About the National Data


Baseline: 2.4 child abuse and neglect deaths per 100,000 children under 18 years occurred in 2017

Target: 1.9 per 100,000

Number of reported child fatalities due to maltreatment among children under 18 years.
Number of children under 18 years.
Target-setting method

Percent improvement

Target-setting method details
20 percent improvement from the baseline.
Target-setting method justification
Trend data were evaluated for this objective, but it was not possible to project a target because the Healthy People 2030 Workgroup Subject Matter Experts (SMEs) viewed the targets produced by the trend analysis tool as conservative. A 20 percent improvement from the baseline was used to calculate a target. This method was used because it was a statistically significant improvement from the baseline, and the SMEs viewed this as ambitious yet achievable.


Methodology notes

Child fatality due to maltreatment is defined as the death of a child as a result of abuse or neglect because either (a) an injury resulting from the abuse or neglect of a child was the cause of the death or (b) abuse and/or neglect were contributing factors to the cause of death. Data on child fatalities are collected from all states; some state offices of child protective services work closely with health departments or the coroner's office, whereas others rely more on their own records, including deaths reported to them by law enforcement. Only those fatalities that were known to CPS and reported in the Child File are included in these analyses. These are case-level data reported in the Child File and, therefore, are a subset of all child fatalities. Cases in which the age at death is unknown, including unborn children, are excluded. Child abuse and neglect death rates are calculated using the July 1 estimates of the resident population from the Vintage matching the data year for the postcensal period based on the prior decennial census. For example, July 1, 2016, resident population estimates from Vintage 2016 are used as the denominator for 2016 rates.


Comparable HP2020 objective
Retained, which includes core objectives that are continuing from Healthy People 2020 with no change in measurement.