North Carolina's delivery system consistently achieves good outcomes for participants. NCCHW supports the delivery of these evidence-based programs with fidelity, and thus there are high percentages of completers who improve their comfort talking to health providers year after year. This data is not reflective of geographical differences that may exist due to staff capacity and other factors. For many performance measures, a good percentage of participants enter the program with high baseline measures (pre), but nevertheless many make improvements through the program.