Births With Adequate Prenatal Care Based on Kotelchuck Index

Birth Indicators

The Kotelchuck Index, also called the Adequacy of Prenatal Care Utilization (APNCU) Index, classifies the adequacy of initiation as follows: pregnancy months 1 and 2, months 3 and 4, months 5 and 6, and months 7 to 9. A ratio of observed to expected visits is calculated and grouped into four categories: Inadequate (received less than 50% of expected visits), Intermediate (received 50%-79% of expected visits), Adequate (received 80%-109% of expected visits), Adequate Plus (received 110% or more of expected visits). Mothers with unknown prenatal care are excluded from the denominator in calculating the percentage.

This indicator is a measure of the adequacy of prenatal care provided to a woman by health care providers during the prenatal period. The adequacy of prenatal care utilization index provides a more comprehnsive measure of prenatal care utilization than the timing of prenatal care. High-risk pregnant women are likely to have high rates for adequate+plus care due to the many visits they receive.

In 2022, in Alachua County, the percent of adequate prenatal care that were Births With Adequate Prenatal Care Based on Kotelchuck Index (All) was 73.6 compared to Florida at 62.6. Since the oldest age of the mother at birth varies, an ending age of 999 is used to retrieve all records up to and including the oldest age.

The map illustrates county data by quartile. A quartile map is presented when there are at least 51 counties with data for this measure.

Resources: Healthy People 2030 | Other

Measure Type

Age Range
Select Ages

Alachua County

County

Year

Count/Rate

Group

Births With Adequate Prenatal Care Based on Kotelchuck Index, Single Year

* Click a legend category to hide or show that category.

5/19/2024 12:14:56 AM

Data Note(s)

Data Source: Florida Department of Health, Bureau of Vital Statistics

This is primary, quantitative data.

Chart will display if there are at least three years of data.
Multi-year counts are a sum of the selected years, not an average.
Use caution when interpreting rates and ratios based on small numbers of events. Rates and ratios are considered unstable if they are based on fewer than 5 cases or if the denominator (population at risk) is fewer than 20. An erratic trend line illustrates this instability.
Quartiles are calculated when data are available for at least 51 counties.
Population - Rates are calculated using July 1 population estimates from the Florida Legislature, Office of Economic and Demographic Research which have been allocated by race based on information from the US Bureau of the Census. The population data for 2011-2021, along with rates affected by the population data, was updated on FLHealthCHARTS in November 2017. It is customary to periodically revise population estimates based on new information, such as a census or new mid-course census estimates for prior years. Revising these estimates ensures accurate accounting of the racial, ethnic, and gender distribution of the population. These changes affect the population data and rates calculated for your community.
These data are only for pregnancies that end with a live birth.
MOV - Measure of Variability: Probable range of values resulting from random fluctuations in the number of events. Not calculated when numerator is below 5 or denominator is below 20, or count or rate is suppressed. The MOV is useful for comparing rates to a goal or standard. For example, if the absolute difference between the county rate and the statewide rate is less than the MOV, the county rate is not significantly different from the statewide rate (alpha level = 0.05). When the absolute difference between the county rate and the statewide rate is greater than the MOV, the county rate is significantly different from the statewide rate. MOV should not be used to determine if the rates of two different counties, or the county rates for two different years, are statistically significantly different.
denom - abbreviated for Denominator.
Population estimates are not available for persons whose county of residence is unknown. Given this, the denominator and associated rate are not available.
* - Indicates the county rate is statistically significantly different from the statewide rate.

Births With Adequate Prenatal Care Based on Kotelchuck Index, Single Year

Births With Adequate Prenatal Care Based on Kotelchuck Index, Single Year
	Alachua				Florida
Data Year	Count	Denom	Rate	MOV	Count	Denom	Rate	MOV
2022	1,787	2,428	73.6^*	1.8	132,526	211,712	62.6	0.2
2021	1,582	2,217	71.4^*	1.9	125,959	199,931	63.0	0.2
2020	1,597	2,300	69.4^*	1.9	125,120	187,776	66.6	0.2
2019	1,744	2,369	73.6^*	1.8	134,853	191,637	70.4	0.2
2018	1,788	2,360	75.8^*	1.7	136,908	193,983	70.6	0.2
2017	1,746	2,313	75.5^*	1.8	137,986	194,945	70.8	0.2
2016	1,879	2,417	77.7^*	1.7	139,433	198,869	70.1	0.2
2015	1,940	2,551	76.0^*	1.7	142,913	202,754	70.5	0.2
2014	1,975	2,681	73.7^*	1.7	139,307	201,023	69.3	0.2
2013	2,006	2,648	75.8^*	1.6	139,000	198,837	69.9	0.2
2012	2,084	2,762	75.5^*	1.6	140,627	197,966	71.0	0.2
2011	2,022	2,821	71.7	1.7	137,448	190,786	72.0	0.2
2010	1,887	2,714	69.5^*	1.7	131,093	183,900	71.3	0.2
2009	1,950	2,758	70.7	1.7	138,142	193,896	71.2	0.2
2008	1,973	2,815	70.1	1.7	142,059	203,696	69.7	0.2
2007	1,892	2,670	70.9	1.7	150,512	214,708	70.1	0.2
2006	1,996	2,660	75.0^*	1.6	151,987	211,215	72.0	0.2
2005	1,938	2,502	77.5^*	1.6	144,159	198,180	72.7	0.2
2004	1,818	2,403	75.7^*	1.7	138,579	190,516	72.7	0.2
2003	1,859	2,456	75.7	1.7	153,538	207,402	74.0	0.2

5/19/2024 12:14:57 AM

Data Note(s)

Data Source: Florida Department of Health, Bureau of Vital Statistics

This is primary, quantitative data.

Chart will display if there are at least three years of data.
Multi-year counts are a sum of the selected years, not an average.
Use caution when interpreting rates and ratios based on small numbers of events. Rates and ratios are considered unstable if they are based on fewer than 5 cases or if the denominator (population at risk) is fewer than 20. An erratic trend line illustrates this instability.
Quartiles are calculated when data are available for at least 51 counties.
Population - Rates are calculated using July 1 population estimates from the Florida Legislature, Office of Economic and Demographic Research which have been allocated by race based on information from the US Bureau of the Census. The population data for 2011-2021, along with rates affected by the population data, was updated on FLHealthCHARTS in November 2017. It is customary to periodically revise population estimates based on new information, such as a census or new mid-course census estimates for prior years. Revising these estimates ensures accurate accounting of the racial, ethnic, and gender distribution of the population. These changes affect the population data and rates calculated for your community.
These data are only for pregnancies that end with a live birth.
MOV - Measure of Variability: Probable range of values resulting from random fluctuations in the number of events. Not calculated when numerator is below 5 or denominator is below 20, or count or rate is suppressed. The MOV is useful for comparing rates to a goal or standard. For example, if the absolute difference between the county rate and the statewide rate is less than the MOV, the county rate is not significantly different from the statewide rate (alpha level = 0.05). When the absolute difference between the county rate and the statewide rate is greater than the MOV, the county rate is significantly different from the statewide rate. MOV should not be used to determine if the rates of two different counties, or the county rates for two different years, are statistically significantly different.
denom - abbreviated for Denominator.
Population estimates are not available for persons whose county of residence is unknown. Given this, the denominator and associated rate are not available.
* - Indicates the county rate is statistically significantly different from the statewide rate.

Florida

Group

Year

Births With Adequate Prenatal Care Based on Kotelchuck Index, Percent of Adequate Prenatal Care, 2022

* Mouseover map to see county name and value. * Click a legend category to hide or show that category.

5/19/2024 12:14:58 AM

Data Note(s)

Data Source: Florida Department of Health, Bureau of Vital Statistics

This is primary, quantitative data.

Chart will display if there are at least three years of data.
Multi-year counts are a sum of the selected years, not an average.
Use caution when interpreting rates and ratios based on small numbers of events. Rates and ratios are considered unstable if they are based on fewer than 5 cases or if the denominator (population at risk) is fewer than 20. An erratic trend line illustrates this instability.
Quartiles are calculated when data are available for at least 51 counties.
Population - Rates are calculated using July 1 population estimates from the Florida Legislature, Office of Economic and Demographic Research which have been allocated by race based on information from the US Bureau of the Census. The population data for 2011-2021, along with rates affected by the population data, was updated on FLHealthCHARTS in November 2017. It is customary to periodically revise population estimates based on new information, such as a census or new mid-course census estimates for prior years. Revising these estimates ensures accurate accounting of the racial, ethnic, and gender distribution of the population. These changes affect the population data and rates calculated for your community.
These data are only for pregnancies that end with a live birth.
MOV - Measure of Variability: Probable range of values resulting from random fluctuations in the number of events. Not calculated when numerator is below 5 or denominator is below 20, or count or rate is suppressed. The MOV is useful for comparing rates to a goal or standard. For example, if the absolute difference between the county rate and the statewide rate is less than the MOV, the county rate is not significantly different from the statewide rate (alpha level = 0.05). When the absolute difference between the county rate and the statewide rate is greater than the MOV, the county rate is significantly different from the statewide rate. MOV should not be used to determine if the rates of two different counties, or the county rates for two different years, are statistically significantly different.
denom - abbreviated for Denominator.
Population estimates are not available for persons whose county of residence is unknown. Given this, the denominator and associated rate are not available.
* - Indicates the county rate is statistically significantly different from the statewide rate.

Births With Adequate Prenatal Care Based on Kotelchuck Index, Percent of Adequate Prenatal Care, 2022

MOV

Births With Adequate Prenatal Care Based on Kotelchuck Index, Percent of Adequate Prenatal Care, 2022
County	Count	Denom	Rate	MOV
Florida	132,526	211,712	62.6	0.2
Alachua	1,787	2,428	73.6^*	1.8
Baker	186	329	56.5^*	5.4
Bay	1,304	1,838	70.9^*	2.1
Bradford	190	277	68.6^*	5.5
Brevard	3,042	5,032	60.5^*	1.4
Broward	12,881	20,245	63.6^*	0.7
Calhoun	83	114	72.8^*	8.2
Charlotte	664	962	69.0^*	2.9
Citrus	580	944	61.4	3.1
Clay	1,337	2,182	61.3	2.0
Collier	1,668	2,964	56.3^*	1.8
Columbia	477	662	72.1^*	3.4
Miami-Dade	16,290	28,475	57.2^*	0.6
Desoto	248	379	65.4	4.8
Dixie	70	119	58.8	8.8
Duval	6,453	11,862	54.4^*	0.9
Escambia	2,455	3,513	69.9^*	1.5
Flagler	555	823	67.4^*	3.2
Franklin	53	81	65.4	10.4
Gadsden	274	404	67.8^*	4.6
Gilchrist	135	203	66.5	6.5
Glades	53	75	70.7	10.3
Gulf	65	91	71.4	9.3
Hamilton	76	155	49.0^*	7.9
Hardee	216	365	59.2	5.0
Hendry	380	524	72.5^*	3.8
Hernando	988	1,552	63.7	2.4
Highlands	518	845	61.3	3.3
Hillsborough	10,685	16,765	63.7^*	0.7
Holmes	127	169	75.1^*	6.5
Indian River	879	1,200	73.3^*	2.5
Jackson	336	481	69.9^*	4.1
Jefferson	89	123	72.4^*	7.9
Lafayette	38	58	65.5	12.2
Lake	2,181	3,611	60.4^*	1.6
Lee	4,638	7,046	65.8^*	1.1
Leon	1,892	2,522	75.0^*	1.7
Levy	241	345	69.9^*	4.8
Liberty	57	73	78.1^*	9.5
Madison	115	154	74.7^*	6.9
Manatee	2,574	3,593	71.6^*	1.5
Marion	1,919	3,341	57.4^*	1.7
Martin	870	1,247	69.8^*	2.5
Monroe	410	733	55.9^*	3.6
Nassau	476	779	61.1	3.4
Okaloosa	1,828	2,466	74.1^*	1.7
Okeechobee	319	502	63.5	4.2
Orange	7,948	15,655	50.8^*	0.8
Osceola	2,987	4,614	64.7^*	1.4
Palm Beach	9,366	14,654	63.9^*	0.8
Pasco	3,896	5,440	71.6^*	1.2
Pinellas	4,852	6,844	70.9^*	1.1
Polk	5,247	8,796	59.7^*	1.0
Putnam	406	739	54.9^*	3.6
Saint Johns	1,782	2,374	75.1^*	1.7
Saint Lucie	2,401	3,526	68.1^*	1.5
Santa Rosa	1,531	1,950	78.5^*	1.8
Sarasota	2,075	2,794	74.3^*	1.6
Seminole	2,600	4,375	59.4^*	1.5
Sumter	342	533	64.2	4.1
Suwannee	231	377	61.3	4.9
Taylor	135	195	69.2^*	6.5
Union	90	133	67.7	7.9
Volusia	2,857	4,598	62.1	1.4
Wakulla	252	316	79.7^*	4.4
Walton	658	895	73.5^*	2.9
Washington	167	244	68.4^*	5.8

5/19/2024 12:14:59 AM

Data Note(s)

Data Source: Florida Department of Health, Bureau of Vital Statistics

This is primary, quantitative data.

Chart will display if there are at least three years of data.
Multi-year counts are a sum of the selected years, not an average.
Use caution when interpreting rates and ratios based on small numbers of events. Rates and ratios are considered unstable if they are based on fewer than 5 cases or if the denominator (population at risk) is fewer than 20. An erratic trend line illustrates this instability.
Quartiles are calculated when data are available for at least 51 counties.
Population - Rates are calculated using July 1 population estimates from the Florida Legislature, Office of Economic and Demographic Research which have been allocated by race based on information from the US Bureau of the Census. The population data for 2011-2021, along with rates affected by the population data, was updated on FLHealthCHARTS in November 2017. It is customary to periodically revise population estimates based on new information, such as a census or new mid-course census estimates for prior years. Revising these estimates ensures accurate accounting of the racial, ethnic, and gender distribution of the population. These changes affect the population data and rates calculated for your community.
These data are only for pregnancies that end with a live birth.
MOV - Measure of Variability: Probable range of values resulting from random fluctuations in the number of events. Not calculated when numerator is below 5 or denominator is below 20, or count or rate is suppressed. The MOV is useful for comparing rates to a goal or standard. For example, if the absolute difference between the county rate and the statewide rate is less than the MOV, the county rate is not significantly different from the statewide rate (alpha level = 0.05). When the absolute difference between the county rate and the statewide rate is greater than the MOV, the county rate is significantly different from the statewide rate. MOV should not be used to determine if the rates of two different counties, or the county rates for two different years, are statistically significantly different.
denom - abbreviated for Denominator.
Population estimates are not available for persons whose county of residence is unknown. Given this, the denominator and associated rate are not available.
* - Indicates the county rate is statistically significantly different from the statewide rate.

5/19/2024 12:14:56 AM

Data Note(s)

Data Source: Florida Department of Health, Bureau of Vital Statistics

This is primary, quantitative data.

Chart will display if there are at least three years of data.
Multi-year counts are a sum of the selected years, not an average.
Use caution when interpreting rates and ratios based on small numbers of events. Rates and ratios are considered unstable if they are based on fewer than 5 cases or if the denominator (population at risk) is fewer than 20. An erratic trend line illustrates this instability.
Quartiles are calculated when data are available for at least 51 counties.
Population - Rates are calculated using July 1 population estimates from the Florida Legislature, Office of Economic and Demographic Research which have been allocated by race based on information from the US Bureau of the Census. The population data for 2011-2021, along with rates affected by the population data, was updated on FLHealthCHARTS in November 2017. It is customary to periodically revise population estimates based on new information, such as a census or new mid-course census estimates for prior years. Revising these estimates ensures accurate accounting of the racial, ethnic, and gender distribution of the population. These changes affect the population data and rates calculated for your community.
These data are only for pregnancies that end with a live birth.
MOV - Measure of Variability: Probable range of values resulting from random fluctuations in the number of events. Not calculated when numerator is below 5 or denominator is below 20, or count or rate is suppressed. The MOV is useful for comparing rates to a goal or standard. For example, if the absolute difference between the county rate and the statewide rate is less than the MOV, the county rate is not significantly different from the statewide rate (alpha level = 0.05). When the absolute difference between the county rate and the statewide rate is greater than the MOV, the county rate is significantly different from the statewide rate. MOV should not be used to determine if the rates of two different counties, or the county rates for two different years, are statistically significantly different.
denom - abbreviated for Denominator.
Population estimates are not available for persons whose county of residence is unknown. Given this, the denominator and associated rate are not available.
* - Indicates the county rate is statistically significantly different from the statewide rate.

		Florida Department of Health Bureau of Community Health Assessment Division of Public Health Statistics and Performance Management


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