Awareness about preterm birth, which is associated with a variety of negative health outcomes, is an organizational goal. According to an editorial in the May 2004 issue of the "Journal of the National Medical Association", the original goals of the campaign were to raise awareness of the problem from 35 percent to at least 60 percent and to decrease the rate of premature births by at least 15 percent (from 11.9 percent to 10.1 percent). In 2008, the Prematurity Campaign was extended by the Board of Trustees until 2020, and global targets were set for prematurity prevention. In 2008, the March of Dimes started its annual Premature Birth Report Card, which grades the nation and each individual state on preterm birth rates.