HI Baselines 3: Child Health & Development

ECAS_handOrange1.png

ACTION STRATEGY

ECAS TEAM 3 is working to ensure all children, especially those at-risk, are provided appropriate referrals and access to services to support their health and development.

Children with a Medical Home

HI, NSCH Indicator 4.12 Percentage of children ages 0-5 who received coordinated, ongoing and comprehensive care within a medical home, including having a personal doctor or nurse, a dedicated source for sick care, family-centered care, and referrals and effective care coordination when needed
Only half of all children (0-5) in Hawaiʻi have a medical home.
— National Survey of Child Health, Hawaiʻi Sample 2019
ECAS_handOrange1.png

ACTION STRATEGY

ECAS Team 3: Establish a feedback loop for the screening-referral-utilization of services within the medical home model

Child Developmental Screenings

NSCH, Indicator 4.10: Children who received a developmental screening in the past 12 months, age 9-35 months, NSCH Indicator 4.10.
One third of children 9-35 months received a developmental screening in the past 12 months.
— National Survey of Child Health, Hawaiʻi sample 2019
ECAS_handOrange1.png

ACTION STRATEGY

ECAS Team 3: Implement health and wellness guidelines in early childhood settings


Medicaid and well-child visits

In 2019, 72% of children 0-15 months of age enrolled in Medicaid in Hawaii received six or more well-child visits. The American Academy of Pediatrics recommends nine visits during in this age span.

In 2019, 70.8% of children 3-6 years of age enrolled in Medicaid in Hawaii received one or more well-child visits. The American Academy of Pediatrics recommends one visit each year.

ECAS_handOrange1.png

ACTION STRATEGY

ECAS Team 3: Pilot a project to promote the social and emotional health of infants, toddlers and preschool age children

Child Food Insecurity Rate

HI 2018, Feeding America, The U.S. Department of Agriculture (USDA) defines food insecurity as limited or uncertain availability of nutritionally adequate foods or uncertain ability to acquire these foods.
18% of children live in households that experienced food insecurity at some point during the year. The U.S. rate is 15%.
— Feeding America, USDA, 2018

Food Insecurity during the Pandemic

9% of adults report their households sometimes or often did not have enough to eat in the last seven days.

37% of adults report that  it has been somewhat or very difficult to pay for usual household expenses during the coronavirus pandemic.

HI 09/2020; US Census, Household Pulse Survey

The coronavirus pandemic emphasized the problem of food insecrurity.
— HI 2020; US Census, Household Pulse Survey