Child-Related Goals and Objectives

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Healthy People 2010:
Child-Related Objectives

A majority of the 467 objectives in Healthy People 2010 are relevant to children and adolescents, however 122 are either specific to children, or disproportionately affect children. The remaining objectives either include children or are only minimally relevant to children. The 122 objectives listed below are the priority objectives for ACT For Health programs and projects.

Area	Chapter
1	Access to Quality Services	1-2: Increase the proportion of insured persons with coverage for clinical preventive services.
		1-4b: Increase the proportion of persons who have a specific source of ongoing care: Children ages 17 and under
		1-9a: Reduce hospitalization rates for ambulatory-care-sensitive conditions: Pediatric asthma
		1-12: Establish a single toll-free telephone number for access to poison control centers on a 24-hour basis throughout the united states.
		1-14: Increase the number of States and District of Columbia that have implemented guidelines for prehospital and hospital pediatric care; 1-14a: Increase the number of states and DC that have implemented statewide pediatric protocols for online medical direction; 1-14b: Increase the number of states and DC that have adopted and disseminated pediatric guidelines that categorize acute care facilities with the equipment, drugs, trained personnel and other resources necessary to provide varying levels of pediatric emergency and critical care.
5	Diabetes	5-8: Decrease the proportion of pregnant women with gestational diabetes.
6	Disability and Secondary Conditions	6-2: Reduce the proportion of children and adolescents with disabilities that are reported to be sad, unhappy or depressed.
		6-7b: Reduce the number of persons with disabilities aged 21 years or younger in congregate care facilities, congruent with permanency planning principles.
		6-9: Increase the proportion of children and youth with disabilities who spend at least 80% of their time in regular educational facilities.
7	Education & Community Based Programs	7-1: Increase school completion.
		7-2: Increase the proportion of middle, junior and senior high schools that provide school health education to prevent health problems in the following areas: unintentional injury; violence; suicide; tobacco use and addiction; alcohol and other drug use; unintended pregnancy, HIV/AIDS, and STDs infection; unhealthy dietary patterns; inadequate physical activity; and environmental health.
		7-3: Increase the proportion of college and university students who receive information from their institution on each of six health priority areas: (1) unintentional and intentional injury; (2) tobacco use and addiction; (3) alcohol and other drug use; (4) sexual behaviors that cause unintended pregnancy or sexually transmitted diseases; (5) unhealthy dietary patterns; and (6) inadequate physical activity.
		7-4: Increase the proportion of the Nation's elementary, middle, junior, and senior high schools that have a nurse-to-student ratio of at least 1:750.
8	Environment	8-11: Eliminate elevated blood lead levels in children.
8	Environment	8-20: Increase the proportion of the Nation's primary and secondary schools that have official policies ensuring the safety of students and staff from environmental hazards, such as chemicals in special classrooms, poor indoor air quality, abstestos, and exposure to pesticides.
9	Family Planning	9-1: Increase the proportion of pregnancies that are intended.
		9-2: Reduce the proportion of births occurring within 24 months of a previous birth.
		9-7: Reduce pregnancy among adolescent females.
		9-8: Increase the proportion of adolescents who have never engaged in sexual intercourse before age 15 years.
		9-9: Increase the proportion of adolescents who have never engaged in sexual intercourse.
		9-10: Increase the proportion of sexually active, unmarried adolescents aged 15-17 years who use contraception that both effectively prevents pregnancy and provides barrier protection against disease.
		9-11: Increase the proportion of young adults who have received formal instruction before turning age 18 on reproductive health issues, including all of the following topics: birth control methods, safer sex to prevent HIV, prevention of sexually transmitted diseases, and abstinence.
13	HIV	13-17: Reduce new cases of perinatally acquired HIV infection.
14	Immunizations	14-1: Reduce or eliminate indigenous cases of vaccine-preventable diseases: (14-1a) Congenital rubella syndrome (children under age 1 year); (14-1c) Haemophilus influenza type b* (children under age 5 years); (14-1c) Hepatitis B (persons aged 2 to 18 years); (14-1g) Pertussis (children under age 7 years); (14-1k) Varicella (chicken pox) (persons under age 18 years).
		14-2: Reduce chronic hepatitis B virus infections in infants and young children (perinatal infections).
		14-4: Reduce bacterial meningitis in young children
		14-5: Reduce invasive pneumococcal infections; (14-5a) New invasive pneumococcal infections in children under age 5 years; (14-6a) Invasive penicillin-resistant pneumococcal infections in children under age 5 years.
		14-16: Reduce invasive early onset group B streptococcal disease
		14-18: Reduce the number of courses of antibiotics for ear infections for young children.
		14-22: Achieve and maintain effective vaccination coverage levels for universally recommended vaccines among young children.
		14-23: Maintain vaccination coverage levels for children in licensed day care facilities and children in kindergarten through the first grade.
		14-24: Increase the proportion of young children and adolescents who receive all vaccines that have been recommended for universal administration for at least 5 years.
		14-25: Increase the proportion of providers who have measured the vaccination coverage levels among children in their practice population within the past 2 years.
		14-26: Increase the proportion of children who participate in fully operational population-based immunization registries.
		14-27: Increase routine vaccination coverage levels for adolescents.
15	Injury and Violence Prevention	15-6: Extend State-level child fatality review of deaths due to external causes for children aged 14 years and under.
		15-7: Reduce nonfatal poisonings.
		15-17: Reduce nonfatal injuries caused by motor vehicle crashes.
		15-18: Reduce nonfatal pedestrian injuries on public roads.
		15-20: Increase use of child restraints.
		15-22: Increase the number of States and the District of Columbia that have adopted a graduated driver licensing model law.
		15-29: Reduce drownings
		15-30: Reduce hospital emergency department visits for nonfatal dog bite injuries.
		15-31: Increase the proportion of public and private schools that require use of appropriate head, face, eye, and mouth protection for students participating in school-sponsored physical activities.
		15-33: Reduce maltreatment and maltreatment fatalities of children.
		15-37: Reduce physical assaults
		15-38: Reduce physical fighting among adolescents.
		15-39: Reduce weapon carrying by adolescents on school property.
16	Maternal, Infant, and Child Health	16-1: Reduce fetal and infant deaths.
		16-2: Reduce the rate of child deaths.
		16-3: Reduce deaths of adolescents and young adults.
		16-4: Reduce maternal deaths.
		16-5: Reduce maternal illness and complications due to pregnancy
		16-6: Increase the proportion of pregnant women who receive early and adequate prenatal care.
		16-7: Increase the proportion of pregnant women who attend a series of prepared childbirth classes.
		16-8: Increase the proportion of very low birth weight (VLBW) infants born at level III hospitals or subspecialty perinatal centers.
		19-9: Reduce cesarean births among low-risk (full term, singleton, vertex presentation) women.
		16-10: Reduce low birth weight (LBW) and very low birth weight (VLBW).
		16-11: Reduce preterm births.
		16-12: Increase the proportion of mothers who achieve a recommended weight gain during their pregnancies.
		16-13: Increase the percentage of healthy full-term infants who are put down to sleep on their backs.
		16-14: Reduce the occurrence of developmental disabilities.
		16-15: Reduce the occurrence of spina bifida and other neural tube defects (NTDs).
		16-17: Increase abstinence from alcohol, cigarettes, and illicit drugs among pregnant women.
		16-18: Reduce the occurrence of fetal alcohol syndrome (FAS).
		16-19: Increase the proportion of mothers who breastfeed their babies.
		16-20: Ensure appropriate newborn bloodspot screening, follow-up testing, and referral to services.
		16-21: Reduce hospitalization for life-threatening sepsis among children aged 4 years and under with sickling hemoglobinopathies.
		16-22: Increase the proportion of children with special health care needs who have access to a medical home.
		16-23: Increase the proportion of Territories and States that have service systems for children with special health care needs.
18	Mental Health and Mental Disorders	18-2: Reduce the rate of suicide attempts by adolescents.
		18-7: Increase the proportion of children with mental health problems who receive treatment.
		18-8: Increase the proportion of juvenile justice facilities that screen new admissions for mental health problems.
19	Nutrition and Overweight	19-3: Reduce the proportion of children and adolescents who are overweight or obese.
		19-4: Reduce growth retardation among low-income children under age 5 years.
		19-12: Reduce iron deficiency among young children and females of childbearing age.
		19-13: Reduce anemia among low-income pregnant females in their third trimester.
		19-14: Reduce iron deficiency among pregnant females.
		19-15: Increase the proportion of children and adolescents aged 6 to 19 years whose intake of meals and snacks at school contributes to good overall dietary quality.
21	Oral Health	21-1: Reduce the proportion of children and adolescents who have dental caries experience in their primary or permanent teeth.
		21-2: Reduce the proportion of children adolescents and adults with untreated Dental Decay: (2a) Reduce the proportion of young children with untreated dental decay in their primary teeth. (2b) Reduce the proportion of children with untreated dental decay in primary and permanent teeth. (2c) Reduce the proportion of adolescents with untreated dental decay in their permanent teeth.
		21-8: Increase the proportion of children who have received dental sealants on their molar teeth.
		21-12: Increase the proportion of low-income children and adolescents who received any preventive dental service during the past year.
		21-13: Increase the proportion of school-based health centers with an oral health component
		21-15: Increase the number of States and the District of Columbia that have a system for recording and referring infants and children with cleft lips, cleft palates, and other craniofacial anomalies to craniofacial anomaly rehabilitative teams.
22	Physical Activity and Fitness	22-6: Increase the proportion of adolescents who engage in moderate physical activity for at least 30 minutes on 5 or more of the previous 7 days.
		22-7: Increase the proportion of adolescents who engage in vigorous physical activity that promotes cardiorespiratory fitness 3 or more days per week for 20 or more minutes per occasion.
		22-8: Increase the proportion of the Nation's public and private schools that require daily physical education for all students.
		22-9: Increase the proportion of adolescents who participate in daily school physical education.
		22-10: Increase the proportion of adolescents who spend at least 50 percent of school physical education class time being physically active.
		22-11: Increase the proportion of adolescents who view television 2 or fewer hours on a school day.
		22-12: Increase the proportin of the Nation's public and private schools that provide access to their physical activity spaces and facilities for all persons for use outside of normal school hours.
25	Sexually Transmitted Diseases	25-1: Reduce the proportion of adolescents and young adults with Chlamydia trachomatis infections.
		25-8: Reduce HIV infections in adolescent and young adult females aged 13 to 24 years that are associated with heterosexual contact.
		25-10: Reduce neonatal consequences from maternal sexually transmitted diseases, including chlamydial pneumonia, gonococcal and chlamydial ophthalmia neonatorum, laryngeal papillomatosis (from human papillomavirus infection), neonatal herpes, and preterm birth and low birth weight associated with bacterial vaginosis.
		25-11: Increase the proportion of adolescents who abstain from sexual intercourse or use condoms if currently sexually active.
		25-14: Increase the proportion of youth detention facilities and adult city or county jails that screen for common bacterial sexually transmitted diseases within 24 hours of admission and treat STDs (when necessary) before persons are released.
		25-16: Increase the proportion of sexually active females aged 25 years and under who are screened annually for genital chlamydia infections.
26	Substance Abuse	26-6: Reduce the proportion of adolescents who report that they rode, during the previous 30 days, with a driver who had been drinking alcohol.
		26-9: Increase the age and proportion of adolescents who remain alcohol and drug free.
		26-10: Reduce past month use of illicit substances. (10a) Increase the proportion of adolescents not using alcohol or any illicit drugs during the past 30 days. (10b) Reduce the proportion of adolescents reporting use of marijuana during the past 30 days
		26-11: Reduce the proportion of persons engaging in binge drinking of alcoholic beverages. (2611a: high school seniors; 26-11b: college students; 26-11d: adolescents ages 12-17.)
		26-14: Reduce steroid use among adolescents
		26-15: Reduce the proportion of adolescents who use inhalants.
		26-16: Increase the proportion of adolescents who disapprove of substance abuse.
		26-17: Increase the proportion of adolescents who perceive great risk associated with substance abuse.
27	Tobacco Use	27-2: Reduce tobacco use by adolescents.
		27-3: Reduce the initiation of tobacco use among children and adolescents.
		27-4: Increase the average age of first use of tobacco products by adolescents and young adults.
		27-6: Increase smoking cessation during pregnancy.
		27-7: Increase tobacco use cessation attempts by adolescent smokers.
		27-9: Reduce the proportion of children who are regularly exposed to tobacco smoke at home.
		27-11: Increase smoke-free and tobacco-free environments in schools, including all school facilities, property, vehicles, and school events.
		27-14: Reduce the illegal sales rate to minors through enforcement of laws prohibiting the sale of tobacco products to minors.
		27-15: Increase the number of States and the District of Columbia that suspend or revoke State retail licenses for violations of laws prohibiting the sale of tobacco to minors.
		27-16: Eliminate tobacco advertising and promotions that influence adolescents and young adults.
		27-17: Increase adolescents’ disapproval of smoking.
28	Vision and Hearing	28-2: Increase the proportion of preschool children aged 5 years and under who receive vision screening.
		28-4: Reduce blindness and visual impairment in children and adolescents aged 17 years and under.
		28-11: Increase the proportion of newborns who are screened for hearing loss by age 1 month, have audiologic evaluation by age 3 months, and are enrolled in appropriate intervention services by age 6 months.
		28-12: Reduce otitis media in children and adolescents.
		28-17: Reduce noise-induced hearing loss in children and adolescents aged 17 years and under.

To get information on specific subject, go to Healthy People 2010, Table of Contents and click on desired section.

To view comprehensive list of Healthy People 2010 objectives, visit:

actforhealth@yahoo.com

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Page last updated: 06/15/2006

ACT for Health, Adolescent and Child Targets for Health Foundation, Inc., is an educational and charitable non-profit, non-governmental organization, tax-exempt under Section 501(c)3 of the Internal Revenue Code.