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Funding for this project was made possible by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number D89MC23141 of the Affordable Care Act Maternal, Infant, and Early Childhood Home Visiting Program awarded to the Arkansas Department of Health. The information or content and conclusions expressed in this material is the author's and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS, or the U.S. Government. 15