Accessibility

· 13 checks — Landmarks, headings, alt text, forms, and link quality rolled into one auditable list.

SCORE

GRADE

FIX

REVIEW

PASS

INFO

Checks

6 PASS 2 REVIEW 5 FIX

Link & Button Quality

Action

5 issue(s) across 191 links and 13 buttons

FIX

5 issue(s) across 191 links and 13 buttons

3 link(s) with no accessible text

Links without text are announced as raw URLs by screen readers.

Got: a#main-content; a.lb-cancel (#731 on page); a.lb-close (#738 on page)

1 link(s) with generic text

Generic link text like 'click here' doesn't describe the destination.

Got: /node/1501 ("Read more")

17 link(s) open in new tab without warning

Add '(opens in new tab)' to link text or aria-label.

Got: https://www.hhs.gov/; https://public.govdelivery.com/accounts/USOPHSOWH/subscribers/new; https://link.springer.com/article/10.1186/s12884-025-08526-8; https://link.springer.com/article/10.1186/s12884-025-08526-8; https://womenshealth.gov/menopause; https://womenshealth.gov/TalkingPPD; https://www.pinterest.com/womenshealth; https://www.youtube.com/user/WomensHealthgov; https://twitter.com/WomensHealth/; https://www.facebook.com/HHSOWH (+7 more)

1 button(s) with no accessible text

Icon-only buttons need an aria-label so screen readers can announce them.

Got: button.usa-nav__close (#124 on page)

170 link(s) with descriptive text

191 links

3 empty

1 generic text

17 new tab

1 empty buttons

Element	Text	Issue	Suggested Fix
https://www.hhs.gov/	U.S. Department of Health & Hu…	new tab	Add '(opens in new tab)' to text
https://public.govdelivery.com/accounts/…	Subscribe to receive OWH updat…	new tab	Add '(opens in new tab)' to text
	(empty)	empty	Add link text or aria-label
https://link.springer.com/article/10.118…	Learn About Improving Maternal…	new tab	Add '(opens in new tab)' to text
https://link.springer.com/article/10.118…	Learn About Improving Maternal…	new tab	Add '(opens in new tab)' to text
https://womenshealth.gov/menopause	Learn about Menopause	new tab	Add '(opens in new tab)' to text
https://womenshealth.gov/TalkingPPD	Talking PPD	new tab	Add '(opens in new tab)' to text
/node/1501	Read more	generic text	Replace with descriptive text
Before: Read more Suggested: 1501
https://www.pinterest.com/womenshealth	This is an external link discl…	new tab	Add '(opens in new tab)' to text
https://www.youtube.com/user/WomensHealt…	This is an external link discl…	new tab	Add '(opens in new tab)' to text
https://twitter.com/WomensHealth/	This is an external link discl…	new tab	Add '(opens in new tab)' to text
https://www.facebook.com/HHSOWH	This is an external link discl…	new tab	Add '(opens in new tab)' to text
https://www.linkedin.com/company/hhs-owh…	This is an external link discl…	new tab	Add '(opens in new tab)' to text
https://public.govdelivery.com/accounts/…	Subscribe to receive OWH updat…	new tab	Add '(opens in new tab)' to text
https://www.pinterest.com/womenshealth	This is an external link discl…	new tab	Add '(opens in new tab)' to text
https://www.youtube.com/user/WomensHealt…	This is an external link discl…	new tab	Add '(opens in new tab)' to text
https://twitter.com/womenshealth	This is an external link discl…	new tab	Add '(opens in new tab)' to text
https://www.facebook.com/HHSOWH	This is an external link discl…	new tab	Add '(opens in new tab)' to text
https://www.linkedin.com/company/hhs-owh…	This is an external link discl…	new tab	Add '(opens in new tab)' to text
	(empty)	empty	Add link text or aria-label
	(empty)	empty	Add link text or aria-label
<button>	(empty)	empty	Add button text or aria-label

182 links and buttons have descriptive text

Links without text are announced as raw URLs by screen readers.

a#main-content; a.lb-cancel (#731 on page); a.lb-close (#738 on page)

Why this matters

Links with no accessible text (empty <a></a>, image-only no alt, icon-only no aria-label) are unidentifiable to screen readers.

Source: WCAG 2.1 SC 2.4.4

Generic link text like 'click here' doesn't describe the destination.

/node/1501 ("Read more")

Why this matters

Generic anchor text ('click here', 'read more', 'learn more') tells screen readers and search engines nothing about the destination.

Learn more ▾

Out-of-context lists of links read by AT (one navigation pattern) become useless when every link says 'click here'. Use the destination's title or topic as anchor text. Doubles as SEO win — Google passes anchor-text relevance to the destination.

Source: WCAG 2.4.4 / Google Search Central

Add '(opens in new tab)' to link text or aria-label.

https://www.hhs.gov/; https://public.govdelivery.com/accounts/USOPHSOWH/subscribers/new; https://link.springer.com/article/10.1186/s12884-025-08526-8; https://link.springer.com/article/10.1186/s12884-025-08526-8; https://womenshealth.gov/menopause; https://womenshealth.gov/TalkingPPD; https://www.pinterest.com/womenshealth; https://www.youtube.com/user/WomensHealthgov; https://twitter.com/WomensHealth/; https://www.facebook.com/HHSOWH (+7 more)

Why this matters

Links with target="_blank" without rel="noopener" leak the originating page's window context — security and UX issue.

Learn more ▾

Without rel="noopener", the new tab can navigate the original tab via window.opener (tab-nabbing attack). Modern browsers default to noopener for target=_blank but only since recent versions. Always set rel="noopener noreferrer" explicitly.

Source: MDN target / OWASP

Icon-only buttons need an aria-label so screen readers can announce them.

button.usa-nav__close (#124 on page)

Why this matters

Buttons with no accessible text (icon-only, no aria-label) can't be activated by voice control or understood by screen readers.

Source: WCAG 2.1 SC 4.1.2

Favicon & Branding

Action

1 icon(s) detected

FIX

1 icon(s) detected

No favicon.ico at site root

Some older browsers, bookmark tools, and RSS readers look for /favicon.ico. Add one as a fallback.

HTML icon links detected

No apple-touch-icon detected

iOS devices use this when users add your site to their home screen. Add <link rel='apple-touch-icon' sizes='180x180' href='/apple-touch-icon.png'>.

✗ favicon.ico Missing

✓ PNG Icons Present

✗ Apple Touch Missing

✗ SVG Favicon Missing

✗ Manifest Icons Missing

✗ Multiple Sizes Missing

Web Manifest

Action

Not found

FIX

Not found

No web manifest found

No manifest at standard paths (/manifest.json, /site.webmanifest). A manifest is optional but enables PWA features like home screen installation and standalone display.

No web manifest found.

Dark Mode Support

Action

No dark mode signals

FIX

No dark mode signals

No dark mode signals detected

Consider adding CSS with @media (prefers-color-scheme: dark) and <meta name='color-scheme' content='light dark'>.

Detection limited to meta tags and inline styles

External CSS files may contain prefers-color-scheme rules not visible to this scan.

Dark ModeNo Dark Mode Detected

color-scheme meta Not set ✗Dark theme-color Not set ✗CSS indicators Not detected ✗

Detection limited to meta tags and inline styles.

Heading Hierarchy

9 headings

REVIEW

9 headings

No H1 heading found

Every page should have one H1 that describes the page content.

H2 Explore the Latest Data, Key Findings, and Progress from Participating Hospitals
H2 Explore OWH CME/CE Courses
H2 Learn About Improving Maternal Health Outcomes
H2 Learn about Menopause
H3 Learn about Menopause
H3 Talking PPD
H2 Top Trending Health Topics
H2 Featured Story
H2 Connect

Every page should have one H1 that describes the page content.

Why this matters

No H1 means screen-reader users can't identify the page's primary topic, and Google's content-extraction degrades.

Learn more ▾

The H1 is the document title for assistive tech and a strong signal to search engines about page topic. Pages without one force screen readers to fall back to the <title> attribute or page chrome. Add a single H1 that names the page's primary subject.

Source: WCAG 2.4.6 / Google Search Central

Alt Text Quality

1 of 39 images have issues

REVIEW

1 of 39 images have issues

1 image(s) missing alt attribute

Images without alt text are invisible to screen readers.

1 image-in-link without alt text

An image inside a link with no alt creates an empty link.

2 decorative image(s) correctly marked

36 image(s) with good alt text

39 images 36 good alt text 2 decorative 1 missing

Issue	Count
missing	1 image(s)

Images without alt text are invisible to screen readers.

Why this matters

Each image without alt text is a WCAG 1.1.1 failure — invisible to screen-reader users, lost from Google Image Search.

Learn more ▾

WCAG 2.1 Level A requires text alternatives for non-decorative images. Empty alt='' is fine for decorative; meaningful images need descriptive text. Common fixes: CMS audit + bulk add, build-time linter (alt-text-required ESLint rule), CI gate on Lighthouse a11y score.

Source: WCAG 2.1 SC 1.1.1 / WebAIM Million Report

An image inside a link with no alt creates an empty link.

Why this matters

Image-only links with no alt create empty links — screen-reader users hear 'link' with no destination context.

Learn more ▾

An <a><img></a> with no img alt is the worst-case for accessibility: AT announces the link but can't describe where it goes. Either add alt to the image OR add aria-label to the link.

Source: WCAG 2.1 SC 2.4.4

A+

Landmark Structure

9 landmarks

PASS

9 landmarks

<main> landmark present

1 <nav> landmark(s) found

Skip navigation link present

Page Structure — as a screen reader sees it

A+

Form Accessibility

All 2 controls labeled

PASS

All 2 controls labeled

2 control(s) properly labeled

2 controls

2 labeled

0 placeholder only

0 unlabeled

Control	Type	Label	Method
#extended-mega-search-field-small	search	Search small	for/id
#owh-topics-search-input	search	Search	for/id

404 Error Page

HTTP 404, custom page

PASS

HTTP 404, custom page

Correct 404 status code returned

Got: HTTP 404

Custom styled 404 page

Navigation links present on 404 page

Homepage link present on 404 page

Search form present on 404 page

404 Page Quality ✓ Custom 404 Page

Status Code HTTP 404 ✓Page Title Page not found | Office on Women's Health ✓Custom Styling ✓Navigation ✓Homepage Link ✓Search Form ✓

A+

Print Stylesheet

Print styles detected

PASS

Print styles detected

External print stylesheet detected

Got: /sites/default/files/asset_injector/css/print-9bfac98a130f93830596d81216033230.css?tdwdbn

Print Stylesheet ✓ Print Optimized

Print stylesheet /sites/default/files/asset_injector/css/print-9bfac98a130f93830596d81216033230.css?tdwdbn ✓Inline @media print Not detected ✗

A+

Color Contrast (Screenshot)

20 text elements analyzed, 0 fail WCAG AA

PASS

Analyzes text contrast against the actual rendered page, including background images, gradients, and overlays that CSS-based tools cannot detect.

20 pass

Show all checked elements (20)

Element	Ratio	Required	FG	BG	Result
h2 Featured Story	21.00:1	3.0:1	#000000	#FFFFFF	Pass
h2 Connect	21.00:1	3.0:1	#000000	#FFFFFF	Pass
title OASH \| Office on Wom…	21.00:1	4.5:1	#000000	#FFFFFF	Pass
a Skip to main content	21.00:1	4.5:1	#000000	#FFFFFF	Pass
p An official website …	7.03:1	4.5:1	#000000	#669BC2	Pass
p Here's how you know	10.60:1	4.5:1	#000000	#99BDD6	Pass
span Here's how you know	21.00:1	4.5:1	#000000	#FFFFFF	Pass
strong The .gov means it’…	18.89:1	3.0:1	#000000	#F2F3F3	Pass
p Federal government w…	21.00:1	4.5:1	#000000	#FFFFFF	Pass
strong The site is secure.	21.00:1	3.0:1	#000000	#FFFFFF	Pass
p The	21.00:1	4.5:1	#000000	#FFFFFF	Pass
strong https://	8.13:1	3.0:1	#000000	#919FD6	Pass
p ensures that you are…	21.00:1	4.5:1	#000000	#FFFFFF	Pass
a U.S. Department of H…	21.00:1	4.5:1	#000000	#FFFFFF	Pass
p Call the OWH HELPLIN…	21.00:1	4.5:1	#000000	#FFFFFF	Pass
a 1-800-994-9662	21.00:1	4.5:1	#000000	#FFFFFF	Pass
p 9 a.m. — 6 p.m. ET…	21.00:1	4.5:1	#000000	#FFFFFF	Pass
p OWH and the OWH help…	21.00:1	4.5:1	#000000	#FFFFFF	Pass
p Please call 911 or g…	21.00:1	4.5:1	#000000	#FFFFFF	Pass
button Close	21.00:1	4.5:1	#000000	#FFFFFF	Pass

Methodology: The top 20 text elements by font size were checked. Background color was sampled from the desktop screenshot using a 5-point pattern. WCAG 2.1 AA requires 4.5:1 for normal text and 3:1 for large text.

A+

Lighthouse Accessibility Audits

Score 100/100 — 0 failing, 29 passed

PASS

100

Accessibility

These checks highlight opportunities to improve the accessibility of your web app. Automatic detection can only detect a subset of issues and does not guarantee the accessibility of your web app, so manual testing is also encouraged.

○Interactive controls are keyboard focusable

○Interactive elements indicate their purpose and state

○The page has a logical tab order

○Visual order on the page follows DOM order

○User focus is not accidentally trapped in a region

○The user's focus is directed to new content added to the page

○HTML5 landmark elements are used to improve navigation

○Offscreen content is hidden from assistive technology

○Custom controls have associated labels

○Custom controls have ARIA roles

●`[aria-*]` attributes match their roles

●`[aria-hidden="true"]` is not present on the document `<body>`

●`[role]`s have all required `[aria-*]` attributes

●`[role]` values are valid

●`[aria-*]` attributes have valid values

●`[aria-*]` attributes are valid and not misspelled

●Buttons have an accessible name

●Image elements have `[alt]` attributes

●Form elements have associated labels

●`[user-scalable="no"]` is not used in the `<meta name="viewport">` element and the `[maximum-scale]` attribute is not less than 5.

●`button`, `link`, and `menuitem` elements have accessible names

●ARIA attributes are used as specified for the element's role

●`[aria-hidden="true"]` elements do not contain focusable descendents

●Elements use only permitted ARIA attributes

●Background and foreground colors have a sufficient contrast ratio

●Document has a `<title>` element

●`<html>` element has a `[lang]` attribute

●`<html>` element has a valid value for its `[lang]` attribute

●Links have a discernible name

●Lists contain only `<li>` elements and script supporting elements (`<script>` and `<template>`).

●List items (`<li>`) are contained within `<ul>`, `<ol>` or `<menu>` parent elements

●No element has a `[tabindex]` value greater than 0

●Touch targets have sufficient size and spacing.

●Heading elements appear in a sequentially-descending order

●Skip links are focusable.

●Document has a main landmark.

●Deprecated ARIA roles were not used

●Identical links have the same purpose.

●Elements with visible text labels have matching accessible names.

○`[accesskey]` values are unique

○Elements with `role="dialog"` or `role="alertdialog"` have accessible names.

○ARIA input fields have accessible names

○ARIA `meter` elements have accessible names

○ARIA `progressbar` elements have accessible names

○Elements with an ARIA `[role]` that require children to contain a specific `[role]` have all required children.

○`[role]`s are contained by their required parent element

○Elements with the `role=text` attribute do not have focusable descendents.

○ARIA toggle fields have accessible names

○ARIA `tooltip` elements have accessible names

○ARIA `treeitem` elements have accessible names

○The page contains a heading, skip link, or landmark region

○`<dl>`'s contain only properly-ordered `<dt>` and `<dd>` groups, `<script>`, `<template>` or `<div>` elements.

○Definition list items are wrapped in `<dl>` elements

○ARIA IDs are unique

○No form fields have multiple labels

○`<frame>` or `<iframe>` elements have a title

○`<html>` element has an `[xml:lang]` attribute with the same base language as the `[lang]` attribute.

○Input buttons have discernible text.

○`<input type="image">` elements have `[alt]` text

○Links are distinguishable without relying on color.

○The document does not use `<meta http-equiv="refresh">`

○`<object>` elements have alternate text

○Select elements have associated label elements.

○Cells in a `<table>` element that use the `[headers]` attribute refer to table cells within the same table.

○`<th>` elements and elements with `[role="columnheader"/"rowheader"]` have data cells they describe.

○`[lang]` attributes have a valid value

○`<video>` elements contain a `<track>` element with `[kind="captions"]`

○Tables have different content in the summary attribute and `<caption>`.

○All heading elements contain content.

○Uses ARIA roles only on compatible elements

○Image elements do not have `[alt]` attributes that are redundant text.

○Tables use `<caption>` instead of cells with the `[colspan]` attribute to indicate a caption.

○`<td>` elements in a large `<table>` have one or more table headers.

All checks on this page are automated. Results are estimates - run targeted manual reviews when the score affects a release decision.