The HNC 2030 Scorecard supports the North Carolina Division of Public Health's
2020 State Health Improvement Plan.
Local health departments and their partners link local scorecards to the state scorecard to reflect the collective impact occuring statewide on 21 population indicators.
The state health assessment, planning and improvement process uses a population health framework with a health equity lens and disparity focus.
Results-based accountability drives the decennial plan using data driven, disciplined thinking. While population level indicators are monitored at the state level, local health departments monitor program performance with three simple measures:
How much did you do?
How well did you do it?
Is anyone better off?
The plan can be viewed/downloaded from the N.C. State Center for Health Statistics website:
https://schs.dph.ncdhhs.gov/units/ldas/hnc.htm
Low income is a strong predictor of health disparities and instances of disease. Poverty is linked to restricted access to resources and opportunities for healthy living conditions. HNC 2030, p. 36
North Carolina ranks 39th in the nation for percentage of individuals below 200% Federal Poverty Level (FPL). The 5-year average percent of individuals below 200% FPL was 37% from 2013-2017 compared to 33% nationally. The 2019 200% FPL for individuals was $24,980. Ethnic and racial minorities are disproportionately affected by poverty with 52% of American Indians, 51% of African Americans, and 64% of Hispanic North Carolinians living below 200% of the FPL, compared to 31% of the white population. Over the past decade the percent of individuals below 200% FPL has been slowly decreasing across North Carolina. Current goals align with statewide 10-year targets to decrease the percent of individuals living below 200% FPL to 27% or to increase the rate of decline. HNC 2030 pp. 36-37
Child Care Services Association (CCSA) |
https://www.childcareservices.org/ |
Communities in Partnership (CIP) |
https://communitiesinpartnership.org/ |
Cooperative Christian Ministry |
https://cooperativeministry.com/ |
Crisis Assistance Ministry |
https://www.crisisassistance.org/ |
End Poverty Durham |
http://endpovertydurham.org/ |
Equity Before Birth |
https://www.equitybeforebirth.com/ |
NC Raise Up |
https://www.ncraiseup.org/fed-up |
GreenLight Fund- Charlotte |
https://greenlightfund.org/sites/charlotte/ |
Latin American Coalition |
https://latinamericancoalition.org/ |
Mary Reynolds Babcock Foundation |
https://www.mrbf.org/ |
NAACP |
https://naacp.org/ |
NCCARE360 |
https://nccare360.org/ |
NC Early Childhood Foundation (NCECF) |
https://buildthefoundation.org/ |
North Carolina Community Action Association |
https://www.nccaa.net/ |
North Carolina Early Education Coalition |
https://ncearlyeducationcoalition.org/ |
NC DHHS Office of Economic Opportunity |
https://www.ncdhhs.gov/divisions/office-economic-opportunity |
North Carolina Justice Center |
https://www.ncjustice.org/ |
NC Coalition Against Domestic Violence |
https://nccadv.org/ |
North Carolina Department of Commerce |
https://www.nccommerce.com/ |
North Carolina Network of Grantmakers (NCNG) |
https://ncgrantmakers.org/ |
North Carolina Poor People’s Campaign- A National Call for Moral Revival |
https://ppc-nc.org/ |
The Duke Endowment |
https://www.dukeendowment.org/program-areas/overview |
Z. Smith Reynolds Foundation |
https://www.zsr.org/ |
American Community Survey (US Census)
https://www.ncdhhs.gov/about/department-initiatives/healthy-opportunities/screening-questions
Loss of income is linked to increased vulnerability to disease, unhealthy behaviors, and adverse health outcomes associated with poverty. Unemployment leads to disparities in health insurance coverage limiting access to medical attention and medication. HNC 2030, p. 38
The 5-year average for the unemployment rate for 2013- 2017 is at 7.2% for the state of North Carolina. Current unemployment rates among racial and ethnic groups are 11.7% for African Americans, 10.3% for American Indians, and 7.1% for the Hispanic population, compared to 5.7% for the white population. Unemployment is twice as prevalent in rural areas than in metropolitan areas (disproportionately affecting African Americans), and people who have been incarcerated have reduced access to employment opportunities that provide sufficient income. Unemployment and loss of income leads to loss of health insurance for 56% of the population. The 10- year goal is to decrease the unemployment disparity ratio found between the white population and other racial and ethnic groups. Current efforts are focused on initiating meaningful change at the state and county levels. HNC 2030 pp. 38-39
Care4Carolina |
https://care4carolina.com/all-resources/ |
Green Opportunities (GO) |
https://www.greenopportunities.org/jobtraining/ |
Hinton Rural Life Center |
https://www.hintoncenter.org/ |
Just Economics of Western North Carolina (JE) |
https://www.justeconomicswnc.org/issues/living-wage/ |
NCCARE360 |
https://nccare360.org/ |
North Carolina Association of County Directors of Social Services (NCACDSS) |
https://www.ncacdss.org/ |
Open Integration Coalition (OIC), Inc. |
https://www.oic-inc.com/ |
Raising Wages NC |
https://raisingwagesnc.org/our-coalition |
The Broadband ReConnect Program |
https://www.usda.gov/reconnect |
American Community Survey (US Census)
School disciplinary action is a strong predictor of student academic performance and high school completion. Less education can lead to fewer opportunities for high-paying employment that provides health insurance and access to other social support. HNC 2030, p. 42
Across North Carolina exclusionary discipline (suspension and expulsion) is disproportionately higher for students belonging to racial and ethnic minorities than for white students. Although nearly half of the NC student population is white, it was found that for every 10 African American students there were on average 3 short-term suspensions compared to less than 1 short-term suspension for every 10 white and Hispanic students. African American and American Indian girls were more likely to be suspended than their white counterparts. Clear racial disparity exists for targets of exclusionary discipline despite studies showing that no inherent difference in student behavior can be attributed to race or ethnicity. Students in special education programs account for 24% and boys represent nearly 66% of all suspensions. Current 2030 goals are to reach a rate of 0.80 suspensions for every 10 students (the approximate rate for white and Hispanic students). Meeting this goal is largely dependent on eliminating the targeting of minority students. HNC 2030 pp. 42-43
Center for Racial Equity in Education (CREED) |
https://www.creed-nc.org/ |
Color of Education |
https://colorofeducation.org/ |
Made in Durham |
https://madeindurham.org/ |
Public School Forum of North Carolina |
https://www.ncforum.org/ |
Racial Equity Institute, LLC |
https://www.racialequityinstitute.com/ |
Southern Coalition for Social Justice-Youth Justice Project |
https://southerncoalition.org/youth-justice-project/ |
The Center for Youth, Family, and Community Partnerships (CYFCP) |
https://cyfcp.uncg.edu/ |
Village of Wisdom |
https://www.villageofwisdom.org/ |
Working to Extend Anti-Racist Education (we are) |
https://www.weare-nc.org/ |
NC Department of Public Instruction
https://www.ncdhhs.gov/about/department-initiatives/healthy-opportunities/screening-questions
Communities with high rates of incarceration experience damaged social networks and family ties, reduced life expectancy, have greater instances of adverse health outcomes. HNC 2030, p. 44
North Carolina has the 21st lowest incarceration rate among US states with a rate of 341 people incarcerated in prison per 100,00 people in the population. Mental illness affects 17% of inmates in North Carolina. African Americans account for only 22% of the state population, yet make up 52% of the total incarcerated population. African Americans are 6.5 times more likely to be incarcerated for drug-related offenses although drug use among African Americans is lower than other racial and ethnic groups. Rates of trafficking are similar. Explicit targeting of people of color by law enforcement and harsher sentencing leads to jail and prison time. The 2030 state goal is to decrease the incarceration rate to 150 people incarcerated per 100,000 in the population or increase the rate of decline. Reducing the disproportionate incarceration of African Americans and American Indians will largely affect the success in meeting this goal. HNC 2030 pp. 44-45
Durham County NC Criminal Justice Resource Center |
https://www.dconc.gov/county-departments/departments-a-e/criminal-justice-resource-center |
Growing Change, Inc |
https://www.growingchange.org/ |
Leading Into New Communities (LINC), Inc. |
https://lincnc.org/ |
National Council of Juvenile and Family Court Judges (NCJFCJ)-Trauma- Informed Courts |
https://www.ncjfcj.org/child-welfare-and-juvenile-law/trauma-informed-courts/ |
North Carolina Department of Public Instruction (NC DPI) |
https://www.dpi.nc.gov/data-reports/discipline-alp-and-dropout-data |
North Carolina Harm Reduction Coalition (NCHRC) |
https://www.nchrc.org/ |
North Carolina Judicial Branch- School Justice Partnership |
https://www.nccourts.gov/programs/school-justice-partnership |
North Carolina Justice Academy |
https://ncdoj.gov/ncja/ |
North Carolina Task Force for Racial Equity in Criminal Justice (TREC) |
https://ncdoj.gov/trec/ |
Wash Away Unemployment |
https://www.wash-away.org/ |
US Bureau of Justice Statistics and NC Department of Public Safety
Children’s experiences of adversity and trauma can have lifelong impact by increasing the risk of poor physical and mental health during growth and increasing their health-related challenges in adulthood. HNC 2030, p. 46
North Carolina is ranked 32nd among US states for the number of children with two or more Adverse Childhood Experiences (ACEs) and is ranked 1st for the lowest percent of children with 2+ ACEs at 23.6% of children ages 0-17 (2016-17). In NC 18% of children ages 0-5 have experienced 2+ ACEs. A child’s living arrangements, household income level, care needs, and race and ethnicity can all effect the risk of ACEs. The statewide goal is to decrease the percentage of children with 2+ ACEs to 18.0% by 2030. Current work involves increasing trauma-informed practices and programs that support families and children to decrease their exposure to trauma and overcome the impact of ACEs. HNC 2030 pp. 46-47
Center for Child & Family Health |
https://www.ccfhnc.org/ |
Kellin Foundation |
https://www.kellinfoundation.org/ |
NCCJ |
https://www.nccjtriad.org/programs/ |
NC DHHS Division of Child Development and Early Education |
https://ncchildcare.ncdhhs.gov/ |
North Carolina Academy of Family Physicians |
https://www.ncafp.com/ |
North Carolina Child Treatment Program |
https://www.ncchildtreatmentprogram.org/ |
North Carolina Homeless Education Program |
https://hepnc.uncg.edu/ |
North Carolina Infant and Young Child Mental Health Association (NCIMHA) |
https://www.ncimha.org/ |
North Carolina Judicial Branch- Chief Justice’s Task Force on ACEs |
https://www.nccourts.gov/commissions/chief-justices-task-force-on-aces-informed-courts |
North Carolina Area Health Education Centers (NC AHEC) |
https://www.ncahec.net/ |
North Carolina Pediatric Society |
https://www.ncpeds.org/ |
North Carolina Psychological Foundation |
https://www.ncpsychology.org/ |
Our Children’s Place of Coastal Horizons Center |
https://coastalhorizons.org/ |
Parenting Inside Out |
http://www.parentinginsideout.org/ |
The Impact of Racism on Child and Adolescent Health |
https://publications.aap.org/pediatrics/article/144/2/e20191765/38466/The-Impact-of-Racism-on-Child-and-Adolescent?autologincheck=redirected |
The National Child Traumatic Stress Network (NCTSN)- Structured Psychotherapy for Adolescents Responding to Chronic Stress (SPARCS) |
https://www.nctsn.org/interventions/structured-psychotherapy-adolescents-responding-chronic-stress |
The North Carolina Partnership for Children, Inc.- Smart Start |
https://www.smartstart.org/ |
Together for Resilient Youth (T.R.Y.) |
https://try4resilience.org/ |
Wellness Recovery Action Plan (WRAP) |
https://www.wellnessrecoveryactionplan.com/wrap-can-help/youth-children/ |
Winer Family Foundation |
https://www.wffcharlotte.org/ |
Children’s National Health Survey
DHHS, in partnership with a diverse set of stakeholders, developed a standardized set of SDOH screening questions to address and acquire data on the following:
https://www.ncdhhs.gov/about/department-initiatives/healthy-opportunities/screening-questions
Children with low reading proficiency are more likely to drop out of high school, acquire low paying jobs that limit access to health care, and have increased risks for numerous adverse health outcomes. HNC 2030, p. 48
The third grade reading proficiency rate in North Carolina for the 2018-19 school year was 56.8%. This amounts to 53,000 students not meeting third grade reading requirements each year. Performance by school district varied greatly. Twenty-three percent of children with disabilities, 27.7% of English learners, 32.8% of students experiencing homelessness, and 40% of economically disadvantaged students and children in foster care were proficient in reading. From 2018-2019, only 40% of African American, American Indian, and Hispanic third graders were meeting proficiency requirements compared to 70% of white students and 76% of Asian students. The current goal is to accomplish 80% third grade reading proficiency by 2030. Achieving this goal is largely dependent upon eliminating disparities in proficiency rates for African American, Hispanic, and American Indian students. HNC 2030 pp. 48-49
NC Department of Public Instruction
DHHS, in partnership with a diverse set of stakeholders, developed a standardized set of SDOH screening questions to address and acquire data on the following:
https://www.ncdhhs.gov/about/department-initiatives/healthy-opportunities/screening-questions
Communities that provide spaces for physical activity have healthier people with less risk of chronic health conditions, poor cardiovascular health, and premature mortality. HNC 2030, p. 54
In 2019, 74% of the North Carolina population lived within half a mile from a park in any area, one mile from a recreational center in a metropolitan area, or three miles from a recreational center in a rural area. Among counties, the range was 6-100% among US states for percent of population with access to exercise opportunities. Low income communities, people of color, people with physical disabilities, and people living in rural areas have less access to recreational facilities and parks compared to affluent, white, and metropolitan communities. Statewide goals are to increase access to opportunities for physical activity to 92% of the population. HNC 2030 p. 54
American Association of Retired Persons (AARP) Livable Communities |
https://www.aarp.org/livable-communities/ |
Boys & Girls Clubs of North Carolina |
https://www.ncclubs.org/ |
Boy Scouts of America-East Carolina Council |
https://www.eccbsa.org/ *several councils across the state |
Brenner FIT®- WakeHealth |
https://www.wakehealth.edu/Specialty/b/Brenner-FIT |
Bull City Fit |
https://www.bullcityfit.org/ |
Children’s Healthy Weight Research (CHWR)- UNC Center for Health Promotion and Disease Prevention |
https://chwr.web.unc.edu/ |
Children Wellness Initiative Network (WIN)- Walk Cabarrus |
https://walkcabarrus.com/our-mission/ |
Durham Parks & Recreation (DPR) |
https://www.dprplaymore.org/ |
Eat Smart Move More North Carolina |
https://www.eatsmartmovemorenc.com/ |
Girl Scouts- North Carolina Coastal Pines |
https://www.nccoastalpines.org/ |
Go NAPSACC (Nutrition and Physical Activity Self-Assessment for Child Care) |
https://gonapsacc.org/ |
Kids in Parks- TRACK Trails |
https://www.kidsinparks.com/blog-topics/track-trails |
Lumber River Council of Governments |
https://www.lumberrivercog.org/ |
National Recreation and Park Association |
https://www.nrpa.org/ |
NC Council of Churches |
https://www.ncchurches.org/ |
NC State Design National Learning Initiative |
https://naturalearning.org/ |
NC State Extension- Faithful Families |
https://ncstepstohealth.ces.ncsu.edu/faithful-families/ |
North Carolina Department of Transportation- Great Trails State Plan, Safe Routes to School Program, Let’s Go NC! |
https://www.ncdot.gov/Pages/default.aspxhttps://www.ncdot.gov/divisions/bike-ped/great-trails-state/Pages/default.aspxhttps://www.ncdot.gov/initiatives-policies/safety/safe-routes-school/Pages/default.aspx |
North Carolina Recreation and Park Association (NCRPA)- |
https://www.ncrpa.net/ |
The North Carolina Partnership for Children, Inc.- Smart Start |
https://www.smartstart.org/ |
The Duke Endowment |
https://www.dukeendowment.org/ |
The Trust For Public Land |
https://www.tpl.org/ |
The Walking Classroom |
https://www.thewalkingclassroom.org/ |
Vision Zero Network |
https://visionzeronetwork.org/ |
County Health Rankings and Roadmaps - Business Analyst, Delorme map data, ESRI, & US Census Tiger line Files *Should not compare ranked data from year to year
Work with the city and/or county planning department to identify locations in your community that are used for physical activity and select or create your own measure(s).
Access to exercise opportunities
Percentage of population with adequate access to locations for physical activity.
The 2020 County Health Rankings used data from 2010 & 2019 for this measure.
Good nutrition is essential for mental and physical health. Limited access to healthy food has been linked to obesity, cardiovascular conditions, nutritional deficiencies, and other preventable causes of disease and death. HNC 2030, p. 56
In North Carolina, 7% of people with low-income live more than one mile away from a grocery store in metropolitan areas or more than 10 miles away from a grocery store in rural areas (2015) making North Carolina ranked 26th among US states with limited access to healthy foods. More than 500,000 residents live in one of the 340+ “food deserts” or areas with limited access to healthy foods. Race and income level affect likelihood of living in a food desert and the grocery stores in those communities often have fewer options or higher prices for healthier foods compared to stores in wealthier areas. The current percent of the population with limited access to healthy food has remained steady at 7% for the last five years. The state goal is to reduce this to 5% within the next 10 years. HNC 2030 pp. 56-57
County Health Rankings and Roadmaps - United States Department of Agriculture (USDA) *Should not compare ranked data from year to year
DHHS, in partnership with a diverse set of stakeholders, developed a standardized set of SDOH screening questions to address and acquire data on the following:
https://www.ncdhhs.gov/about/department-initiatives/healthy-opportunities/screening-questions
Limited access to healthy foods
Percentage of population who are low-income and do not live close to a grocery store.
The 2020 County Health Rankings used data from 2015 for this measure.
Housing Quality is important for overall well-being affecting physical and mental health. Poor housing can increase risk of respiratory infections, psychological stressors, and other chronic conditions. HNC 2030, p. 58
With 16.1% of the population facing severe housing problems (2011-2016), North Carolina ranks at 28th among US states. One in six households in the state faces severe housing problems.4 This breaks down to 14,000 overcrowded households, 18,000 households with incomplete plumbing, 24,000 households with insufficient kitchen facilities, and severe cost burden affecting 500,000 households.4,5 Geographic location, race and ethnicity, education level, and income level are all factors in determining likelihood for facing severe housing problems. People who rent their home face higher costs and lack the ability to improve their housing conditions. Only 43.9% of African American residents and 43% of Hispanic residents live in a home they own compared to 71.2% of white residents. The goal for 2030 is to reduce the percent of the population with severe housing problems to 14%. HNC 2030 pp. 58-60
CASA (Court Appointed Special Advocates) |
https://www.casanc.org/ |
Crisis Assistance Ministry |
https://www.crisisassistance.org/ |
Episcopal Farmworker Ministry |
https://episcopalfarmworkerministry.org/ |
Habitat for Humanity of North Carolina |
https://habitatnc.org/ |
Legal Aid of North Carolina |
https://www.legalaidnc.org/ |
NC DHHS Housing and Home Improvement Assistance |
https://www.ncdhhs.gov/assistance/low-income-services/housing-home-improvement-assistance |
Neighborhood Assistance Corporation of America |
https://www.naca.com/ |
North Carolina Housing Coalition |
https://nchousing.org/ |
North Carolina Housing Finance Agency |
https://www.nchfa.com/ |
North Carolina Voluntary Organizations Active in Disaster- Long-Term Recovery Groups (LTRGs) & Community Organizations in Active Disaster (COADs) |
https://www.ncvoad.org/coads-ltrgs/ |
Reinvestment Partners-Hotel to Home |
https://reinvestmentpartners.org/https://reinvestmentpartners.org/what-we-do/hotel-to-home.html |
Center for Public Engagement with Science |
https://ie.unc.edu/cpes/https://nchealthyhomes.com/ |
UNC-Greensboro Center for Housing and Community Studies |
https://chcs.uncg.edu/ |
UNC Institute for the Environment |
https://ie.unc.edu/ |
County Health Rankings and Roadmaps - Comprehensive Housing Affordability Strategy (CHAS) *Should not compare ranked data from year to year
DHHS, in partnership with a diverse set of stakeholders, developed a standardized set of SDOH screening questions to address and acquire data on the following:
https://www.ncdhhs.gov/about/department-initiatives/healthy-opportunities/screening-questions
Severe housing problems
Percentage of households with at least 1 of 4 housing problems: overcrowding, high housing costs, lack of kitchen facilities, or lack of plumbing facilities.
The 2020 County Health Rankings used data from 2012-2016 for this measure.
Drug overdose is the leading cause of death due to injury in the United States. Drug use affects relationships, employment, physical and mental health, and contributes to the spread of diseases. HNC 2030, p. 66
Substance use disorders (SUDs) are chronic or recurrent conditions that, like other chronic illnesses, require ongoing care and treatment for individuals to regain health and maintain recovery. As with any chronic disease, prevention, identification, treatment, and recovery services and supports are essential to ensuring positive health outcomes. Effective treatments for SUDs and underlying mental and physical health problems exist; however, access to services and supports for SUDs varies greatly across the state. HNC 2030 pp. 66-67
NC State Center for Health Statistics, Vital Statistics
Far too many of the most vulnerable North Carolinians have suffered for too long from products that have been protected from regulation, yet are designed to addict, are promoted to young people, and are deadly. Until everyone is protected from addiction and exposure, we must keep working toward fairness and value-based services.
As of 2019, 27.3% of high school students in North Carolina report tobacco use, and 22.9% of adults report tobacco use. One of every five deaths in North Carolina is associated with cigarette smoking and for each death, 30 more people are sick or live with a disability. Cigarette smoking has declined for both youth and adults while electronic cigarette smoking and use of other tobacco products are increasing. Low income, low educational attainment, mental illness, and unemployment increase likelihood of tobacco use. LGBTQ individuals and people in rural communities are also more likely to smoke. American Indians have a higher prevalence of smoking, while African American tobacco users die from tobacco-related causes at higher rates. Goals for 2030 are to reduce youth tobacco use to 9.0% and adult use to 15.0%. HNC 2030 pp. 68-69
NC State Center for Health Statistics, Behavioral Risk Factor Surveillance System (BRFSS) NC Youth Tobacco Survey, Smoke-free/Tobacco free local regulations maps
Alcohol consumption is the third leading cause of preventable deaths in North Carolina. Excessive alcohol use causes poor health outcomes and has social and economic repercussions. HNC 2030, p. 70
In 2018, 16.9% of adults in North Carolina reported binge or heavy drinking. This placed North Carolina at 14th among US states. Men are twice as likely to report excessive drinking and it is most reported for adults 18-44, whites, Hispanics, and multiracial individuals. Individuals with higher income ($75,000+ annually) reported excessive drinking at 23% compared to 17.7% for lower income individuals ($25,000-$49,999 annually). Although the percentage of excessive drinking has been slowly increasing, the goal is to reduce this indicator to 12.0% over the next 10 years. Prioritizing reducing excessive drinking reported by men will help to reach this goal. HNC 2030 pp. 70-71
Addiction Professionals North Carolina |
https://www.apnc.org/ |
Centers for Disease Control’s Community Guide on Preventing Excessive Alcohol Consumption |
https://www.thecommunityguide.org/topic/excessive-alcohol-consumption |
Forensic Tests for Alcohol- NC DPH Branch |
https://publichealth.nc.gov/chronicdiseaseandinjury/fta/index.htm |
Mothers Against Drunk Driving North Carolina |
https://www.madd.org/north-carolina/ |
National Alcoholic Beverage Control Association (NABCA) |
https://www.nabca.org/ |
North Carolina Area Health Education Centers (NC AHEC) |
https://www.ncahec.net/about-nc-ahec/statewide-work |
North Carolina Fetal Alcohol Syndrome Disorder (FASD) Informed |
https://ncfasdinformed.org/about-us/about-ncfasd-informed |
North Carolina Preventing Underage Drinking Initiative (PUDI)- Talk It Up. Lock It Up! |
https://www.ncpudi.org/https://www.ncpudi.org/resources/talk-it-up-lock-it-up/ |
North Carolina Substance Use Disorder Federation |
https://sudfederation.org/ |
Recovery Communities of North Carolina (RCNC) |
https://www.rcnc.org/ |
The Center for Alcohol Policy |
https://www.centerforalcoholpolicy.org/ |
The Center for Prevention & Counseling- Too Smart to Start |
https://centerforprevention.org/too-smart-to-start/ |
NC State Center for Health Statistics, Behavioral Risk Factor Surveillance System (BRFSS)
Sugar-sweetened beverage consumption is the leading source of calories and added sugar in the American diet and is directly linked to greater instances of chronic nutrition-related conditions, heart disease, and dental problems. HNC 2030, p. 72
In 2017, 33.6% of high school students and 34.2% of adults in North Carolina reported consumption of one or more sugar sweetened beverages (SSBs) per day. Men, individuals in low-income households, individuals with low levels of educational attainment, and individuals that have parents with low levels of educational attainment report higher SSB consumption. Perception of tap water and targeted marketing to youth of color and low-income populations contribute to differences in SSB consumption across racial groups. The goal for the next 10 years is to decrease youth consumption of SSBs to from 33.6% to 17% and decrease adult consumption from 34.2 % to 20.0%. HNC 2030 pp. 72-73
Color Me Healthy (CMH) |
https://snapedtoolkit.org/interventions/programs/color-me-healthy-cmh/ |
Diabetes Management NC- DiabetesSmart NC |
https://diabetesmanagementnc.com/diabetessmart/ |
Duke Sanford World Food Policy Center |
https://wfpc.sanford.duke.edu/ |
Durham’s Innovative Nutrition Education (DINE)- Supplemental Nutrition Assistance Program Education (SNAP-Ed) |
https://snaped.fns.usda.gov/success-stories/durhams-innovative-nutrition-education-dine |
Eat Smart, Move More North Carolina |
https://www.eatsmartmovemorenc.com/ |
Eat Smart, Move More, Prevent Diabetes |
https://esmmpreventdiabetes.com/ |
Eat Smart, Move More, Weigh Less |
https://esmmweighless.com/ |
Go NAPSACC |
https://gonapsacc.org/ |
Healthy Eating Research- Healthy Drinks Healthy Kids |
https://healthydrinkshealthykids.org/ |
I Heart Water |
https://iheartwaternc.com/ |
NC Cooperative Extension- Eat Smart, Move More, Take Control |
https://richmond.ces.ncsu.edu/take-control-2/ |
North Carolina Area Health Education Centers (NC AHEC) |
https://www.ncahec.net/about-nc-ahec/statewide-work |
North Carolina Expanded Food and Nutrition EducationProgram (EFNEP) |
https://ncefnep.org/what-is-efnep/ |
UNC Center for Health Promotion and Disease Prevention |
https://hpdp.unc.edu/research/cardiovascular-health-obesity-diabetes/https://hpdp.unc.edu/research/nutrition-physical-activity/ |
North Carolina Council of Churches- Partners in Health and Wholeness (PHW) initiative |
https://www.ncchurches.org/programs/phw/ |
Youth: NC Department of Public Instruction, Youth Risk Behavior Survey (YRBS) Adult: NC State Center for Health Statistics, Behavioral Risk Factor Surveillance System (BRFSS)
HIV can cause lifelong physical and psychological consequences. When left untreated, HIV can also be transmitted to sexual partners and unborn children. HNC 2030, p. 76, revised
The North Carolina HIV diagnosis rate was 13.9 per 100,000 people in 2018. Significant racial and gender disparities exist, including higher rates of diagnosis within communities of color. For African American men and women, HIV diagnosis was 68.7 cases per 100,000 and 15.9 cases per 100,000, respectively. Hispanics were diagnosed at a rate of 17.7 cases per 100,000 people. The white population was diagnosed at only 4.9 cases per 100,000 people. HIV diagnosis is significantly higher among men who have sex with men and large disparities exist between African American, Hispanic, and white men within this group as well. Men who have sex with other men are 155 times more likely to contract HIV than men who have sex only with women. People with lower income, who lack health insurance, sex workers, and incarcerated individuals have higher rates of diagnosis and lack resources for prevention and treatment of HIV. The 2030 goals for this indicator are to reduce the rate of diagnosis to 6.0 cases per 100,000 people and reduce racial/ethnic disparities. HNC 2030 pp. 76-77, revised
Carolinas CARE Partnership |
https://www.carolinascare.org/ |
Duke PrEP Clinic For HIV Prevention |
https://www.dukehealth.org/locations/duke-prep-clinic-hiv-prevention |
Durham County Department of Public Health- Formerly Incarcerated Transitions (FIT) Program |
https://www.dcopublichealth.org/services/std-hiv-testing |
Equality North Carolina |
https://equalitync.org/issues/hiv_aids_work/ |
Getting To Zero Mecklenburg |
https://www.mecknc.gov/HealthDepartment/GettingToZero/Pages/Home.aspx |
NC Council of Churches- Growing Communities of Inclusion: A Faithful Response to HIV/AIDS |
https://www.ncchurches.org/growing-communities-of-inclusion-a-faithful-response-to-hiv/ |
NC DHHS HIV Care Program |
https://epi.dph.ncdhhs.gov/cd/hiv/program.html |
NC DHHS Medicaid Be Smart Family Planning Program |
https://ncgov.servicenowservices.com/sp_beneficiary?id=kb_article&sys_id=389050c51b5424906aacdb1ee54bcba8&table=kb_knowledge |
NC DHHS NC HIV/AIDS Prevention and Care Advisory Committee (HPCAC) |
https://epi.dph.ncdhhs.gov/cd/stds/programs/hpcac.html |
NC DHHS North Carolina Injury & Violence Prevention Branch- North Carolina Safer Syringe Initiative |
https://www.injuryfreenc.ncdhhs.gov/ |
North Carolina AIDS Action Network (NCAAN) |
http://www.ncaan.org/ |
North Carolina Area Health Education Centers (NC AHEC) |
https://www.ncahec.net/about-nc-ahec/statewide-work |
North Carolina Association of Pharmacists (NCAP) |
https://www.ncpharmacists.org/ |
NC Board of Pharmacy |
http://www.ncbop.org/ |
North Carolina Community Health Center Association (NCCHCA) |
https://www.ncchca.org/ |
North Carolina Harm Reduction Coalition (NCHRC)-Syringe Exchange Program |
https://www.nchrc.org/about/ |
NC Institute of Medicine (NCIOM) |
https://nciom.org/ |
North Carolina Sheriff’s Association (NCSA) |
https://ncsheriffs.org/ |
Regional AIDS Interfaith Network (RAIN) |
RAIN (carolinarain.org) |
Sexual Health Initiatives For Teens (SHIFT) |
https://www.shiftnc.org/ |
Society for Public Health Education (SOPHE) |
https://www.sophe.org/ |
Southeast STD/HIV Prevention and Training Center |
https://nnptc.org/locations/southeast-stdhiv-prevention-training-center |
The North Carolina Barbers Association |
https://www.ncbarbae.com/home |
The Task Force For Global Health- Coalition for Global Hepatitis Elimination |
https://taskforce.org/viral-hepatitis/ |
UNC Center for Health Equity Research (CHER)- TRANSforming the Carolinas Project |
https://www.med.unc.edu/cher/ |
NC Division of Public Health, Epidemiology Section
Teenage mothers are more likely to face higher rates of pregnancy-related morbidity, are less likely to receive prenatal care, and experience greater hardships that negatively impact their children’s life and their own. HNC 2030, p. 78
In 2018, the North Carolina teen birth rate for girls aged 15-19 was 18.7 per 1,000, ranking 23rd among US states. Teen birth rate is influenced by income level, educational attainment, childhood trauma, racial identity, and geography. Teenage pregnancy and birth are more common among girls from low income families and those with a history of adverse childhood experiences. African American, Hispanic, and American Indian girls give birth at rates 2-3 times higher than white girls and these girls are more likely to reside in under-resourced communities. Over the next 10 years, the goal is to reduce the number of teen births to 10 per 1,000, and to reduce racial disparities for this health indicator. HNC 2030 pp. 78-79
Helping Each Adolescent Reach Their Spark (H.E.A.R.T.S) |
https://www.heartsnc.org/ |
NC DHHS Adolescent Pregnancy Prevention Program |
https://www.teenpregnancy.ncdhhs.gov/appp.htm |
NC DHHS Personal Responsibility Education Program (PREPare) for Success |
https://www.teenpregnancy.ncdhhs.gov/prep.htm |
North Carolina Area Health Education Centers (NC AHEC) |
https://www.ncahec.net/about-nc-ahec/statewide-work |
North Carolina School Health Training Center (NCSHTC)-ECU |
https://hhp.ecu.edu/ncshtc/ |
Nurse-Family Partnership |
https://www.nursefamilypartnership.org/ |
Sexual Health Initiatives for Teens (SHIFT) NC- Gaston Youth Connected |
https://www.shiftnc.org/initiatives/gaston-youth-connected |
Teen Health Connection |
https://teenhealthconnection.org/teens-and-tots/ |
NC State Center for Health Statistics, Vital Statistics
Access to quality health care services is critical to achieve and maintain health, prevent and manage disease, and achieve health equity. Lack of health insurance can make health care inaccessible and unaffordable. HNC 2030, p. 84
In 2019, nearly 14% of North Carolina’s 8.4 million nonelderly lacked health insurance, ranking North Carolina 46th among US states. Approximately 55 percent of the population held employer-sponsored insurance. Another 8% had individual plans (primarily through the ACA Marketplace). More than one-in-five (21%) had public health insurance (Medicaid, NC Health Choice, or Medicare). Adults with low incomes who do not currently qualify for Medicaid fall into a coverage gap and have high rates of uninsured individuals. When viewed through an explicit race equity lens, conditions are more dire for people of color across the state. Of the nearly 1,845,000 non-elderly African Americans in North Carolina, almost 232,000 or 13% lacked health insurance. Hispanic-Americans are uninsured at higher rates among ethnic groups; about 270,000 (29%) of 937,000 non-elderly are without health insurance. This can likely be attributed to the ethnic group’s propensity to be locked into essential work that does not pay a living wage or offer health coverage. Comparatively, 10 percent or 509,000 (out of nearly 5,085,000) non-elderly white North Carolinians are uninsured. People in rural areas are less likely to have health insurance than their urban peers. The 80 rural counties (as defined by the NC Rural Center) make up 38 percent of the state’s non-elderly population but account for 42 percent of its uninsured. Expanding Medicaid in North Carolina would support the 2030 goal to decrease the uninsured rate for people under 65 to 8%, reaching more people of color and rural people all over the state. HNC 2030 pp. 84-85, revised
US Census Bureau - Small Area Health Insurance Estimates (SAHIE) Program
Primary care providers help to maintain and improve the overall health and well-being of communities. Access to primary care is associated with fewer health care disparities and better health outcomes across socioeconomic circumstances. HNC 2030, p. 86
In 2017, 62 counties in North Carolina met the recommended ratio of one primary care provider for every 1,500 residents. The growing demand and subsequent shortage of primary care, dental, and behavior health providers is largely due to the aging baby boomer population and overall population growth. The challenges are especially prevalent in rural communities which face difficulties recruiting and retaining health care professionals. Shortages in the primary care workforce in rural areas lead to an increase in unmet health care needs, delays in receiving care, forgoing of preventive care, preventable hospitalizations, and deaths. The 2030 goals are to have all 100 counties in North Carolina meeting the recommended ratio of 1 primary care worker: 1,500 population. HNC 2030 pp. 86-87
College Foundation of North Carolina (CFNC) |
https://www.cfnc.org/ |
Community Care of North Carolina (CCNC) |
https://www.communitycarenc.org/ |
Duke Health’s Primary Care Preceptor Development Mini-Fellowship Program |
https://fmch.duke.edu/education-training/primary-care-preceptor-development-mini-fellowship |
Mountain Area Health Education Center (MAHEC) |
https://mahec.net/ |
Mountain Community Health Partnership (MCHP) |
https://www.mchp.care/ |
NC DHHS Office of Rural Health |
https://www.ncdhhs.gov/divisions/orh |
NC Medical Society |
https://www.ncmedsoc.org/ |
North Carolina Academy of Physician Assistants (NCAPA) |
http://ncapa.org/ |
North Carolina Alliance for Health Professions Diversity (NCAHPD) |
https://ncahpd.org/ |
North Carolina Area Health Education Centers (NC AHEC) |
https://www.ncahec.net/about-nc-ahec/statewide-work |
North Carolina Association of Free & Charitable Clinics (NCAFCC) |
https://ncafcc.org/ |
North Carolina Association of Local Health Directors (NCALHD) |
https://www.ncalhd.org/ |
North Carolina Community Health Center Association (NCCHCA) |
https://www.ncchca.org/ |
North Carolina Healthcare Association (NCHA) |
https://www.ncha.org/ |
North Carolina Health Occupations Students of America (NC HOSA) |
http://nchosa.org/ |
North Carolina Institute of Medicine (NCIOM) |
https://nciom.org/ |
North Carolina Medical Board |
https://www.ncmedboard.org/ |
North Carolina Public Health Association (NCPHA) |
https://ncpha.memberclicks.net/ |
North Carolina Nurses Association (NCNA) |
https://www.ncnurses.org/ |
North Carolina Pediatric Society (NCPeds) |
https://www.ncpeds.org/ |
Office of Rural Initiatives at UNC |
https://www.med.unc.edu/inclusion/ori/ |
The Cecil G. Sheps Center for Health Services Research at UNC |
https://www.shepscenter.unc.edu/ |
**Primary Care Advisory Committee (PCAC) Office of Rural Health |
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Cecil G. Sheps Center for Health Services - Research analysis of licensure data from North Carolina Medical Board and North Carolina Board of Nursing
Women who receive early prenatal care have lower rates of negative pregnancy outcomes and have access to social support systems and programs that can help navigate pregnancy safely and healthily. HNC 2030, p. 88
In 2018, 68% of women in North Carolina received pregnancy related healthcare services within the first trimester of pregnancy. Women in lower income groups are less likely to be insured and have less access to appropriate prenatal care. Medicaid in North Carolina provides women with lower income prenatal care, delivery, postpartum care, childbirth classes, and treatment for complications with pregnancy. Teenage mothers and mothers in their early 20s are less likely to seek early prenatal care than older mothers. African American women, Hispanic women, and American Indian women are less likely to receive early prenatal care when compared to white women. The current goal for the next 10 years is to improve the percentage of early prenatal care to 80% of women for the first trimester of pregnancy. HNC 2030 pp. 88-89
Alliance of Black Doulas for Black Mamas |
https://www.alliance-bdbm.com/ |
Maternal Support Services Baby Love Program |
https://medicaid.ncdhhs.gov/beneficiaries/get-started/find-programs-and-services/maternal-support-services-baby-love-program |
Care Management for High-Risk Pregnancies (CMHRP) |
https://medicaid.ncdhhs.gov/transformation/care-management/care-management-high-risk-pregnancies-cmhrp |
Community Care of North Carolina (CCNC)- Pregnancy Medical Home |
https://www.communitycarenc.org/what-we-do/clinical-programs/pregnancy-medical-home |
Count the Kicks |
https://countthekicks.org/ |
Equity Before Birth |
https://www.equitybeforebirth.com/ |
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