Carolina children will get ahealthy start and develop to their full potential in safe and nurturing families, schools, and communities. North Carolinagovernment, public, and private organizations have committed to making progress by 2025 with accountability to definedbenchmarks for each goal. The plan was created with input from more than 1,500 people representing a diversity ofperspectives, including parents, families, healthcare providers, child care providers, educators, school administrators, childadvocacy groups and researchers. For more information about the goals of the statewide NC Early Childhood Action Plan,visit www.ncdhhs.gov/early-childhood.

About the County Data Reports • Reports are accessible for all 100 counties, and include county data when it is available for all measures in the NC Early Childhood Action Plan. • Not every goal has an existing data source. For example: there is ongoing collaboration across NC to better assess the social and emotional wellness of young children. • Data for some measures may be suppressed at the county level when a population is too small to show reliable information that preserves the privacy of families.

Making MeaningFor data to be actionable, it requires context, engaging diverse perspectives to understand root causes, and intentional focusto acknowledge and then set aside assumptions. In addition, while the quantitative data shared in these reports is anessential tool, it is insufficient on its own. Lived experience is important data, particularly when it comes to understandingracial inequities in outcomes.Starting questions to consider include: • What do you notice when you look at the data? • Do you notice any patterns in the data? • Which groups of children and families are falling behind the most? • How does the data align with your direct experience with children and families? • Whose perspective is needed to understand the data?

Taking ActionStakeholder Engagement. Engage community stakeholders representing diverse perspectives in a data conversation.Stakeholders should be diverse in age, gender, income-level, and race and ethnicity. Think about who impacts the issue(e.g., policymakers, local government agencies, community-based organizations, early childhood programs), who isimpacted by the issue, and who is trusted by those impacted (e.g., faith community, advocacy organizations). Data can be atool to create community buy-in for aligned action.Strategic Planning. The information shared in the Early Childhood Action Plan County Reports can be used to supportongoing efforts on the local or statewide level that require detailed pictures of county-level outcomes for young children, suchas using this information to inform goal-setting for future changes in outcomes.Development Opportunities. Many foundations and other organizations devoted to philanthropic giving want to understandlocal data when making decisions about where to invest resources. Use the County Reports in your development activitiesand collaborate with potential funders in better understanding the needs of your community.

We hope the information provided in these reports is helpful. Please visit www.ncdhhs.gov/early-childhood to view the NCDepartment of Health and Human Services’ commitments to young children. There you can view the full North Carolina EarlyChildhood Action Plan, featuring our top ten goals as a state, and all Early Childhood County Reports.

For more information and resources on collaborative data analysis, see:

• School Reform Initiative: www.schoolreforminitiative.org/download/data-driven-dialogue/ • Idea Data Center – Data Meeting Toolkit: https://ideadata.org/data-meeting-toolkit • Idea Data Center – Engaging Stakeholders with State Data: https://ideadata.org/sites/default/files/media/documents/2019-06/Engaging_Stakeholders_With_State_Data_0.pdf • Collective Impact Forum: www.collectiveimpactforum.org/sites/default/files/Community%20Engagement%20Toolkit.pdf • Racial Equity Toolkit: An Opportunity to Operationalize Equity: www.racialequityalliance.org/resources/racial-equity-toolkit-opportunity-operationalize-equity/


........................................................................................................................................................................................................................................................................................................................................................................NC EARLY CHILDHOOD ACTION PLAN: HENDERSON COUNTY DATA REPORT INTRODUCTION

Young Children in Henderson County

In 2018, there were 1.1 million young children aged 8 or under in North Carolina. Overall, the state saw rapid growth in the populationof young children throughout the 1990s and early 2000s. However, the total number of children in this age group decreased slightlysince 2009. This population is also heavily concentrated geographically, with more than half living in only 13 counties across the state.

See below for information on demographics of young children aged 8 and under in Henderson County.

Yancey1,487

Wilson8,977

Watauga3,384

Washington1,181

Vance5,063

Tyrrell391

Transylvania2,547

Swain1,654

Stanly6,248

Scotland4,019

Rowan14,773

Richmond4,931

Perquimans1,176

Pamlico847

Orange12,780

Onslow28,059

Northampton1,641

New Hanover20,924

Montgomery2,822

Mitchell1,318

Mecklenburg129,125

McDowell4,318

Martin2,212

Madison1,869

Jones841

Jackson3,631

Iredell18,393

Hertford2,134

Henderson10,483

Haywood5,336

Halifax5,098

Greene1,998

Granville5,475

Gaston24,078

Edgecombe5,798

Durham35,397Davie

4,064Davidson16,866

Currituck2,754

Columbus5,496

Cleveland10,084

Clay889

Chowan1,299

Catawba16,631

Carteret5,525

Camden1,065

Cabarrus24,999

Burke7,858Buncombe

23,609

Brunswick9,955

Bertie1,597

Beaufort4,415

Avery1,241

Anson2,292

Alleghany886

Alamance17,420

Yadkin3,692

Wilkes6,451

Wayne14,529

Warren1,678

Wake124,176

Union26,438

Surry7,147

Stokes3,906

Sampson7,340

Rutherford6,348

Rockingham8,645

Robeson16,330

Randolph15,073

Polk1,430

Pitt18,875

Person3,889

Pender6,411

Pasquotank4,374

Nash9,791

Moore10,197Macon

3,131

Lincoln8,028

Lenoir5,969

Lee7,060

Johnston23,749

Hyde414

Hoke8,204

Harnett17,906

Guilford56,841

Graham782

Gates991

Franklin6,763

Forsyth42,056

Duplin6,896

Dare3,144

Cumberland43,573

Craven11,618Cherokee

2,256

Chatham6,655

Caswell1,930

Caldwell7,589

Bladen3,203

Ashe2,224

Alexander3,397

© 2019 Mapbox © OpenStreetMap

Number of Children Aged 0 – 8 by County in North Carolina, 2017

Data Source: CDC WONDER Bridged-Population Estimates

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

2016

2017

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000

10,000

11,000

Population

9,544

7,230

9,2499,187 9,761

7,344

9,066

7,551

9,994

8,9068,746

10,218

7,805

8,572

10,96110,938

8,040

10,463

10,46910,86410,48310,496

10,49810,794

10,555

8,341

10,618

8,206

Population of Children Aged 0 – 8 in Henderson County


For more information on the North Carolina Early Childhood Action Plan data sources, please view the NC Early Childhood Action Plan Data Appendix at https://files.nc.gov/ncdhhs/ECAP-DataAppendix-WEB.pdf

Population of Children Aged 0 – 8

Young Children in Henderson County


Data Source: U.S. Census Bureau, Small Area Income and Poverty Estimates

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

2016

2017

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percent of Total Population

14.1%

79.9%80.5%

77.9%

15.8%

11.6%

82.2%

2.8%

90.5%

74.9%

90.2%

3.5%

18.6%

89.8%

9.0%

89.4% 84.9%

4.4%

88.8%

73.3%

20.1%

88.3%

22.3%

22.2%

70.8% 70.8%

22.1%

70.9% 70.9%

5.8%

71.0%

71.0%

71.0%

71.1%

87.6%

21.9%

1.3%1.1%

21.7%

5.2% 5.2%

5.2%

21.1%

2.0%2.0%5.1% 5.1% 5.3%5.8%

0.9%

86.9%

5.7%

1.6%

21.3%

5.0%1.7%

4.8% 4.9%

0.8%

5.5%

Population of Children Aged 0 – 8 Years in Henderson County by Race, Ethnicity1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

2016

2017

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percent of Total Population

24.0%

24.5%

10.6%9.6%

60.2%

11.5%

60.8% 59.5%

8.6%

61.4%

12.4%

58.7%61.9%

7.5%

13.3%

68.2%

62.5%

57.8%

1.8%

67.7%

52.8%

2.2%

53.1%

6.4%

14.2%

63.3%

67.2%

57.0%

25.9%

2.8%

53.5%

17.6%25.4%

17.5%

66.6%

15.0%

64.1%

54.0%56.2%

17.2%

26.5%

28.5%

5.3%

25.0%28.4%28.4%

2.2%

16.9%

2.4%

64.6%

66.0%

28.2%

15.6%

54.5%

26.9%

3.8%

28.1%

3.8%

24.6%

16.7%

24.6%

2.7%

24.5%

24.5%

3.5%

27.9%

55.5%

24.4%27.8%

2.9%

65.1%65.6%

24.3% 24.3%

16.0%23.9% 24.2%

23.9%

3.0% 3.3%

55.0%

27.6%

1.3%

24.1%

1.3%

Population of Children Aged 0 – 8 Years in North Carolina by Race, Ethnicity


Race, EthnicityAfrican AmericanAmerican Indian or Alaska NativeAsian or Pacific IslanderHispanic or LatinoWhite

Race, EthnicityAfrican AmericanAmerican Indian or Alaska NativeAsian or Pacific IslanderHispanic or LatinoWhite

.........................................................................................................................................................................................................................................................................................................................................................................COUNTY DEMOGRAPHICSNC EARLY CHILDHOOD ACTION PLAN: HENDERSON COUNTY DATA REPORT

Economic Characteristics of Families with Children in North Carolina

Data Source: U.S. Census Bureau, American Community Survey 5-year Estimates, 2013 – 2017


Data Source: U.S. Census Bureau, Small Area Income and Poverty Estimates


Vance38.0%

Tyrrell35.0%

Pasquotank30.7%

Northampton40.1%

Hyde30.8%

Hertford36.7%

Columbus34.7%

Beaufort31.1%

Alleghany34.7%

Yancey25.5%

Rutherford24.4%

Pamlico30.5%

Montgomery27.3%

Mitchell25.6%

McDowell25.9%

Cleveland26.6%

Chowan29.2%

Avery27.5%

Transylvania24.3%

Swain24.0%

Rowan22.4%

Polk21.3%

New Hanover21.0%

Madison24.3%

Jackson22.5%

Gaston21.7%

Durham24.3%

Davidson21.5%

Caldwell22.1%

Brunswick21.5%

Watauga16.8%

Stanly19.6%

Orange11.2%

Mecklenburg16.8%

Iredell16.4%

Henderson17.5%

Davie17.1%

Currituck15.0%

Catawba18.7%

Camden10.7%

Cabarrus13.6% Wayne

31.1%

Washington40.7%

Warren33.0%

Scotland39.3%

Sampson31.1%

Robeson44.4%

Richmond37.1%

Martin30.7%

Lenoir37.7%

Jones32.6%

Halifax40.2%

Greene43.7%

Edgecombe38.5%

Bertie39.2%

Anson33.0%

Wilson28.7%

Wilkes24.7%

Pitt29.6%

Perquimans28.0%

Macon26.5%

Graham28.0%

Forsyth25.1%

Duplin30.5%

Cumberland25.1%

Craven26.4%

Clay27.4%

Cherokee28.8%

Caswell28.8%

Bladen28.4%

Ashe25.1%

Yadkin22.0%

Surry23.1%

Rockingham23.9%

Randolph23.4%

Person21.9%

Nash23.9%

Lee22.9%

Johnston21.4%

Hoke23.2%

Haywood22.5%

Harnett22.9%

Gates22.6%

Franklin23.9%

Carteret20.9%

Burke22.1%

Wake11.6%

Union11.6%

Stokes20.6%

Pender17.5%

Onslow18.3%

Moore14.8%

Lincoln15.1%

Guilford19.7%

Granville17.0%

Dare16.3%Chatham

16.0%Buncombe17.6%

Alexander16.1%

Alamance20.6%


Percent of Children Under 18 Living in Poverty by County, 2017

Watauga$61,250 Orange

$92,763

New Hanover$66,147

Mecklenburg$73,182

Henderson$58,777

Granville$59,805

Gates$78,266

Durham$61,088Davie

$69,650

Currituck$76,546

Carteret$59,474

Camden$73,182

Cabarrus$77,139Stanly

$53,033

Person$50,814

Mitchell$53,088

Madison$50,274

Macon$50,327

Jackson$53,893

Gaston$53,934

Franklin$50,425

Davidson$56,897

Caldwell$54,289

Brunswick$50,697

Avery$52,756 Alamance$50,616

Yancey$49,896

Wilson$42,063

Swain$48,586 Rutherford

$43,256

Rowan$49,454

Pasquotank$49,560

Onslow$49,223

Cleveland$45,342

Clay$44,516

Burke$46,203

Beaufort$49,167

Vance$31,808

Tyrrell$35,060

Transylvania$37,500

Northampton$29,417

Montgomery$40,960

McDowell$39,996

Martin$36,278

Jones$36,574

Hertford$34,780

Greene$34,984

Columbus$41,157

Chowan$31,298

Alleghany$37,805

Wake$94,752

Union$86,162

Pender$69,828

Moore$71,879

Lincoln$64,545

Johnston$64,335

Iredell$71,996

Hyde$73,802

Chatham$66,798

Caswell$58,183

Buncombe$60,338

Alexander$58,656

Stokes$55,962

Polk$52,353

Pitt$55,736

Nash$52,275

Lee$52,734

Haywood$53,004

Harnett$55,364

Guilford$54,757

Forsyth$53,281

Dare$56,171

Craven$52,891

Catawba$55,940

Yadkin$47,467

Wilkes$47,428

Wayne$43,924

Surry$47,426

Sampson$42,211

Rockingham$47,312

Randolph$47,811

Perquimans$42,455

Pamlico$48,750

Hoke$48,029

Cumberland$46,602

Cherokee$47,847

Bladen$44,951

Ashe$46,649

Washington$30,116

Warren$40,474

Scotland$31,593

Robeson$33,755

Richmond$33,283

Lenoir$38,240

Halifax$33,655

Graham$40,798

Edgecombe$30,797

Duplin$36,065

Bertie$39,561

Anson$38,463


Median Annual Income of Families with Children Under 18 by County, 2013-2017

.........................................................................................................................................................................................................................................................................................................................................................................COUNTY DEMOGRAPHICSNC EARLY CHILDHOOD ACTION PLAN: HENDERSON COUNTY DATA REPORT

Annual Median Income of Families with Children Under 18 Years of Age$29,417 - $41,157$41,158 - $49,896$49,897 - $56,897$56,898 - $94,752

Percent of Children Under 18 Living in Poverty10.7% - 20.6%20.7% - 24.3%24.4% - 30.5%30.6% - 44.4%

Babies across North Carolina from all backgrounds will have a healthy start in their first year of life.

Babies across North Carolina from all backgrounds deserve to have a healthy start. Unfortunately, too many babies in our stateface great challenges, as early as birth, from outcomes such as preterm birth, low birth weight, and birth defects. North Carolinahad the 11th highest single-year infant mortality rate in the country in 2017, at a rate of 7.1 per 1,000 live births, compared to thenational rate of 5.8 per 1,000. In North Carolina, troubling disparities in infant mortality exist among populations. Most notably,African American infant deaths persistently occur at more than double the rate of white infant deaths.

The data in this section outline key indicators for Healthy Babies at the county level. Visit www.ncdhhs.gov/early-childhood formore information on this goal in the NC Early Childhood Action Plan.

2.0x*____________________________________

Rate of African Americaninfant deaths comparedto white infant deaths inHenderson County,2013 – 2017

7.9%____________________________________

Percent of babies born ata low birth weight (

2012 2013 2014 2015 2016 2017

0.0

2.0

4.0

6.0

8.0

10.0

Infant Mortality Rate/1,000 Live Births

4.7*4.8*4.5*4.4*

10.0*

0.0*

5.45.6 5.0

5.55.5

5.1

5.75.2 5.4

5.0

Trends in Infant Mortality Rates in Henderson County, Five-YearEstimates

2012 2013 2014 2015 2016 20170.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

Infant Mortality Rate/1,000 Live Births

13.014.0

12.912.9

7.27.27.5

13.6

7.3

5.45.45.45.6 5.5 5.3

12.7

7.17.1

Trends in Infant Mortality Rates in North Carolina, Five-YearEstimates

Wilson9.1

Tyrrell9.3*

Pamlico14.1*

Northampton9.8*

Hertford18.2Halifax

9.7

Gates9.7*

Columbus10.9

Cleveland9.4

Clay9.1*

Beaufort12.5

Watauga8.2

Vance8.6

Swain8.5*

Stanly7.5

Rowan8.2

Montgomery8.7

Madison8.1*

Lee7.5

Greene7.7*

Avery8.9* Alamance8.1

Polk6.7*

Onslow6.5

Mecklenburg6.1

Mcdowell7.4

Martin7.3*

Jackson7.3

Durham6.4

Catawba7.1

Carteret6.7

Burke7.4

Yancey1.2*

Transylvania4.4*

Pasquotank5.2

Orange3.9

New Hanover4.6

Mitchell2.8*

Jones2.1*

Currituck5.4*

Chowan5.7*

Brunswick5.5

Alleghany2.0*

Camden*

Washington12.6*

Robeson11.6

Richmond9.3

Pitt10.9

Person9.5

Hyde9.2*

Edgecombe11.7

Cumberland9.7

Cherokee11.6

Chatham10.7

Bladen11.0

Bertie14.8

Anson11.2

Wilkes8.0

Warren8.7*

Scotland8.9

Rockingham8.2

Randolph8.6

Pender8.9

Nash8.3

Macon8.2

Iredell8.7

Harnett8.1

Guilford8.4

Granville8.1

Forsyth8.2

Duplin8.3

Caldwell8.2

Yadkin7.3

Rutherford7.4

Lenoir7.4

Johnston6.7

Hoke6.1

Haywood7.2

Gaston7.1

Franklin7.2

Davidson6.2

Craven6.5

Caswell6.8*

Buncombe6.4

Ashe7.2*

Alexander7.3

Wayne5.4

Wake5.3

Union5.1

Surry6.0

Stokes5.6

Sampson5.7

Perquimans1.6*

Moore6.0

Lincoln5.0

Henderson5.4

Graham2.4*

Davie5.2

Dare2.9*

Cabarrus5.6


Infant Mortality Rates in North Carolina by County, Five-Year Estimates, 2013 – 2017

Data Source: State Center for Health Statistics (SCHS), Division of Public Health (DPH), NC Department of Health and Human Services (NCDHHS)

Technical notes: Infant mortality rates are calculated as the number of infant (under 1 year of age) deaths divided by the total number of live births during the same time period. Rates are shown in infant deaths per 1,000 livebirths. A * indicates a value was was based on small numbers (a count of less than 10). Rates based on small numbers are considered unreliable and should be interpreted with caution.


Technical notes: A * indicates a value or measurement was based on small numbers (a count of less than 10). Values based on small numbers are considered unreliable and should be interpreted with caution. An infantmortality disparity rate of * with no value indicates that there were zero deaths for a particular race or ethnicity subgroup resulting in an infant mortality disparity rate of zero for the measurement period.

Race, EthnicityAllBlack, Non-HispanicWhite, Non-Hispanic

Race, EthnicityAllBlack, Non-HispanicWhite, Non-Hispanic


NORTH CAROLINA


.........................................................................................................................................................................................................................................................................................................................................................................

HENDERSONCOUNTY

© Mapbox © OSM

Infant Mortality Rate per 1,000 Live Births01.2 - 6.06.1 - 7.47.5 - 8.99.0 - 18.2

NC EARLY CHILDHOOD ACTION PLAN: HENDERSON COUNTY DATA REPORT GOAL 1: HEALTHY BABIES

Technical note: A * indicates a value or measurement wasbased on small numbers (a count of less than 10). Valuesbased on small numbers are considered unreliable andshould be interpreted with caution.

Data Source: State Center for Health Statistics (SCHS), Division of Public Health (DPH), NC Department of Health and Human Services (NCDHHS)

Wilson11.3%

Vance12.3%

Northampton11.8%

Montgomery11.0%

McDowell10.6%

Martin12.3%

Hertford10.7%

Gates11.6%

Columbus11.8%

Cleveland10.8%

Beaufort10.7%

Avery11.3%

Yancey9.3%

Yadkin9.3%

Stanly10.2%

Rowan10.0%

Pasquotank9.4%

Pamlico10.1%

Mecklenburg9.5%

Jackson9.5%

Davidson9.6%

Chowan9.7%

Brunswick9.4%

Alamance9.5%

Transylvania9.1%

Rutherford8.9%

Madison9.2%

Macon8.6%

Iredell8.7%

Durham8.8%Davie

8.6%

Cabarrus8.8%

Burke9.0%

Tyrrell5.9%*

Swain8.3%

Orange7.5%

Onslow6.8%

New Hanover8.2%

Mitchell8.4%

Jones7.6%

Henderson7.9%

Currituck8.5%

Catawba8.5%

Carteret7.0%

Camden5.8%

Alleghany7.7%

Washington11.9%

Warren11.4%

Scotland14.0%

Robeson12.2%

Richmond12.0%

Lenoir10.7%

Halifax12.0%

Greene10.8%

Edgecombe12.8%

Caswell11.2%

Bladen10.9%

Bertie13.3%

Anson12.7%

Wilkes9.7%

Rockingham9.4%

Pitt10.3%

Person10.0%

Nash9.6%

Lee10.0%

Hoke9.4%

Haywood9.4%

Guilford9.8%

Granville9.7%

Gaston9.6%

Forsyth10.5%

Cumberland10.1%

Cherokee9.5%

Chatham9.3%

Caldwell10.3%

Wayne8.8%

Surry8.7%

Sampson9.0%

Randolph8.6%

Pender8.6%

Moore8.9%

Lincoln8.6% Harnett

8.7%Graham8.6%

Franklin9.1%

Duplin8.7%

Ashe8.6%

Watauga8.4%

Wake7.9%

Union7.7%

Stokes8.3%

Polk7.0%

Perquimans7.0%

Johnston8.4%

Hyde5.2%*

Dare6.3%

Craven8.3%

Clay8.5%

Buncombe8.5%

Alexander8.4%


Percent of Babies Born at a Low Birth Weight (

Babies, toddlers, young children and their families will have regular, ongoing access to high-quality health services.

Timely health check-ups are essential to supporting the optimal health and well-being of babies, toddlers and young childrenacross North Carolina. During well-child visits, healthcare professionals provide preventive care such as immunizations, leadscreenings, and developmental and social emotional screenings to identify possible health issues as early as possible. Parentsalso have a chance to talk about their concerns, get information, guidance and advice about their child’s health anddevelopment, and get connected to the right services for their child. NC Medicaid has seen an upward trend in well-child visitsfor children aged 0 –15 months, as well as 3 – 6 years, from 2012 – 2017.

The data in this section outline key indicators for Preventive Health Services at the county level. Visitwww.ncdhhs.gov/early-childhood for more information on this goal in the NC Early Childhood Action Plan.

62.5%________________________Percent of ChildrenAged 0 – 15 MonthsEnrolled in Medicaidand Health ChoiceWho Received RegularWell-Child Visitsin North Carolina,2017

69.9%________________________Percent of ChildrenAged 3 – 6 YearsEnrolled in Medicaidand Health ChoiceWho Received RegularWell-Child Visitsin North Carolina,2017

4.3%_____________________Percent of ChildrenAged 0 – 8 YearsWithout HealthInsurance inNorth Carolina, 2016

19.8%_____________________Percent of Heads ofHouseholds WithChildren Aged 0 – 8Years WithoutHealth Insurance inNorth Carolina, 2016

Ages 0 – 15 Months Ages 3 – 6 Years

2011 2012 2013 2014 2015 2016 2017 2018Year

2011 2012 2013 2014 2015 2016 2017 2018Year

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

55.7%

62.5%61.6% 61.7%

54.6%54.4% 59.4%

70.1%66.5%

54.0%

58.9% 59.3%63.6%

69.9%68.2%64.1% 68.8%

69.3%

72.0%71.9%

71.7%73.0%72.2%

65.6%

71.5%71.3%

Percent of Children Enrolled in Medicaid and Health Choice Who Received Regular Well-Child Visits

54.9%________________________Percent of ChildrenAged 1 and 2Receiving Screeningfor ElevatedBlood Lead Levelsin North Carolina,2017

60.7%________________________Percent of ChildrenAged 1 and 2Receiving Screeningfor ElevatedBlood Lead Levelsin Henderson County,2017

70.1%________________________Percent of ChildrenAged 0 – 15 MonthsEnrolled in Medicaidand Health ChoiceWho Received RegularWell-Child Visits inHenderson County,2017

71.7%________________________Percent of ChildrenAged 3 – 6 YearsEnrolled in Medicaidand Health ChoiceWho Received RegularWell-Child Visits inHenderson County,2017

Goal 2: Preventive Health Services

Visit www.ncdhhs.gov/early-childhood to view the full North Carolina Early Childhood Action Plan............................................................................................................................................................................................ 10

Data Sources: Well-Child Visits Data: NC Medicaid, Healthcare Effectiveness Data and Information Set (HEDIS) Measures; Health Insurance Data: American Community Survey (ACS), U.S. Census Bureau; Lead Data: NCLEADSurveillance 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 notes: Well-child visits data for the 0-15 month age group assess children who turned 15 months old during the measurement year and had at least 6 well-child visits with a primary care physician during their first15 months of life. Well-child visits data for the for the 3-6 year age group assess children 3-6 years of age who received one or more well-child visits with a primary care practitioner during the measurement year. Only twoyears of well-child visits data are available at the county-level at this time. However, DHHS is working to make additional county-level data available.


Henderson North Carolina United States

NORTH CAROLINA


COUNTY DATA NOTYET AVAILABLE


........................................................................................................................................................................................................................................................................................................................................................................

HENDERSONCOUNTY

© Mapbox © OSM

GOAL 2: PREVENTIVE HEALTH SERVICESNC EARLY CHILDHOOD ACTION PLAN: HENDERSON COUNTY DATA REPORT

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

Technical notes: For the 0-15 month age group, data assess children who turned 15 months old during the measurement year and attended at least 6 well-child visits with a primary care physician during their first 15 monthsof life. For the 3-6 year age group, data assess children 3-6 years of age who attended one or more well-child visits with a primary care practitioner during the measurement year.

Watauga70.3%

Tyrrell72.4%

Transylvania76.1%

Richmond74.0%

Pasquotank72.5%

Montgomery74.0%

Madison74.2%

Jones69.6%

Henderson70.1%

Haywood74.3%

Granville69.4%

Currituck77.3%

Catawba70.0%

Camden78.6%

Burke85.5%

Buncombe70.8% Beaufort74.9%

Alamance70.5%Yancey

66.3%

Vance63.9%

Stanly68.5%

Orange69.3%

Onslow65.4%

McDowell67.1%

Davie65.7%

Brunswick64.0%

Wilson61.8%

Perquimans61.8%

Pamlico60.9%

Northampton61.0%

New Hanover63.8%

Mitchell59.8%

Iredell62.3%

Durham63.6%

Davidson58.6%

Cleveland59.8%

Chowan63.5%

Cabarrus63.8%

Avery57.1%

Washington49.5%

Swain43.3%

Scotland49.2%

Rutherford48.8%

Rowan55.7%

Mecklenburg56.0%

Martin38.1%

Jackson56.8%

Hertford29.9%

Greene38.3%

Edgecombe55.8%

Columbus52.0%

Bertie33.3%

Alleghany47.6%

Wayne70.4%

Person69.6%

Nash73.2%

Moore73.2%Macon

76.3%

Dare76.6%

Carteret76.7%

Wilkes67.5%

Warren67.1%

Wake67.1%

Surry65.4%

Sampson66.6%

Rockingham65.8%

Lincoln65.8%

Lee67.6%

Johnston68.0%

Hoke68.2%

Harnett65.1%

Guilford65.4%

Franklin67.2%

Craven64.0%

Caldwell64.5%

Ashe67.2%

Alexander64.3%

Yadkin61.8%

Union60.6%

Stokes60.8%

Randolph58.5%

Pender63.5%

Hyde63.2%

Halifax63.6%

Graham61.9%

Gates60.0%

Cumberland62.3%

Clay63.2%

Caswell58.7%

Robeson54.8%

Polk56.5%

Pitt53.9%

Lenoir49.5%

Gaston54.0%

Forsyth55.7%

Duplin55.7%

Cherokee47.2%

Chatham55.9%

Bladen54.8%

Anson51.3%


Percent of Children Aged 0 – 15 Months Enrolled in Medicaid and Health Choice Who ReceivedRegular Well–Child Visits, 2017

Watauga73.2%

Stanly76.3%

Perquimans75.0%Orange

76.3%

Montgomery77.3%

Macon74.3% Jones

74.2%

Halifax72.9%

Currituck73.4%

Carteret82.1%

Alleghany77.1%

Alamance73.2%

Tyrrell71.9%

Transylvania72.1%

Richmond72.0%

Pasquotank71.5%

Pamlico71.4%

Northampton70.5%

New Hanover72.8%

Mitchell71.8%

Martin71.5%

Hertford70.9%

Henderson71.7%

Columbus71.2%

Catawba72.6%

Washington68.3%

Vance68.1%

Onslow67.7%

Mecklenburg68.3%

McDowell68.7%

Madison70.2%

Iredell68.9%

Durham68.8%

Cabarrus69.4%

Avery68.1%

Anson67.9%

Yancey67.4%

Swain46.9% Rutherford

58.6%Jackson57.3%

Granville65.3%

Gates67.2%

Cleveland65.2%

Chowan66.0%

Camden67.2%

Brunswick66.2%

Yadkin74.5%

Wilkes75.1%

Surry76.5%

Johnston74.1%

Hyde78.0%

Haywood73.0% Greene76.5%

Davie75.9%

Dare77.8%Chatham

73.0%

Burke76.5%

Beaufort74.0%

Ashe76.9%

Alexander73.6%

Wayne70.2%

Wake71.3%

Sampson72.5%

Rowan70.7%

Pender72.6%

Nash70.5%

Lincoln70.2%

Lee71.6%

Forsyth71.6%

Edgecombe72.8%

Craven72.1%

Buncombe72.1%

Union68.9%

Stokes70.1%

Robeson70.0%

Randolph67.6%

Pitt68.2%

Person70.2%

Lenoir67.7%

Hoke67.9%

Harnett68.9%

Franklin70.2%

Duplin68.4%

Davidson70.0%

Cumberland68.9%

Caswell68.1%

Wilson67.5%

Warren64.9%

Scotland67.0%

Rockingham67.2%

Polk60.6%

Moore66.4%

Guilford67.4%

Graham65.6% Gaston

66.0%

Clay59.4%

Cherokee62.1%

Caldwell67.4%

Bladen64.6%

Bertie64.6%


Percent of Children Aged 3 – 6 Years Enrolled in Medicaid and Health Choice Who ReceivedRegular Well–Child Visits, 2017


Visit www.ncdhhs.gov/early-childhood to view the full North Carolina Early Childhood Action Plan............................................................................................................................................................................................. 11

.........................................................................................................................................................................................................................................................................................................................................................................

Percent Receiving Recommended Number of Well-Child Visits29.90% - 56.80%56.81% - 63.80%63.81% - 69.30%69.31% - 85.50%

Percent Receiving Recommended Number of Well-Child Visits46.90% - 67.60%67.61% - 70.20%70.21% - 72.90%72.91% - 82.10%


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 inNorth 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 isno 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 NorthCarolina 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.

Wilson80.3%

Transylvania77.5%

Stanly82.7%

Pasquotank78.4%

Pamlico87.4%

Northampton77.2%

Montgomery89.9%Jackson

77.0%

Hertford77.3%

Greene72.4%

Davidson72.7%

Cleveland73.5%

Beaufort74.5%

Watauga69.5%

Perquimans70.5%

New Hanover70.7%

Madison63.5%

Jones68.2%

Columbus69.7%

Cherokee64.9%

Carteret70.3%

Camden63.3%Vance

56.4%

Tyrrell56.7%

Swain59.8%

Rowan55.5%

Richmond62.3%

Mcdowell60.7%

Henderson60.7%

Granville60.4%

Clay58.2%

Chowan54.5%

Catawba56.1%

Brunswick58.4%

Alamance61.8%

Rutherford37.7%

Polk36.1%

Orange47.2%

Onslow43.3%

Mitchell47.3%

Mecklenburg32.7%

Iredell52.5%

Gates48.2%

Durham48.5%

Currituck36.2%

Cabarrus47.6%

Avery49.0%

Anson42.3%

Sampson78.1%

Nash81.7%

Moore77.1%

Haywood71.5%

Halifax86.1%

Guilford75.0%

Graham91.9%

Edgecombe73.8%

Caldwell71.5%

Bladen77.2%

Bertie71.3%

Wilkes68.2%

Wayne68.8%

Washington64.9%

Warren66.4%

Robeson65.1%

Randolph65.6%

Pender66.9%

Macon64.5%

Lenoir65.2%

Lee70.5%

Hyde63.6%

Forsyth64.2%

Davie63.2%

Craven67.8%

Caswell63.7%

Burke70.8%

Ashe63.8%

Yadkin62.2%

Surry61.6%

Stokes60.1%

Scotland60.8%

Person56.7%

Martin60.8%

Johnston57.1%

Harnett54.2%

Franklin61.2%

Duplin60.9%

Buncombe62.9%

Alexander59.5%

Yancey42.0% Wake

45.6%

Union41.0%

Rockingham51.8%

Pitt53.8%Lincoln

46.7%

Hoke48.8%

Gaston44.9%

Dare43.5%

Cumberland38.5%

Chatham52.8%

Alleghany40.7%


Percent of Children Aged 1 and 2 Receiving Lead Screening by County, 2017

2013 2014 2015 2016 20170.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

49.5%

53.6%

34.8%

57.0%

51.7%

51.8%52.4%

47.4%

54.9%

60.7%

Percent of Children Aged 1 and 2 Receiving Lead Screening


Visit www.ncdhhs.gov/early-childhood to view the full North Carolina Early Childhood Action Plan.............................................................................................................................................................................................. 12

HENDERSONCOUNTY

© Mapbox © OSM

.........................................................................................................................................................................................................................................................................................................................................................................

NORTH CAROLINA


Percent of Children Aged 1 and 2 Screened for Elevated Lead Levels32.7% - 53.8%53.9% - 62.9%63.0% - 70.8%70.9% - 91.9%


Henderson North Carolina

VS.

Babies, toddlers, young children and their families across North Carolina will have access toenough healthy food every day.

Today, too many North Carolina children don't know if there will be enough food for them every day, or do not get enoughquality, nutritious food. More than one in five children across the state, totaling almost 500,000, lived in food-insecure homes in2016. According to this data, in some North Carolina counties, nearly one in three children face food insecurity. This putsyoung children at risk for negative health, developmental, behavioral and academic outcomes. While the rate of food insecurityhas gone down slightly in recent years, multiple reports indicate that North Carolina’s families face food insecurity at higherrates than much of the country. A recent United States Department of Agriculture report on overall food insecurity in the U.S.ranks North Carolina as the ninth highest rate of hunger of any state in the nation.

The data in this section outline key indicators for Preventive Health Services at the county level. Visitwww.ncdhhs.gov/early-childhood for more information on this goal in the NC Early Childhood Action Plan.

20.9%____________________________________

Percent of ChildrenAged 0 – 17Who are Food Insecurein North Carolina, 2016

19.0%____________________________________

Percent of ChildrenAged 0 – 17Who are Food Insecurein Henderson County, 2016

30.7%____________________________________

Percent of Children Aged2 – 4 Who ReceiveWIC, and Are Classified asEither Overweight or Obesein North Carolina, 2017

29.2%____________________________________

Percent of Children Aged2 – 4 Who ReceiveWIC and Are Classified asEither Overweight or Obesein Henderson County, 2017

Wilson26.8%

Washington27.4%

Warren25.1%

Vance25.8%

Tyrrell27.9%

Swain27.6%

Richmond27.0%

Northampton30.2%

Jones27.2%

Jackson24.6%

Hertford25.0%Halifax26.8%

Columbus24.6%

Chowan25.8%

Alleghany24.3%

Yancey23.4%

Transylvania23.4%

Rutherford24.2%

Rowan22.6%

Perquimans23.7%

Pamlico23.0%

Montgomery22.7%

Mitchell23.5%

McDowell23.5%

Martin23.5%

Macon24.2%

Haywood23.1% Greene22.9%

Cleveland23.6%

Clay22.6%

Cherokee24.1%

Burke23.5%

Anson23.3%

Watauga21.5%

Stanly21.8%

Polk22.2%

Pasquotank22.5%

Gaston21.9%

Davidson21.2%

Alamance21.4%

Orange16.1%

Onslow20.4%

New Hanover20.3%

Mecklenburg18.2%

Iredell19.4%

Henderson19.0%

Granville19.8%

Durham19.6%Davie

20.5%

Currituck18.7%

Catawba20.9%

Camden20.1%

Cabarrus17.8%

Beaufort20.7%

Avery20.9%

Scotland30.6%

Robeson28.7%

Lenoir24.6%

Hyde25.3%

Graham24.6%

Edgecombe27.9%

Duplin24.8%

Bladen27.5%

Bertie25.2%

Wilkes23.0%

Wayne24.1%

Sampson23.3%

Rockingham23.1%

Hoke23.1%

Caswell24.1%

Ashe23.2%

Yadkin22.2%

Surry21.2%

Stokes21.3%

Randolph21.6%

Pitt21.9%

Person22.3%

Pender21.4%

Nash21.9%

Moore21.0%

Madison21.8%

Lee21.2% Harnett

21.1%

Guilford21.0%

Forsyth21.7%

Cumberland22.1%

Craven21.6%

Caldwell21.5%

Alexander22.3% Wake

16.5%

Union16.5%

Lincoln20.4%

Johnston19.4%

Gates20.5%

Franklin20.0%

Dare18.9%Chatham

18.7%

Carteret20.7%

Buncombe19.6%


Child Food Insecurity Rates for Children Ages 0 – 17 Years by County, 2016

Data Sources: Child Food Insecurity Data: Feeding America; WIC Participation Program Data: NC Women, Infants, and Children (WIC) Program, Nutrition Services Branch, Division of Public Health (DPH), NC Department ofHealth and Human Services (NCDHHS); Data on Children Who Receive WIC and Are Classified as Overweight or Obese: Crossroads WIC MIS, NC Women, Infants, and Children (WIC) Program, Nutrition Services Branch,Division of Public Health (DPH), NC Department of Health and Human Services (NCDHHS)

61.4%____________________________________

Percent of Eligible FamiliesReceiving State and FederalSupplemental Food/NutritionAssistance Benefits fromWomen, Infants, andChildren (WIC) Programin North Carolina, 2017

Goal 3: Food Security



NORTH CAROLINA


Child Food Insecurity Rate16.1% - 20.9%21.0% - 22.5%22.6% - 24.2%24.3 - 30.6%


.........................................................................................................................................................................................................................................................................................................................................................................

HENDERSONCOUNTY

© Mapbox © OSM

GOAL 3: FOOD SECURITYNC EARLY CHILDHOOD ACTION PLAN: HENDERSON COUNTY DATA REPORT

Technical note: "COUNTY DATA NOT YET AVAILABLE" indicates that data have not yet been accessed or fully analyzed at the county level. NC DHHS will continue to work towards accessing as much data as possible atthe county level to support local work.

Data Source: NC Women, Infants, and Children (WIC) Program, Nutrition Services Branch, Division of Public Health (DPH), NC Department of Health and Human Services (NCDHHS)

Technical notes: Children served in NC WIC Clinics are at or below the 185% FPL. Therefore, these children may not be representative of general children population in NC. Data were not collected in 2013. In 2014, data wereonly collected at the local health department agency level, so county-level data are not shown for that year.

2010 2011 2012 2014 2015 2016 20170.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

29.4%29.2%30.7%30.7%

26.7%

32.3%

28.0%

29.7%31.9%

31.8% 29.2%29.4%

31.7%

Percent of Children in North Carolina Aged 2 – 4 Who Receive WIC, and Who AreClassified as Either Overweight or Obese

Yancey35.8%

Watauga37.8%

Northampton34.3%

Montgomery36.3%

Halifax37.6%

Clay40.3%

Chowan38.2%

Catawba54.0%

Brunswick36.0%

Anson34.8%

Pasquotank33.7%

Iredell32.9%

Haywood31.6%

Davie32.1%

Davidson31.5%

Columbus32.2%

Cabarrus32.8%

Alamance32.6%

Wilson30.3%

Washington29.3%

Transylvania29.2%

Stanly28.3%

Richmond30.0%

Perquimans29.9%

Jones30.4%

Jackson29.3%

Hertford28.7%

Henderson29.2%

Currituck30.9%

Cherokee28.5%

Beaufort29.3%

Avery28.3%

Alleghany28.6% Vance26.3%

Tyrrell22.9%

Swain25.0%

Rowan27.4%

Pamlico26.5%

Orange26.0%

Onslow24.1%

Mitchell26.7%

Mecklenburg27.3%

Mcdowell25.5%

Gaston26.9%

Durham28.0%

Cleveland28.1%

Camden22.6%

Wilkes38.5%

Warren38.3%

Union36.5%

Surry39.5%

Nash34.7% Martin

36.2%

Lincoln35.6%

Graham40.1%

Franklin56.2%

Duplin36.0%

Dare35.3%Chatham

35.1%

Caldwell35.4%

Bladen36.4%

Ashe36.4%

Yadkin33.3%

Stokes32.1%

Sampson31.7%

Rutherford32.6%

Robeson34.0%

Randolph32.9%

Pitt31.2%

Pender32.5%

Madison33.5%

Lee32.7%

Johnston32.2% Greene32.1%

Gates32.3%

Forsyth31.5%

Carteret32.1%

Burke33.4%

Alexander34.2%

Wayne29.8%

Wake30.4%

Scotland29.8%

Rockingham30.7%

Polk28.3%

Person30.4%

New Hanover29.8%

Moore31.0%

Hyde29.8%

Guilford30.5%

Craven29.5%Macon

11.8%

Lenoir26.4%

Hoke26.2%

Harnett27.3%

Granville26.8%

Edgecombe27.3%

Cumberland23.6%

Caswell27.0%

Buncombe28.0%

Bertie26.8%


Percent of Children Aged 2 – 4 Who Receive WIC and Who Are Classified as Either Overweight or Obeseby County, 2017



NORTH CAROLINA


.........................................................................................................................................................................................................................................................................................................................................................................

HENDERSONCOUNTY

© Mapbox © OSM

Percent Overweight or Obese11.8% - 28.1%28.3% - 31.0%31.1% - 34.2%34.3 - 56.2%

NC EARLY CHILDHOOD ACTION PLAN: HENDERSON COUNTY DATA REPORT GOAL 3: FOOD SECURITY

VS.


Babies, toddlers, young children and their families across North Carolina will have access tosafe, secure and affordable housing. Too many children across North Carolina don't have a safe and stable place to sleep at night. Some families may be living inshelters, in their cars, or temporarily living with friends or relatives. Unstable housing is stressful, especially for families withyoung children, putting children at higher risk for poor physical and mental health, and other long-term consequences.According to an Administration for Children and Families report, in 2015, one in 28 North Carolina children under age 6experienced homelessness.

The data in this section outline key indicators for Safe and Secure Housing at the county level. Visitwww.ncdhhs.gov/early-childhood for more information on this goal in the NC Early Childhood Action Plan.

26,198________________________Number of ChildrenUnder Age 6ExperiencingHomelessnessin North Carolina, 2015

9,970_________________________Number of ChildrenK – Third Grade inPublic SchoolsExperiencingHomelessnessin North Carolina, 2018

32.7%_________________________Percent of ChildrenAged 0 – 8 inFamilies withHigh HousingCost Burdenin North Carolina, 2016

2015 2016 2017 20180

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000

10,000

11,00010,305

9,891 9,774 9,970

Number of Children K – Third Grade Enrolled in NCPublic Schools Experiencing Homelessness


Number of Children Under Age 6 ExperiencingHomelessness in North Carolina

Data Sources: Data on Children Under Age 6 Experiencing Homelessness: Administration for Children and Families; Data on Children K - 3rd Grade Experiencing Homelessness: NC Department of Public Instruction; HighHousing Cost Burden Data: American Community Survey (ACS), U.S. Census Bureau; Emergency Deparment Visits for Asthma Data: NC DETECT (North Carolina Disease Event Tracking and Epidemiologic Collection Tool):ED Visit Data. Analysis by NC DPH Injury and Violence Prevention Branch; Elevated Blood Lead Levels Data: NCLEAD Surveillance System, Children’s Environmental Health, Division of Public Health (DPH), NC Department ofHealth and Human Services (NCDHHS)

8.5 per 1,000__________________________Number of EmergencyDepartment Visitsfor Asthma Careper 1,000 ChildrenAged 0 – 8in North Carolina,2017

0.38%________________________Percent of ChildrenAged 1 and 2Receiving LeadScreening withConfirmed ElevatedBlood Lead Levelsin North Carolina,2017

3.7 per 1,000__________________________Number of EmergencyDepartment Visitsfor Asthma Careper 1,000 ChildrenAged 0 – 8in Henderson County,2017

0.38%________________________Percent of ChildrenAged 1 and 2Receiving LeadScreening withConfirmed ElevatedBlood Lead Levelsin Henderson County,2017

Goal 4: Safe and Secure Housing



NORTH CAROLINA




26,198

.........................................................................................................................................................................................................................................................................................................................................................................

HENDERSONCOUNTY

© Mapbox © OSM


NC EARLY CHILDHOOD ACTION PLAN: HENDERSON COUNTY DATA REPORT GOAL 4: SAFE AND SECURE HOUSING

Technical notes: "COUNTY DATA NOT YET AVAILABLE" indicates that data have not yet been accessed or fully analyzed at the county level. NC DHHS will continue to work towards accessing as much data as possible at thecounty level to support local work. A * indicates a value was suppressed because the measurement was based on small numbers (a count of less than 10). Data suppression is applied to protect confidentiality and ensure datareliability.

Data Source: NC DETECT (North Carolina Disease Event Tracking and Epidemiologic Collection Tool): ED Visit Data. Analysis by NC DPH Injury and Violence Prevention Branch.

Technical note: Case definitions for asthma diagnoses include ICD9 CM Asthma first listed diagnosis 493 and IDC10 CM Asthma first listed diagnosis J45. Counties with white shading have undergone small cell suppressionrules. Rates are calculated as the number of emergency department visits for children ages 0 - 8 in a year divided by the total population of children ages 0 - 8 in the same year. Rates are shown as number of visits per 1,000children ages 0 - 8. Values are suppressed if a measurement is based on small numbers (a count of less than 10). Data suppression is applied to protect confidentiality and ensure data reliability. Blank spaces appear in theabove bar chart if data have been suppressed.

*Disclaimer: “The North Carolina Disease Event Tracking and Epidemiologic Collection Tool (NC DETECT) is an advanced, statewide public health surveillance system. NC DETECT is funded with federal funds by NorthCarolina Division of Public Health (NC DPH), Public Health Emergency Preparedness Grant (PHEP), and managed through a collaboration between NC DPH and the University of North Carolina at Chapel Hill Department ofEmergency Medicine's Carolina Center for Health Informatics (UNC CCHI). The NC DETECT Data Oversight Committee does not take responsibility for the scientific validity or accuracy of methodology, results, statisticalanalyses, or conclusions presented. The NC DETECT Data Oversight Committee (DOC) includes representatives from the NC DPH, UNC NC DETECT Team and NC Hospital Association.” The NC DETECT Data OversightCommittee (DOC) includes representatives from the NCDPH, UNC NC DETECT Team and NC Hospital Association.

Tyrrell*

Swain*

Polk*

Pamlico*

Madison*

Currituck*

Clay*

Carteret*

Vance20.1 Pasquotank

30.9

Northampton19.5

Montgomery17.0

Martin14.9

Halifax16.3 Chowan

13.9Avery19.3 Alamance

14.1

Wilson10.6

Transylvania11.0

Rutherford11.2

Perquimans12.8

New Hanover13.0

Mitchell10.6

McDowell12.0

Cleveland11.9

Camden9.4

Stanly8.5

Rowan6.2

Orange7.7

Mecklenburg7.2

Hertford5.6

Catawba8.1 Beaufort

5.9

Watauga5.0

Onslow5.4

Greene5.5

Columbus4.9

Cabarrus4.6

Brunswick3.9

Jones*

Hyde*

Graham*

Gates*

Dare*

Cherokee*

Alleghany*

Alexander*

Yancey15.5

Warren18.5

Rockingham19.3

Richmond18.0

Pender18.2

Lee23.4

Hoke15.4

Guilford18.2

Edgecombe14.0

Cumberland15.7

Bladen17.2

Bertie14.4

Wayne9.4

Washington10.2

Scotland13.7

Sampson11.3

Robeson13.2

Person12.3

Nash10.6

Macon8.9

Lenoir12.7

Iredell9.0

Anson9.2

Wilkes8.5

Wake6.5

Pitt8.4

Moore7.6

Lincoln6.4

Johnston7.2

Granville7.9

Gaston6.6

Franklin6.4

Forsyth5.6 Durham

6.2

Duplin8.3

Caswell6.7

Caldwell5.7

Ashe5.8

Yadkin3.3

Union5.1

Surry4.5

Stokes2.6

Randolph4.6

Jackson3.6

Henderson3.7

Haywood4.1

Harnett4.4

Davie2.7Davidson3.4

Craven4.8

Chatham5.4

Burke3.8

Buncombe4.6


Rates of Emergency Department Visits for Asthma Care per 1,000 Children Aged 0 – 8 by County, 2017

2016 2017

Henderson North Carolina Henderson North Carolina0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

9.0

Rate per 1,000 Children Aged 0 – 8

3.1 per 1,000 children




Rates of Emergency Department Visits for Asthma Care per 1,000 Children Aged 0 – 8



.........................................................................................................................................................................................................................................................................................................................................................................

Rates of Emergency Department Visits for AsthmaCare per 1,000 Children Aged 0 – 8

2.6 - 5.55.6 - 8.58.6 - 13.713.8 - 30.9


A * indicates a value was suppressed because themeasurement was based on small numbers (acount of less than 10). Data suppression isapplied to protect confidentiality and ensure datareliability.

2013 2014 2015 2016 20170.0%

0.1%

0.2%

0.3%

0.4%

0.5%

0.46%0.46%

0.38%

0.38%

0.47%

0.39%

0.24%

0.40%

0.26%

0.50%

Percent of Young Children Aged 1 – 2 Who Received Lead Screening and HadConfirmed Elevated Blood Lead Levels

Yancey0.71%

Wilson0.84%

Watauga0.60%

Vance0.99%

Stanly0.62%

Perquimans0.61%

Pasquotank1.31%

Pamlico0.63%

Northampton0.69%

Montgomery0.73%Jackson

0.66%

Hyde1.79%

Halifax0.72%

Greene0.67%

Beaufort1.17%

Anson1.43%

Alleghany2.47%

Rowan0.50%

Richmond0.45%

New Hanover0.37%

Henderson0.38%

Duplin0.45%

Currituck0.53%

Catawba0.36%

Cabarrus0.38%

Alamance0.49%

Transylvania0.24%

Mecklenburg0.28%

Mcdowell0.35%

Iredell0.30%

Hertford0.28%

Haywood0.23%

Gaston0.35%

Columbus0.24%

Cleveland0.32%

Cherokee0.32%

Carteret0.25%

Burke0.24%

Washington0.00%

Tyrrell0.00%

Swain0.00% Rutherford

0.20%Polk0.00%

Orange0.18%

Onslow0.17%

Mitchell0.00%

Madison0.00%

Jones0.00%

Gates0.00%

Durham0.22%

Clay0.00%

Chowan0.00%

Camden0.00%

Brunswick0.17%

Avery0.00%

Warren1.24%

Rockingham1.05%

Martin0.65%

Lenoir0.72%

Harnett0.60%

Bertie1.17%

Ashe0.74%

Alexander0.74%

Yadkin0.41%

Wilkes0.52%

Wayne0.58%

Scotland0.55%

Randolph0.43%

Person0.44%

Nash0.41%

Moore0.41%Macon

0.44%

Lee0.37%

Hoke0.43%

Guilford0.44%

Forsyth0.51%

Davie0.39%

Buncombe0.37%

Wake0.28%

Union0.36% Sampson

0.31%

Robeson0.35% Pender

0.24%

Lincoln0.27%

Granville0.29%

Franklin0.23%

Davidson0.35%

Dare0.34%

Cumberland0.26%

Craven0.25%

Chatham0.29%

Caldwell0.26%

Surry0.11%

Stokes0.21%

Pitt0.18%Johnston

0.15%

Graham0.00%

Edgecombe0.22%

Caswell0.00%

Bladen0.00%


Percent of Young Children Aged 1 – 2 Who Received Lead Screening and Had Confirmed Elevated BloodLead Levels by County, 2017

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

Technical notes: 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 childis 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. Children are counted as having"confirmed" lead levels when they have two consecutive blood lead test results ≥ 5 µg/dL within a six-month period, up until December 31, 2017. The second test result must be a diagnostic test, preferably a venous sample,sent to an outside reference laboratory for analysis. The majority of children are tested by their second birthday, but the larger age range of children ages 0-6 years is also shown.



NORTH CAROLINA


HENDERSONCOUNTY

© Mapbox © OSM

.........................................................................................................................................................................................................................................................................................................................................................................

Percent of Children with Confirmed Elevated Blood Lead Levels0% - 0.23%0.24% - 0.36%0.37% - 0.58%0.59 - 2.47%



VS.

Babies, toddlers and young children across North Carolina will grow up with safe and nurturingfamily and caregiver relationships. Strong, positive relationships between children and their caregivers is a key ingredient for healthy brain development. Whenyoung children face severe adversity such as abuse, neglect or witnessing violence, the structure and function of their brainand bodies can change. For some children, the level of stress produced by severe adversity causes their bodies to respond bystaying set on high-alert, which can result in long-term health consequences. Caregivers play an active role in shieldingchildren from feeling overwhelming amounts of stress. Child maltreatment is defined as abuse and neglect of a child under theage of 18 by a parent, guardian or caregiver. Factors that can contribute to child maltreatment include the presence of adultsfacing substance use disorders, mental illness (notably maternal depression) and intimate partner violence. Young children areespecially vulnerable for experiencing maltreatment.

The data in this section outline key indicators for Safe and Nurturing Relationships at the county level. Visitwww.ncdhhs.gov/early-childhood for more information on this goal in the NC Early Childhood Action Plan.

Data Sources: Maltreatment Rate Data: Division of Social Services Central Registry, and NC FAST; Data on Emergency Department Visits for Injuries: NC DETECT (North Carolina Disease Event Tracking and EpidemiologicCollection Tool): ED Visit Data. Analysis by NC DPH Injury and Violence Prevention Branch

Technical Notes: Child maltreatment is defined as abuse or neglect of a child under the age of 18 by a parent, guardian, custodian, or caregiver. North Carolina law identifies three types of maltreatment: 1) abuse, 2) neglect,and 3) dependency. It is critical to note the limitations of child maltreatment data, including that minority populations are disproportionately reported, investigated, and substantiated for cases of maltreatment. Maltreatmentrates are suppressed if the measurement was based on small numbers (a count of less than 10). Data suppression is applied to protect confidentiality and ensure data reliability. Blank spaces appear in the above bar chart ifdata have been suppressed. For data on emergency department visits for injuries, case definitions for injuries are based on the CDC Injury Matrix, which includes injuries classified as having a manner/intent of unintentional,self-inflicted, assault, or undetermined. For more information, visit www.cdc.gov/injury/wisqars/ecode_matrix.html.

20.1 per 1,000____________________________Number of ChildrenAged 0 – 3 Who AreVictims of Maltreatmentper 1,000 ChildrenAged 0 – 3 inNorth Carolina, 2017



20.8 per 1,000____________________________Number of ChildrenAged 0 – 3 Who AreVictims of Maltreatmentper 1,000 ChildrenAged 0 – 3 inHenderson County, 2017



Maltreatment rate children aged 0 – 3 years Maltreatment rate children aged 4 – 5 years Maltreatment rate children aged 6 – 8 years

Henderson North Carolina Henderson North Carolina Henderson North Carolina0.02.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

18.0

20.0

22.0

Number of Children Affected per 1,000

20.8 per 1,00020.1

13.1 per 1,00014.5

10.0 per 1,000

13.4

Maltreatment Rates per 1,000 Children, 2017

73.9 per 1,000________________________________Rates of EmergencyDepartment Visitsfor Injuries per 1,000Children Aged 0 – 8in North Carolina, 2017

52.2 per 1,000________________________________Rates of EmergencyDepartment Visitsfor Injuries per 1,000Children Aged 0 – 8in Henderson County, 2017


Goal 5: Safe and Nurturing Relationships


NORTH CAROLINA


HENDERSONCOUNTY

© Mapbox © OSM

.........................................................................................................................................................................................................................................................................................................................................................................NC EARLY CHILDHOOD ACTION PLAN: HENDERSON COUNTY DATA REPORT GOAL 5: SAFE AND NURTURING RELATIONSHIPS

Technical notes: A * indicates a value was suppressed because the measurement was based on small numbers (a count of less than 10). Data suppression is applied to protect confidentiality and ensure data reliability.

Data Source: Division of Social Services Central Registry and NC FAST

Technical Notes: Child maltreatment is defined as abuse or neglect of a child under the age of 18 by a parent, guardian, custodian, or caregiver. North Carolina law identifies three types of maltreatment: 1) abuse, 2) neglect,and 3) dependency. It is critical to note the limitations of child maltreatment data, including that minority populations are disproportionately reported, investigated, and substantiated for cases of maltreatment. Maltreatmentrates are suppressed if the measurement was based on small numbers (a count of less than 10). Data suppression is applied to protect confidentiality and ensure data reliability.

Warren*

Tyrrell*

Perquimans*

Pasquotank*

Pamlico*

Montgomery*

Madison*

Hyde*

Hertford*

Greene*

Graham*

Clay*

Chowan*

Camden*

Avery*

Transylvania23.3

Swain26.3

Stanly27.2

Rockingham22.8

New Hanover30.9

Mitchell57.3

McDowell36.8

Iredell23.6

Halifax27.0

Cleveland32.1

Beaufort30.3

Vance20.3

Polk19.2

Onslow19.7

Northampton21.8

Martin18.3

Macon20.2

Jackson19.4

Haywood21.0

Caldwell15.7

Buncombe16.9

Watauga12.5

Sampson14.6

Pender14.8

Orange11.1

Mecklenburg10.2

Johnston9.8

Henderson10.0

Granville13.0

Currituck12.2

Columbus11.7

Brunswick14.6

Anson15.5

Alamance11.7

Yadkin7.9

Wilson3.1

Union7.1

Rowan9.3

Richmond6.5

Gaston9.5

Durham4.7

Catawba8.5

Carteret8.2

Cabarrus5.7

Washington*

Jones*

Gates*

Dare*

Caswell*

Bertie*

Alleghany*

Yancey45.7

Scotland33.0

Robeson28.4

Person22.9

Lincoln28.5

Duplin26.4

Davie29.8

Cumberland26.5

Cherokee38.8

Ashe23.9

Alexander23.9

Wilkes19.8

Surry22.3

Stokes21.2

Rutherford22.1

Franklin20.1 Edgecombe

20.7Burke22.2

Bladen15.8

Wayne14.4

Nash11.7

Lenoir13.6

Harnett10.0

Davidson14.3

Wake8.2Randolph

9.5Pitt9.0

Moore8.1

Lee7.7

Hoke3.7

Guilford7.2

Forsyth8.4

Craven6.0

Chatham4.5


Maltreatment Rates per 1,000 Children Aged 6 – 8 by County, 2017

Yadkin*

Wilson*

Warren*

Tyrrell*

Swain*

Perquimans*

Pasquotank*

Pamlico*

Martin*

Madison*

Lee*

Hyde*

Hertford*

Greene*

Currituck*

Clay*

Chowan*

Camden*

Avery*Yancey

37.9

Rockingham30.6

Polk41.2

New Hanover33.1

Mitchell45.0

McDowell34.9

Jackson39.2

Iredell29.1

Cleveland34.9

Beaufort31.6

Watauga20.6

Vance25.8

Transylvania24.6

Rutherford19.5

Onslow18.3

Northampton26.3

Halifax26.1

Burke19.6

Brunswick18.2

Anson19.3

Alexander21.4

Stanly17.1

Montgomery15.7

Johnston14.5

Henderson13.1

Granville11.5

Gaston11.9

Catawba15.0

Carteret13.3

Caldwell15.0

Buncombe13.6

Rowan10.8

Orange11.2

Mecklenburg10.7

Harnett9.3

Durham4.9

Cabarrus7.9

Alamance11.1

Washington*

Jones*

Graham*

Gates*

Caswell*

Bladen*

Bertie*

Alleghany*

Wilkes29.0

Surry28.5

Stokes36.5

Scotland27.2

Lincoln34.0

Haywood34.2

Davie31.3

Cumberland28.8

Cherokee53.1

Ashe27.9

Sampson19.0

Robeson24.0

Lenoir22.9

Edgecombe23.9

Duplin24.8

Dare18.3

Wayne17.5

Person17.6

Pender16.8

Nash17.5

Macon17.8

Franklin12.9

Davidson16.0

Columbus13.5

Wake6.6

Union7.5

Richmond9.8

Randolph10.5

Pitt10.9

Moore9.5

Hoke8.3

Guilford7.3

Forsyth9.3

Craven7.8

Chatham8.7



Warren*

Tyrrell*

Perquimans*

Hyde*

Hertford*

Greene*

Chowan*

Camden*

Yancey55.4

Swain38.2 Rutherford

40.5

New Hanover49.6

Mitchell48.0

McDowell45.3

Davie44.3

Cleveland43.4

Cherokee69.4

Burke37.5

Beaufort38.3

Avery39.3

Alleghany60.6 Vance

29.7

Transylvania35.9

Stanly36.1

Polk25.9

Pamlico35.0

Onslow30.5

Northampton31.5

Jackson33.6

Halifax34.4

Caldwell29.9

Anson25.5

Alexander33.8

Wayne22.9

Watauga17.4

Sampson21.3

Orange17.8

Montgomery17.9

Martin22.1

Madison24.0

Henderson20.8

Granville17.6

Columbus16.6

Catawba20.9Buncombe

23.3

Yadkin15.1

Wilson7.9Rowan

13.2

Pasquotank13.4

Mecklenburg12.8

Harnett10.1

Gaston13.4

Durham8.4

Currituck12.1

Carteret15.4

Cabarrus8.4

Alamance13.2

Jones*

Gates*

Bertie*

Wilkes37.4

Scotland46.2

Robeson42.1

Person43.7

Lincoln45.1

Iredell40.4

Haywood38.4

Graham54.6

Cumberland37.6

Clay56.8

Surry33.0

Stokes30.7

Rockingham33.2

Pender27.1

Macon25.3

Franklin30.5 Edgecombe

36.2

Duplin34.0

Davidson25.8

Brunswick28.4

Ashe33.3

Washington19.7

Richmond18.9

Randolph17.0

Pitt16.9

Lenoir22.6

Johnston16.8

Dare19.4

Caswell24.1

Bladen16.3

Wake10.2

Union7.7

Nash16.3

Moore12.6

Lee9.6

Hoke10.6

Guilford9.0

Forsyth13.7

Craven14.5

Chatham12.0





.........................................................................................................................................................................................................................................................................................................................................................................

Maltreatment Rate per 1,000 Children Aged 6-83.1 - 9.59.6 - 15.515.6 - 22.822.8 - 57.3



GOAL 5: SAFE AND NURTURING RELATIONSHIPSNC EARLY CHILDHOOD ACTION PLAN: HENDERSON COUNTY DATA REPORT

A * indicates a value was suppressed because themeasurement was based on small numbers (a countof less than 10). Data suppression is applied toprotect confidentiality and ensure data reliability.



Data Source: NC DETECT (North Carolina Disease Event Tracking and Epidemiologic Collection Tool): ED Visit Data. Analysis by NC DPH Injury and Violence Prevention Branch.

Technical note: Case definitions for injuries are based on the CDC Injury Matrix, which includes injuries classified as having a manner/intent of unintentional, self-inflicted, assault, or undetermined. For more information, visitwww.cdc.gov/injury/wisqars/ecode_matrix.html. In October 2015, there was a change in the coding system used in administrative data sets. Because of this change, data are unavailable for 2015 and data pre-2015 are notcomparable to data collected after this change occurred. Rates are calculated as the number of emergency department visits for injuries for children ages 0 - 8 in a year divided by the total population of children ages 0 - 8 inthe same year. Rates are shown as number of visits per 1,000 children ages 0 - 8.

*Disclaimer: “The North Carolina Disease Event Tracking and Epidemiologic Collection Tool (NC DETECT) is an advanced, statewide public health surveillance system. NC DETECT is funded with federal funds by NorthCarolina Division of Public Health (NC DPH), Public Health Emergency Preparedness Grant (PHEP), and managed through a collaboration between NC DPH and the University of North Carolina at Chapel Hill Department ofEmergency Medicine's Carolina Center for Health Informatics (UNC CCHI). The NC DETECT Data Oversight Committee does not take responsibility for the scientific validity or accuracy of methodology, results, statisticalanalyses, or conclusions presented. The NC DETECT Data Oversight Committee (DOC) includes representatives from the NC DPH, UNC NC DETECT Team and NC Hospital Association.” The NC DETECT Data OversightCommittee (DOC) includes representatives from the NCDPH, UNC NC DETECT Team and NC Hospital Association.

Vance106.3

Transylvania122.1

Stanly119.9

Pasquotank123.9

Montgomery116.2

Mitchell119.1

McDowell108.2

Macon103.2

Halifax105.3

Cleveland130.5

Alleghany153.5

Swain89.5

Rowan87.9

Pamlico88.5

Northampton80.4

Jones83.2

Jackson84.3

Iredell90.2

Davie82.4

Catawba87.3

Burke89.0

Avery91.1 Alamance

79.6

Wilson75.1

Watauga55.9

Washington75.4

Union66.2

Orange58.1

New Hanover66.9

Mecklenburg68.3

Madison63.7

Hertford56.7Granville

69.2

Davidson79.2

Chowan67.0

Camden58.2

Cabarrus60.8

Brunswick68.6

Tyrrell38.4

Onslow35.5

Martin51.5

Henderson52.2

Greene36.5

Gates37.3

Edgecombe39.7

Durham48.3

Currituck18.5

Columbus29.3

Clay27.0

Cherokee30.6

Beaufort35.1

Yancey125.1

Wilkes107.9

Surry117.8

Scotland130.6

Rutherford117.2

Rockingham99.5

Robeson101.0

Richmond146.8

Perquimans108.0

Pender103.1

Lenoir103.9

Lee125.9

Hoke97.4

Caldwell104.4

Anson134.4

Yadkin94.3

Wayne86.8

Stokes88.1

Sampson96.0

Person83.6

Lincoln93.3

Haywood86.0

Guilford87.3

Gaston97.1

Forsyth88.1

Craven84.0

Bladen79.6

Ashe94.9 Warren61.4

Wake64.7

Polk73.4

Moore74.1

Johnston66.8

Graham60.1

Franklin55.3

Cumberland76.3

Bertie65.1Alexander

55.9

Randolph54.5

Pitt45.1

Nash34.8

Hyde29.0

Harnett45.4

Duplin48.6

Dare34.7Chatham

51.2

Caswell42.0

Carteret50.9

Buncombe51.0


Rates of Emergency Department Visits for Injuries per 1,000 Children Aged 0 – 8 by County, 2017

2016 2017

Henderson North Carolina Henderson North Carolina0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

Rate per 1,000 Children Aged 0 – 8





Rates of Emergency Department Visits for Injuries per 1,000 Children Aged 0 – 8



.........................................................................................................................................................................................................................................................................................................................................................................

Rates of Emergency Department Visitsfor Injuries per 1,000 Children Aged 0 – 8

18.5 - 54.554.6 - 79.279.3 - 97.197.2 - 153.5

NC EARLY CHILDHOOD ACTION PLAN: HENDERSON COUNTY DATA REPORT GOAL 5: SAFE AND NURTURING RELATIONSHIPS

Babies, toddlers and young children in North Carolina’s foster care system will grow up in stable,consistent and nurturing families, whether that is with the child’s birth family or thro

north carolina early childhood action plan · 2019. 11. 4. · young children in henderson county...

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