Basic Facts

  • 22,000
    Kansas City area children need diaper assistance (US Census 2017)
  • no safety net
    Programs like food stamps, Medicaid and WIC do not cover diapers
  • $100
    Diapers can cost over $100 per child per month, 10% or more of some low-income families’ budgets. Families living in the urban core without access to big box or warehouse stores must pay a premium at their corner store or local market.
tradeoffs for low-income families
2019 HappyBottoms' survey of 765 caregivers enrolled in our program showed:
of respondents could not buy food because of diaper need
of respondents could not pay utilities because of diaper need
of respondents used a payday or other loan to buy diapers

Health impacts of diaper need

  • social determinants
    Social determinants of health like socioeconomic status, race/ethnicity, education, physical living environment, job status, and social supports can predict health outcomes.
  • diaper poverty
    Diaper need is a direct by-product of poverty. Chronic toxic stress of poverty affect a child’s brain development, language development, vocabulary, memory, and cognition. Stress affects parental mental health, parenting style, and nurturing.
  • diaper dermatitis
    Diaper dermatitis results in 1,000,000 pediatric visits per year for children age four and under. Left untreated, secondary skin infections like candida albians, intertrigo, and staphylococcus aureus can result, requiring more complex treatment.
  • infant health
    Diaper need can hamper parents’ ability to monitor infant health. Parents need to see an average of six to eight wet diapers each day to confirm babies are adequately hydrated from breast milk or formula. This translates to a need for 2,555 diapers per year.
  • maternal stress
    Mothers without access to an adequate supply of diapers for their children are twice as likely to suffer from depression. 30% of low-income mothers feel diaper need is even more stressful than food insecurity.
  • toilet training
    To escape diaper expense, low-income families often attempt toilet training too early or prolong diapering because of lack of knowledge or support. Even when attempted at the right time, the stress of toilet training increases the potential for abuse.