Public Health Snapshot: Montgomery County, NC

The Data Narrative: Maternal Vulnerability and Care Access

The Montgomery County Context:
With only 1 obstetric care provider, Montgomery County faces significant systemic challenges, reflected in a high Maternal Vulnerability Index score of 91 out of 100. While 70.7% of expecting mothers receive prenatal care in their first trimester, the county experiences an infant mortality rate of 7.5 and a teen birth rate of 18.5 per 1,000. These figures point toward barriers in care utilization and the need for greater structural support.

In addition to maternal health challenges, early childhood environmental tracking requires continuous attention, with 1.5% of young children (ages 1-2) testing positive for elevated blood lead levels, highlighting the ongoing need for environmental health interventions and early screenings.

Maternal and Child Health Engagement

A look at key maternal and child health indicators in the county.

7.5/1000
Infant Mortality Rate
11.3%
Preterm Births
9.2%
Low Birth Weight
unavailable
Severe Maternal Morbidity
70.7%
First Trimester Prenatal Care
91
Maternal Vulnerability Index
1
Obstetric Care Providers
18.5/1000
Teen Birth Rate
80.3%
Breastfeeding at Discharge
1.5%
Elevated BLL (Ages 1-2)
61.8%
Prenatal Medicaid Coverage
11.2%
Emergency Medicaid Births

Recommended Policy Actions

Based on the county's health metrics, these actions prioritize closing the distance between patients and providers, lifting local health baselines closer to state standards:

Community Engagement
Community-led Solutions

Work with local communities and local partners to understand and learn about county-specific needs.

Home Visiting
Home Visiting Program

Leverage state-supported Home Visiting Programs to bypass local provider shortages, bringing public health nurses directly to new mothers to improve prenatal and postpartum health.

Prevention
Mobile Lead Screening Clinics

Deploy mobile health units to close the screening gaps completely, bringing baseline lead testing closer to state screening averages.

Driving Policy Change
Advocacy

Sustainable improvement requires a supportive policy environment that prioritizes student health. Provide policy analysis on vaccine requirements and encourage advocacy.

Talk with your community leaders about public health