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The USG’s long history and successful programming in Indonesia provides examples of the GHI principles in action. Working under the guidance of national strategies and priorities and in partnership with government and private sector, investing in innovation, putting the interests of women and girls at the center of programming and increasing impact through strategic coordination have all been core approaches used by the USG in Indonesia and will continue to guide its work. In this environment, the US has played a catalytic role, identifying key leverage points where specific, value-added support, typically technical input and cooperation, bring unique US strength. | North Carolina Action for Children wfcNCIOM North Carolina Institute of Medicine shaping policy for a healthier state WITH FINANCIAL SUPPORT FROM BlueCross BlueShield of North Carolina Foundation An independent licensee of the Blue Cross and Blue Shield Association Annie E. Casey Foundation Access to Care and Preventive Health Promoting and improving the health and well-being of our children is critical to North Carolina s future. Health during childhood impacts not only adult health but also educational attainment employment and social and economic status. Preventive and primary care are essential to improving the health and well-being of North Carolina s 2.3 million children ages 0-18. While children and families may face multiple barriers to accessing health care the foremost barrier is the lack of health insurance. In North Carolina children who lack health insurance are more likely to forego or delay care and have less access to health care services. Many children 9.4 or approximately 216 000 in North Carolina are uninsured. In North Carolina Medicaid and Health Choice North Carolina s State Child Health Insurance Program provide health care coverage for children whose family income falls below 200 of the federal poverty guidelines or 46 000 for a family of four. In 2011 these two programs provided health care coverage for almost half of the children in our state 1 093 504 . Although having health care coverage is necessary for gaining access to affordable health care services having health insurance does not guarantee that an individual will receive preventive and primary care services. In North Carolina Medicaid and Health Choice provide coverage for all annual well-child visits for preventives care under Bright Futures the child health supervision guidelines developed by the American Academy of Pediatrics. Preventive care visits provide opportunities for immunizations developmental and health screenings early detection of emerging concerns and an .