In the 2020-2025 State Action Plan, based on the 2020-2025 Needs Assessment, KY MCH identified and developed or continued seven NPMs. They are as follows:

1. NPM #1: Percent of women, ages 18 through 44, with a preventive medical visit in the past year.
2. NPM #4: A) Percent of infants who are ever breastfed B) Percent of infants breastfed exclusively through 6 months.
3. NPM #5: A) Percent of infants placed to sleep on their backs B) Percent of infants placed to sleep on a separate approved sleep surface C) Percent of infants placed to sleep without soft objects or loose bedding.
4. NPM #7: Rate of hospitalization for non-fatal injury per 100,000 children, ages 0 through 9.
5. NPM #8: 8.1) Percent of children, ages 6 through 11, who are physically active at least 60 minutes per day and 8.2) Percent of adolescents, ages 12 through 17, who are physically active at least 60 minutes per day.
6. NPM #12: Percent of adolescents with and without special health care needs, ages 12 through 17, who received services to prepare for the transition to adult health care.
7. NPM #14: 14.2) Percent of children, ages 0 through 17, who live in households where someone smokes (relative to adolescent health).

For some needs identified, it was felt a state performance measure would better fit either the program strategic plan, or state ability to be intentional in strategies. The seven SPMs are:

1. Reduce by 5% the rate of neonatal abstinence syndrome among Kentucky resident live births.
2. Reduce by 10% the number of maternal deaths of Kentucky residents associated with substance use disorder by 2025.
3. Percent of OCSHCN Access to Care Plan components completed.
4. Percent of OCSHCN Data Action Plan components completed.
5. Percent of children ages 0-17 who are adequately insured.
6. Reduce by 5% the number of child and adolescent deaths categorized as suicide by 2025.
7. Adverse Childhood Experiences.

In the following domain sections, it is recognized that many programs, state partner initiatives, data sets, and efforts are made to improve knowledge, outcomes, or strategies for each domain. In KY, many crosscutting needs impact all levels of the MCH population. Strategies for these are detailed specifically only in each domain. As noted in previous sections, the pandemic was at times almost an insurmountable obstacle to be able to reach the public, and it taxed the public health workforce in ways that have not previously been seen. Impact was felt in each NPM or SPM work as program staff constantly shifted priorities, actions, and efforts to meet the next change in the health care or community landscape. MCH met LHDs at their point of need, to try to develop educational opportunities virtually, or in development of materials for virtual social media platforms, legislative emergency regulations, and ongoing guidance.