In West Virginia, the trend varies by county.
Kids Count broke down the teen birthrate by county and found rates generally higher in Southern West Virginia.
Monongalia County had the lowest rate with 14 pregnancies per 1,000 females ages 15 to 19.
McDowell County had the highest rate at 96. The isolated, mountainous county leads the state in many negative rankings such as poverty, drug abuse and unemployment. A private-public initiative called Reconnecting McDowell may restore hope there.
And the Kids Count report had encouraging news. The death rate for children and the child abuse and neglect rate are falling. That may indicate child health initiatives and efforts to prevent child abuse are working.
The state also is gaining ground in its separate battles against infant mortality and students dropping out of high school.
This offers hope, something that is all too rare in some parts of the state.