The purpose of this annual publication is to heighten awareness of the health of our children by summarizing data on important child health indicators. The NCIOM, in collaboration with NC Child (formerly Action for Children North Carolina), produces the report card to assist health administrators, legislators, and child and family advocates in their efforts to improve the health and safety of children statewide. This report card highlights an increase in access to preventive care and an improvement in early intervention services for developmental health.