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Healthy People 2020 Focus Objectives: Women and Girl’s Health Issues

Developed by the Department of Health and Human Services, Healthy People (HP) 2020 provides science-based, 10-year national objectives for improving the health of all Americans. Healthy People has established benchmarks and monitored progress over time in order to encourage collaborations across communities and sectors; empower individuals toward making informed health decisions; measure impact of prevention activities.

Women and girl’s health goals are addressed in sixteen of the 42 topic areas of HP 2020, including objectives that are still in development. This page outlines the women and girls objectives for the HP 2020 initiatives.

For more information on HP 2020 please visit www.healthypeople.gov

Healthy People 2020 strives to:

  • Identify nationwide health improvement priorities
  • Increase public awareness and understanding of the determinants of health, disease, and disability and the opportunities for progress
  • Provide measurable objectives and goals that are applicable at the national, state, and local levels
  • Engage multiple sectors to take actions to strengthen policies and improve practices that are driven by the best available evidence and knowledge
  • Identify critical research, evaluation, and data collection needs

HP 2020 has established benchmarks and monitors progress over time in order to:

  • Encourage collaborations across communities and other sectors
  • Empower individuals to make informed health decisions
  • Measure the impact of prevention activities

How to read this table:

HP 2020 is organized into 42 topic areas with corresponding objectives. Women and girl’s health goals are addressed in sixteen of the 42 topic areas and are highlighted in the following tables. Each topic links to the full list of topic areas on the HP 2020 Web site.

HP 2020 also includes objectives that are in development. The objectives that are associated with women and girl’s health are included in this table.

Healthy People 2020 – Women’s Health Focus Objectives

Arthritis, Osteoporosis, and Chronic Back Conditions

Objective Number Objective
11

Reduce hip fractures among older adults.

11.1 Females aged 65 years and older

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Blood Disorders and Blood Safety

Objective Number Objective
14

(DEVELOPMENTAL) Increase the proportion of providers who refer women with symptoms suggestive of inherited bleeding disorders for diagnosis and treatment.

15

Increase the proportion of women with von Willebrand disease (vWD) who are timely and accurately diagnosed.

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Cancer

Objective Number Objective
3 Reduce the female breast cancer death rate.
4 Reduce the death rate from cancer of the uterine cervix.
10 Reduce invasive uterine cervical cancer.
11 Reduce late-stage female breast cancer.
15 Increase the proportion of women who receive a cervical cancer screening based on the most recent guidelines.
17 Increase the proportion of women who receive a breast cancer screening based on the most recent guidelines.
18

Increase the proportion of adults who were counseled about cancer screening consistent with current guidelines.

18.1 Increase the proportion of women who were counseled by their providers about mammograms

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Educational & Community-Based Programs

Objective Number Objective
7

Increase the proportion of college and university students who receive information from their institution on each of the priority health risk behavior areas (all priority areas; unintentional injury; violence; suicide; tobacco use and addiction; alcohol and other drug use; unintended pregnancy, HIV/AIDS, and STD infection; unhealthy dietary patterns; and inadequate physical activity).

7.7 Unintended pregnancy

10

Increase the number of community-based organizations (including local health departments, tribal health services, nongovernmental organizations, and State agencies) providing population-based primary prevention services in the following areas:

10.6 Unintended pregnancy

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Environmental Health

Objective Number Objective
20

Reduce exposure to selected environmental chemicals in the population, as measured by blood and urine concentrations of the substances or their metabolites.

20.5 Mercury, females aged 16 to 49 years

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Family Planning

Objective Number Objective
1

Increase the proportion of pregnancies that are intended.

2

Reduce the proportion of females experiencing pregnancy despite use of a reversible contraceptive method.

5

Reduce the proportion of pregnancies conceived within 18 months of a previous birth.

6

Increase the proportion of females or their partners at risk of unintended pregnancy who used contraception at most recent sexual intercourse.

7

Increase the proportion of sexually active persons who received reproductive health services.

7.1 Increase the proportion of sexually active females aged 15 to 44 years who received reproductive health services

8

Reduce pregnancy rates among adolescent females.

8.1 Reduce the pregnancy rate among adolescent females aged 15 to 17 years

8.2 Reduce the pregnancy rate among adolescent females aged 18 to 19 years

9

Increase the proportion of adolescents aged 17 years and under who have never had sexual intercourse.

9.1 Increase the proportion of female adolescents aged 15 to 17 years who have never had sexual intercourse

9.3 Increase the proportion of female adolescents aged 15 years and under who have never had sexual intercourse

10

Increase the proportion of sexually active persons aged 15 to 19 years who use condoms to both effectively prevent pregnancy and provide barrier protection against disease.

10.1 Increase the proportion of sexually active females aged 15 to 19 years who use a condom at first intercourse

10.3 Increase the proportion of sexually active females aged 15 to 19 years who use a condom at last intercourse

11

Increase the proportion of sexually active persons aged 15 to 19 years who use condoms and hormonal or intrauterine contraception to both effectively prevent pregnancy and provide barrier protection against disease.

11.1 Increase the proportion of sexually active females aged 15 to 19 years who use a condom and hormonal or intrauterine contraception at first intercourse

11.3 Increase the proportion of sexually active females aged 15 to 19 years who use a condom and hormonal or intrauterine contraception at last intercourse

12

Increase the proportion of adolescents who received formal instruction on reproductive health topics before they were 18 years old.

12.1 Abstinence-Females

12.3 Birth control methods-Females

12.5 HIV/AIDS prevention-Females

12.7 Sexually transmitted diseases-Females

13

Increase the proportion of adolescents who talked to a parent or guardian about reproductive health topics before they were 18 years old.

13.1 Abstinence-Females

13.3 Birth control methods-Females

13.5 HIV/AIDS prevention-Females

13.7 Sexually transmitted diseases-Females

14

Increase the number of States that set the income eligibility level for Medicaid-covered family planning services to at least the same level used to determine eligibility for Medicaid-covered, pregnancy-related care.

15

Increase the proportion of females in need of publicly supported contraceptive services and supplies who receive those services and supplies.

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Genomics

Objective Number Objective
1

Increase the proportion of women with a family history of breast and/or ovarian cancer who receive genetic counseling.

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Heart Disease and Stroke

Objective Number Objective
20

(DEVELOPMENTAL) Increase aspirin use as recommended among adults with no history of cardiovascular disease.

15.1 Women aged 55 to 79 years

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HIV/AIDS

Objective Number Objective
8

Reduce the number of perinatally acquired HIV and AIDS cases.

8.2 Number of new cases of perinatally acquired AIDS
14

Increase the proportion of adolescents and adults who have been tested for HIV in the past 12 months.

14.3 Pregnant women

17

Increase the proportion of sexually active persons who use condoms.

17.1 Unmarried females aged 15 to 44 years
8

(DEVELOPMENTAL) Reduce the number of perinatally acquired HIV and AIDS cases.

8.1 Number of newly diagnosed perinatally acquired HIV cases

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Immunization and Infectious Diseases

Objective Number Objective
11

Increase routine vaccination coverage levels for adolescents.

11.4 Three doses of Human papillomavirus vaccine (HPV) for females by age 13 to

15 years
12

Increase the proportion of children and adults who are vaccinated annually against seasonal influenza

12.10 Pregnant women

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Injury and Violence Prevention

Objective Number Objective
39

(DEVELOPMENTAL) Reduce violence by current or former intimate partners.

39.1 Reduce physical violence by current or former intimate partners

39.2 Reduce sexual violence by current or former intimate partners

39.3 Reduce psychological abuses by current or former intimate partners

39.4 Reduce stalking by current or former intimate partners

40

(DEVELOPMENTAL) Reduce sexual violence.

40.1 Reduce rape or attempted rape

40.2 Reduce abusive sexual contacts other than rape or attempted rape

40.3 Reduce non-contact sexual abuses

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Maternal, Infant, and Child Health

Objective Number Objective
5

Reduce the rate of maternal mortality.

6

Reduce maternal illness and complications due to pregnancy (complications during hospitalized labor and delivery).

7

Reduce cesarean births among low-risk (full-term, singleton, vertex presentation) women.

7.1 Women giving birth for the first time

7.2 Prior cesarean birth

10

Increase the proportion of pregnant women who receive early and adequate prenatal care.

10.1 Prenatal care beginning in first trimester

10.2 Early and adequate prenatal care

11

Increase abstinence from alcohol, cigarettes, and illicit drugs among pregnant women.

11.1 Alcohol

11.2 Binge drinking

11.3 Cigarette smoking

11.4 Illicit drugs

12

(DEVELOPMENTAL) Increase the proportion of pregnant women who attend a series of prepared childbirth classes.

13

(DEVELOPMENTAL) Increase the proportion of mothers who achieve a recommended weight gain during their pregnancies.

14

Increase the proportion of women of childbearing potential with intake of at least 400 µg of folic acid from fortified foods or dietary supplements.

15

Reduce the proportion of women of childbearing potential who have low red blood cell folate concentrations.

16

Increase the proportion of women delivering a live birth who received preconception care services and practiced key recommended preconception health behaviors.

16.1 (DEVELOPMENTAL) Discussed preconception health with a health care worker prior to pregnancy

16.2 Took multivitamins/folic acid prior to pregnancy

16.3 Did not smoke prior to pregnancy

16.4 Did not drink alcohol prior to pregnancy

16.5 Had a healthy weight prior to pregnancy

16.6 (DEVELOPMENTAL) Increase the proportion of women delivering a live birth who used contraception to plan pregnancy

17

Reduce the proportion of persons aged 18 to 44 years who have impaired fecundity (i.e., a physical barrier preventing pregnancy or carrying a pregnancy to term).

17.1 Reduce the proportion of women aged 18 to 44 years who have impaired fecundity

18

(DEVELOPMENTAL) Reduce postpartum relapse of smoking among women who quit smoking during pregnancy.

19

(DEVELOPMENTAL) Increase the proportion of women giving birth who attend a postpartum care visit with a health worker.

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Nutrition and Weight Status

Objective Number Objective
21

Reduce iron deficiency among young children and females of childbearing age.

21.3 Females aged 12 to 49 years

22

Reduce iron deficiency among pregnant females.

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Older Adults

Objective Number Objective
2

Increase the proportion of older adults who are up to date on a core set of clinical preventive services.

2.2 Females aged 65 years and older who are up to date on a core set of clinical preventive services

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Sexually Transmitted Diseases

Objective Number Objective
1

Reduce the proportion of adolescents and young adults with Chlamydia trachomatis infections.

1.1 Among females aged 15 to 24 years attending family planning clinics

1.2 Among females aged 24 years and under enrolled in a National Job Training Program

2

(DEVELOPMENTAL) Reduce Chlamydia rates among females aged 15 to 44 years.

3

Increase the proportion of sexually active females aged 24 years and under enrolled in Medicaid plans that are screened for genital Chlamydia infections during the measurement year.

3.1 Females aged 16 to 20 years

3.2 Females aged 21 to 24 years

4

Increase the proportion of sexually active females aged 24 years and under enrolled in commercial health insurance plans that are screened for genital Chlamydia infections during the measurement year.

4.1 Females aged 16 to 20 years

4.2 Females aged 21 to 24 years

5

Reduce the proportion of females aged 15 to 44 years who have ever required treatment for pelvic inflammatory disease (PID).

6

Reduce gonorrhea rates.

6.1 Females aged 15 to 44 years

7

Reduce sustained domestic transmission of primary and secondary syphilis.

7.1 Among females

9

(DEVELOPMENTAL) Reduce the proportion of females with human papillomavirus (HPV) infection.

9.1 Females with types 6 and 11

9.2 Females with types 16 and 18

9.3 Females with other types

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Tobacco Use

Objective Number Objective
6

Increase smoking cessation during pregnancy.

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