Where children are born can affect their chances for a strong start in life. Babies need good health, strong families, and positive early learning experiences to foster their healthy brain development and help them realize their full potential.

This new profile provides a brief summary description of the demographics of Puerto Rico's infants and toddlers; and a snapshot of how they and their families are faring in each of the three policy domains wherever the data are available in the Yearbook's sources. Within each domain, view data for the available child and family indicators compared to U.S. national averages. Although currently limited data are available for Puerto Rico's profile, the indicators of well-being and policies offer context for exploring what may be very different experiences of the territory’s youngest children; and highlight the need for better data collection and reporting on all of America's babies and families.

Demographics

Puerto Rico
National Average

Infants and toddlers in Puerto Rico

Puerto Rico is home to 59,865 babies, representing 1.8 percent of the territory’s population. As many as 82.4 percent live in households with incomes less than twice the federal poverty line (in 2021, about $55,000 for a family of four1), placing them at economic disadvantage.

Click Plus symbol to see selected indicators by subgroup.
Poverty status of infants and toddlers
Above Low-income
Low-income
Race/Ethnicity
Min: 0%
Max: 24.9%
American Indian/Alaska Native
Asian/Native Hawaiian/Pacific Islander
Black
Hispanic
Multiple Races
Other
White
In Poverty
Race/Ethnicity
Min: 0%
Max: 57.4%
American Indian/Alaska Native
Asian/Native Hawaiian/Pacific Islander
Black
Hispanic
Multiple Races
Other
White
In Deep Poverty**
Race/Ethnicity
Min: 0%
Max: 39.2%
American Indian/Alaska Native
Asian/Native Hawaiian/Pacific Islander
Black
Hispanic
Multiple Races
Other
White
150% SMI
Race/Ethnicity
Min: 0%
Max: 79.1%
American Indian/Alaska Native
Asian/Native Hawaiian/Pacific Islander
Black
Hispanic
Multiple Races
Other
White
Infants and toddlers in poverty, by race
Hispanic
Living Outside of a Metro Area

*Numbers are small; use caution in interpreting.

**Subset of "In Poverty"

Good Health

In Puerto Rico

How are Puerto Rico's babies faring in Good Health?

Supporting babies’ and mothers’ physical and mental health provides the foundation for infants’ lifelong physical, cognitive, emotional, and social well-being. Babies’ brains grow rapidly in the first years of life, and, in these early years, the brain works with other organs and organ systems to set the stage for subsequent development and health outcomes. Equitable access to good nutrition during the prenatal period and first years of life is key to ensure that babies receive the nourishment and care they need for a strong start in life. Strengthening equitable access to integrated, affordable maternal, pediatric, and family health care is also essential to meeting babies’ and families’ health and developmental needs.

There are few indicators on which Puerto Rico’s health data can be compared to states because they are not reported in the Yearbook’s data sources. Therefore, the territory is not ranked for the Good Health or other domains. Among the available indicators of maternal and child health, Puerto Rico performs better than national averages on the percentage of uninsured babies in families with low incomes and babies ever breastfed. The territory is performing worse than national averages on the percentage of babies breastfed at 6 months and babies receiving recommended vaccinations.

Key Indicators of Good Health

Click Plus symbol to see selected indicators by subgroup.
Puerto Rico
National Avg
Uninsured low-income infants and toddlers
Race/Ethnicity
Min: 0%
Max: 3.1%
American Indian/Alaska Native
Asian/Native Hawaiian/Pacific Islander
Black
Hispanic
Multiple Races
Other
White
Urbanicity
Min: 0%
Max: 0%
Urban
Rural
Infants ever breastfed
Race/Ethnicity
Min: 0%
Max: 88.7%
American Indian/Alaska Native
Asian
Black
Native Hawaiian/Pacific Islander
Hispanic
Multiple Races
Other
White
Income
Min: 0%
Max: 89.3%
Low Income
Above Low Income
Infants breastfed at 6 months
Race/Ethnicity
Min: 0%
Max: 46.2%
American Indian/Alaska Native
Asian
Black
Native Hawaiian/Pacific Islander
Hispanic
Multiple Races
Other
White
Income
Min: 0%
Max: 55.1%
Low Income
Above Low Income*
*Numbers are small; use caution in interpreting.
High weight-for-length in WIC
Race/Ethnicity
Min: 0%
Max: 7.0%
American Indian/Alaska Native
Asian/Pacific-Islander
Black
Hispanic
Multiple Races
Other
White
Received recommended vaccines
Race/Ethnicity
Min: 0%
Max: 47.1%
American Indian/Alaska Native
Asian
Black
Native Hawaiian/Pacific Islander
Hispanic
Multiple Races
Other
White
Income
Min: 0%
Max: 48.3%
Low Income
Above Low Income*
*Numbers are small; use caution in interpreting.
*Numbers are small; use caution in interpreting.
Good Health Policy in Puerto Rico
Medicaid expansion state
NA
CHIP maternal coverage for unborn child option
NA
Postpartum extension of Medicaid coverage
NA
Pregnant workers protection
NA
State Medicaid policy for maternal depression screening in well-child visits
NA
Medicaid plan covers social-emotional screening for young children
NA
Medicaid plan covers IECMH services at home
NA
Medicaid plan covers IECMH services at pediatric/family medicine practices
NA
Medicaid plan covers IECMH services in early childhood education settings
NA
Note: N/A indicates Not Available
All Good Health Indicators for Puerto Rico
State Indicator
National Avg
Health Care Coverage and Affordability
Eligibility limit (% FPL) for pregnant women in Medicaid
NA
200.0
Uninsured low-income infants and toddlers
3.2%
5.2%
Medical home
NA
51.0%
Nutrition
Infants ever breastfed
88.7%
83.8%
Infants breastfed at 6 months
39.8%
55.0%
High weight-for-length in WIC
7.0%
NA
WIC coverage for infants
NA
98.4%
WIC coverage for one-year-olds
NA
64.5%
WIC coverage for two-year-olds
NA
48.1%
Maternal Health
Late or no prenatal care received
NA
6.2%
Maternal mortality rate (deaths per 100,000 live births)
NA
23.8
Mothers reporting less than optimal mental health
NA
22.5%
Children’s Health
Babies born preterm
NA
10.1%
Babies with low birthweight
NA
8.2%
Infant mortality rate (deaths per 1,000 live births)
NA
5.4
Preventive dental care received
NA
33.5%
Preventive medical care received
NA
89.3%
Received recommended vaccines
47.1%
72.5%
Note: N/A indicates Not Available.

Strong Families

In Puerto Rico

How are Puerto Rico's babies faring in Strong Families?

Young children develop in the context of their families, where stability, safety, and supportive relationships nurture their growth. All families may benefit from parenting supports, but families with low income and in historically marginalized communities of color face additional challenges that impact their babies’ immediate and future well-being. Many policies can be designed to address these disparities by race, ethnicity, and income, including the provision of safe and stable housing, home visiting services, family-friendly employer policies, economic support for families with low income, and tax credits that benefit families with young children.

There are only two indicators in the Strong Families domain on which Puerto Rico’s data can be compared to states because they are not reported in the Yearbook’s data sources. Therefore, the territory is not ranked in this or other domains. For these two indicators, Puerto Rico performs better than national averages on the percentage of babies living in crowded housing and the infant/toddler maltreatment rate. Data are not available to identify indicators on which Puerto Rico is performing worse than national averages.

Key Indicators of Strong Families

Click Plus symbol to see selected indicators by subgroup.
Puerto Rico
National Avg
Crowded housing
Race/Ethnicity
Min: 0%
Max: 5.5%
American Indian/Alaska Native
Asian/Native Hawaiian/Pacific Islander
Black
Hispanic
Multiple Races
Other
White
Income
Min: 0%
Max: 6.1%
Low Income
Above Low Income
Urbanicity
Min: 0%
Max: 0%
Urban
Rural
Infant/toddler maltreatment rate (per 1,000 children ages 0-2)
Strong Families Policy in Puerto Rico
Paid family leave
NA
Paid sick time that covers care for child
NA
TANF work exemption
NA
State child tax credit
NA
State Earned Income Tax Credit
NA
Note: N/A indicates Not Available
All Strong Families Indicators for Puerto Rico
State Indicator
National Avg
Basic Needs
TANF benefits receipt among families in poverty
NA
19.0%
Housing instability
NA
2.9%
Crowded housing
5.8%
15.2%
Unsafe neighborhoods
NA
5.0%
Low or very low food security
NA
14.2%
Child Well-being and Resilience
Family resilience
NA
85.6%
1 adverse childhood experience
NA
18.6%
2 or more adverse childhood experiences
NA
7.2%
Infant/toddler maltreatment rate (per 1,000 children ages 0-2)
10.1
15.5
Removed from home
NA
6.6
Time in out-of-home placement
NA
33.9%
Permanency: Adopted
NA
34.2%
Permanency: Guardian
NA
7.9%
Permanency: Relative
NA
7.0%
Permanency: Reunified
NA
49.8%
Potential home visiting beneficiaries served
NA
2.1%
Note: N/A indicates Not Available.

Use our interactive table to get a snapshot view of all states’ results on any Yearbook indicator in our three domains.

Compare Indicators Across States

Positive Early Learning Experiences

In Puerto Rico

How are Puerto Rico's babies faring in Positive Early Learning?

Infants and toddlers learn through interactions with the significant adults in their lives and active exploration of enriching environments. The quality of babies’ early learning experiences at home and in other care settings can impact their cognitive and social-emotional development as well as early literacy. High-quality early childhood care can strengthen parents’ interactions with their children in the home learning environment and support parents’ ability to go to work or attend school. Equitable access to high-quality care across factors like race, ethnicity, and income, ensures all infants and toddlers have the opportunity for optimal development. However, disparities in access to high-quality care remain across many states and communities in the United States.

There are only two indicators in the Positive Early Learning Experiences domain on which Puerto Rico’s data can be compared to states because they are not reported in the Yearbook’s data sources. Therefore, the territory is not ranked in this or other domains. For these two indicators, Puerto Rico performs worse than national averages on the percentage of babies in families with incomes equal to or below 150 percent of the state median income who received a child care subsidy and babies in families below 100 percent of the federal poverty line with access to Early Head Start. Data are not available to identify indicators on which Puerto Rico is performing better than national averages.

Key Indicators of Positive Early Learning Experiences

Click Plus symbol to see selected indicators by subgroup.
Puerto Rico
National Avg
% Income-eligible infants/toddlers with Early Head Start access
Low/moderate income infants/toddlers in CCDF funded-care
Cost of care, as % of income married families
Cost of care, as % of income single parents
Positive Early Learning Experiences Policy in Puerto Rico
Adult/child ratio
EHS standards met for 3 of 3 age groups
Level of teacher qualification required by the state beyond a high school diploma
Bachelor’s degree
Group size
EHS standards met for 0 of 3 age groups
Infant/toddler professional credential
NA
Families above 200% of FPL eligible for child care subsidy
NA
State reimburses center-based child care
NA
At-risk children included in Part C eligibility definition
No
Note: N/A indicates Not Available
All Positive Early Learning Experiences Indicators for Puerto Rico
State Indicator
National Avg
Activities that Support Early Learning
Parent reads to baby every day
NA
37.4%
Parent sings to baby every day
NA
58.1%
Access to Early Learning Programs
% Income-eligible infants/toddlers with Early Head Start access
10.0%
11.0%
Low/moderate income infants/toddlers in CCDF-funded care
2.3%
4.7%
Cost of care, as % of income married families
11.1%
NA
Cost of care, as % of income single parents
50.0%
NA
Early Intervention
Developmental screening received
NA
34.2%
Percentage of infants/toddlers receiving IDEA Part C services
NA
6.8%
Timeliness of Part C services
100.0%
NA
Note: N/A indicates Not Available.

a. Sources: U.S. Census Bureau, Population Division. Census Population Estimate for 2020. Index of /programs-surveys/popest/datasets/2010-2020/state/totals and U.S. Census Bureau, Population Division. Census Vintage Population Estimates for 2020. https://www.census.gov/programs-surveys/popest/technical-documentation/research/evaluation-estimates/2020-evaluation-estimates/2010s-detail-puerto-rico.html

b. Source: Census Bureau, 2021, Quick Facts: Puerto Rico. https://www.census.gov/quickfacts/PR

Not Ranked
This indicator does not factor into the category's GROW ranking.
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