Skip navigation
 
 

Goal: Our children will be healthy and start school ready to learn.

"The early childhood years (birth to age five) are a critical period of growth and development. Learning begins with a healthy, nurturing start in life. This goal reflects the growing scientific understanding that a healthy pregnancy and early nurturing contribute to a childs brain development and later success in school." [1]

Note: Descriptions used directly from a printed document are in quotation marks and cited to the source.

Indicator 1: Low Birth Weight Infants

"A considerable body of evidence shows low birth weight puts children at risk for health problems and developmental delays. The reasons for low birth weight are not clearly understood, but include factors such as poor prenatal care, smoking and older or younger age of mother."[1]
Low weight births as a percentage of total live births in respective geographic areas.
Location 2003 2004 2005 2006 2007 2008 2009
Fargo 7.6% 7.2% 5.5% 4.4% 6.3% 6.8% 6.3%
Cass County 6.9% 7.5% 6.1% 6.8% 6.5% 6.7% 5.8%
North Dakota 6.6% 6.6% 6.4% 6.6% 6.3% 6.8% 6.3%
United States 7.9% 8.1% 6.4% 8.3% 8.2% 8.2% N/A
Low weight births as a percentage of total live births in respective geographic areas.
Low birth weight: The number of babies who weigh less than 5 pounds, 8 ounces at birth.
Data Source: North Dakota Department of Health [2], Centers for Disease Control and Prevention [3] [4] [5] [6] [7] [8] [9]

Indicator 2: Immunizations by Age Two

"Maintenance of high vaccination coverage levels in early childhood is the best way to prevent the spread of vaccine preventable diseases in childhood and throughout adulthood. [10]
Percentages of Children Immunized by Age Two
Location 2004 2005 2006 2007 2008
Cass County 65.6% 67.4% 70.7% 69.5% 62.3%
North Dakota 82.0% 85.0% 84.3% 84.3% 74.2%
United States 80.9% 80.8% 80.5% 80.5% 78.2%
Percentage of children ages 19 to 35 months in respective geographic areas who have 4:3:1 Series Coverage; that is, four or more doses of diphtheria and tetanus toxoids and pertussis (DTP) vaccine, diptheria and tetanus toxoids (DT) vaccine, and diphtheria and tetanus toxoids and acellular pertussis (DtaP) vaccine; three or more doses of poliovirus vaccine; and one or more doses of measles-containing vaccine.
Data Sources: Fargo Cass Public Health [13] and Centers for Disease Control and Prevention [14] [15] [16] [17] [18] [19] [20] [21]

Indicator 3: Tobacco Use During Pregnancy

"Smoking during pregnancy is the single most preventable cause of illness and death among mothers and infants." [8]
Percentage of people who reported tobacco use during pregnancy on the Certificate of Live Birth in respective geographic areas.
Location 2004 2005 2006 2007 2008 2009
Fargo 16.5% 15.1% 14.1% 17.1% 15.5% 14.1%
Cass County 15.2% 13.5% 13.8% 15.4% 14.2% 12.6%
North Dakota 16% 17.0% 18.6% 18.6% 18.4% 17.04%
United States 10.4% 10.7% *13.2% 10.4* N/A N/A
Percentage of people who reported tobacco use during pregnancy on the Certificate of Live Birth in respective geographic areas.
>Data Source: North Dakota Department of Health [2], Center for Disease Control and Prevention [4]

Indicator 4: Alcohol Use During Pregnancy

"Drinking alcohol during pregnancy can cause miscarriage, stillbirth and a range of lifelong disorders and developmental disabilities" [30]
Percentage of people who reported alcohol use during pregnancy on the Certificate of Live Birth in respective geographic areas.
Location 2003 2004 2005 2006 2007 2008 2009
Fargo 0.4% 0.9% 0.4% 1.1% 0.4% 1.0% 0.7%
Cass County 0.4% 0.7% 0.4% 1.1% 0.3% 0.8% 0.6%
North Dakota 0.8% 0.7% 0.3% 1.4% 0.6% 1.2% 1.6%
United States 0.7% N/A N/A N/A N/A N/A N/A
Percentage of people who reported alcohol use during pregnancy on the Certificate of Live Birth in respective geographic areas.
Data Source: North Dakota Department of Health [2], Centers for Disease and Prevention [32] [33]

Indicator 5: Prenatal Care in First Trimester

"The risk of pregnancy-related complications can be reduced by increased access to healthcare during and before pregnancy. In addition, identifying and treating of health conditions can prevent death or disability and enable children to reach their full potential. Prenatal care is more likely to be effective if women begin receiving care early in pregnancy." [34]
Percentage of people who reported that they started prenatal care in the first trimester on the Certificate of Live Birth in respective geographic areas
Location 2003 2004 2005 2006 2007 2008 2009
Fargo 88.5% 84.0% 85.2% 86.6% 87.0% 88.1% 89.1%
Cass County 88.6% 85.6% 86.9% 87.6% 88.2% 88.7% 90.5%
North Dakota 86.4% 84.8% 85.1% 83.2% 82.3% 82.8% 84.1%
United States 84.1% 84.2% 83.9% 69.0% 70.8% N/A N/A
Percentage of people who reported that they started prenatal care in the first trimester on the Certificate of Live Birth in respective geographic areas.
Data Source: North Dakota Department of Health [2], Centers for Disease Control and Prevention [35] [36] [37] [38] [39] [40]