State of women and children in

Spokane County

In 2019, WHWF partnered with the Spokane Regional Health District’s Data Center to publish a report and data visualization dashboard referred to as the State of Women and Children in Spokane County. The second report—Our Girls: State of Women and Children 2.0—represents the second installment and a continuing commitment toward this community.  The overarching purpose of the project remains the same—to foster collaboration and drive change and improvement in the areas of greatest importance to women and children who call Spokane home.

This complementary dashboard includes many of the indicators presented in this report as well as some additional information, particularly related to community violence. The data dashboard is updated annually or as data updates are available and can be used by the community as an ongoing source of the most current data. The report and dashboard together can be used to track the status of women and children over time and encourage investments in key issues shaping generational poverty and overall well-being.

Our Girls are our sisters, mothers, wives, children, and neighbors; they learn, play, worship, work, and live with us.  The collective community of Our Girls is made up of women and children from many different walks of life, and different races and ethnicities. Spokane County has many ingredients for good quality of life for its residents, yet many women and children in Spokane County struggle to feel mentally strong and healthy.

Indicator

Spokane County

Trend

Geography

Estimated Lives Impacted

Race/Ethnicity by Age

32%

of children are BIPOC

&

increasing

52%

of children are BIPOC in Washington State

N/A

Children in Poverty

13%

of children

'

decreasing

worse than Washington State

15,508

children

Poor Mental Health 

24%

of women

,

flat

not available

52,505

women

Stress Related to Substance Use by Self or Family

21%

of women

,

flat

not available

45,942

women

Seriously Consider Attempting Suicide

19%

of youth

,

flat

worse than Washington State

6,504

youth (13-17 years)

The unique conditions where Our Girls are born and raised create or block success and well-being, and these conditions and outcomes can shape life and death, from the prenatal period through adulthood and old age. For a snapshot of the current state of women and children in Spokane County, take a look at the leading causes of death fact sheet 

Well-being is built starting from the foundation and requires a variety of systems working together. Just as a strong house depends on good construction, Our Girls’ well-being relies on access to the resources and opportunities that they need. Financial supports, well-resourced schools, safe homes, quality child care, and abundant opportunities for social connection protect children in our community from violence and trauma over their entire life course.

Indicator

Spokane County

Trend

Geography

Estimated Lives Impacted

Childcare Costs

$2654

average monthly cost for one infant and one preschooler

&

increasing

less expensive than Washington State

N/A

Stress Related to Food Insecurity

13%

of women

,

flat

not available

28,440

women

Unstable Housing Situation in the Past Five Years

34%

of women

,

flat

not available

74,382

women

Participating in Social Service Programs

29%

of children

&

increasing

worse than Washington State

33,214

children

For our community to prosper in the future, Our Girls—like all children—need the opportunity to develop socially, emotionally, and intellectually. This includes equitable opportunity to access health services of all types. Efforts to connect babies and their caregivers to health services, early intervention, and mental health care can help counter stressful life experiences and improve long term health and well-being.

Indicator

Spokane County

Trend

Geography

Estimated Lives Impacted

Medicaid Beneficiaries with Identified Mental Health Receiving Treatment

62%

of Medicaid Beneficiaries

&

increasing

better than Washington State

33,349

Medicaid Beneficiaries

Reported Barriers to Accessing Mental Health

30%

of women

&

increasing

not available

65,632

women

No Adequate Prenatal Care

32%

of births

&

increasing

worse than Washington State

1,365

births without adequate prenatal care

Inclusive policies and engaged communities can create safe, stable environments that Our Girls need to thrive. Communities where families can easily access the resources they need protect Our Girls from violence and trauma over their entire life course. In contrast, historically underserved communities with higher rates of crime, unemployment, food insecurity, housing instability, and few opportunities for social connections or quality education put Our Girls at a greater risk of adverse childhood experiences (ACEs), substance use disorder, suicide, and other negative outcomes. 

Indicator

Spokane County

Trend

Geography

Estimated Lives Impacted

Adverse Childhood Experiences

34%

of women had 3 or more ACEs

,

flat

worse than Washington State

73,077

women

Child Abuse & Neglect

55 per 1,000

children

&

increasing

worse than Washington State

6,519

victims

Domestic Violence

12 per 1,000

people

'

decreasing

worse than Washington State

6,883

offenses

To learn more about community violence, risk, and protective factors in Spokane County visit the Spokane Regional Domestic Violence Coalition (SRDVC) companion dashboard HERE.

Creating wellness requires a collection of community resources, social relationships, and opportunities, much like how building a strong house requires bringing together a variety of materials—like lumber, insulation, doors, and windows—and experts—architects, builders, and other contractors. . Proactive investments in children and families pay off in the long term by cultivating productive and engaged future generations. Successful communities provide convenient and accessible options for food, transportation, housing, child care, recreation, and social connections. Children in stable families have healthy relationships, helpful emotional skills, and opportunities to succeed personally, academically, and financially as adults.

Indicator

Spokane County

Trend

Geography

Estimated Lives Impacted

Life Expectancy 

81

years for women

,

flat

worse than Washington State

N/A

Stress Related to Discrimination 

13%

of women

,

flat

not available

28,440

women

Ready for Kindergarten

76%

of students had 4 or more domains ready for kindergarten

&

increasing

same as Washington State

1,191

preschooler not ready

Graduation Rates

86%

of the 4-year cohort graduated

&

increasing

better than Washington State

875

not graduated

Median Earnings 

$52,480

full-time, year-round female workers

&

increasing

worse than Washington State

N/A

Last update May 2025