Component A: New York City Pregnancy Risk Assessment Monitoring System, a surveillance system of maternal experiences and behaviors around the time of pregnancy to inform local programs and policies

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Component A: Core Surveillance Project Summary/Abstract The Bureau of Maternal, Infant, and Reproductive Health (BMIRH) of the New York City (NYC) Department of Health and Mental Hygiene (DOHMH) proposes to continue the Pregnancy Risk Assessment Monitoring System (PRAMS) in NYC. PRAMS is a surveillance system to identify and monitor maternal experiences and behaviors around the time of pregnancy. The overall goal of BMIRH is to achieve equitable and improved maternal, infant, and reproductive health outcomes in NYC. Three overarching objectives are to: 1) reduce racial and ethnic inequities in infant mortality; 2) reduce racial and ethnic inequities in preventable severe maternal morbidity and maternal mortality; and 3) reduce racial and ethnic inequities in access to contraceptive information and services among youth ages 13-19. Data gathered from PRAMS will be linked to items from the birth certificate, offering a unique source of information on maternal, infant, and reproductive health in NYC. Each month approximately 180 women who gave birth in the previous two to four months will be randomly selected from NYC birth certificate records to participate in PRAMS. Women who give birth to low birthweight infants (<2,500 grams) will be oversampled. Women will be contacted by mail, with telephone follow-up for non-respondents. To ensure adequate participation, women will be sent $20 cash with the first mailing of the survey. Additionally, the PRAMS survey will be available in English, Spanish, and Chinese. The data collection cycle for each monthly sample will lasts up to 95 days. The DOHMH will contract with the Bloustein Center for Survey Research (BCSR) at Rutgers, the State University of New Jersey, for data collection and management activities. BCSR has experience working with several PRAMS jurisdictions and consistently produces high-quality data while adhering to the Centers for Disease Control and Prevention (CDC) protocol. PRAMS data will be weighted by CDC to represent NYC resident women giving birth in NYC. The specific aims of the project are to use PRAMS data to inform NYC's priorities related to improving maternal and infant health, and its choice of programs, policies, and activities toward that end. PRAMS data will also serve as a NYC-specific data source for monitoring key Healthy People 2030 and Health Resources and Services Administration (HRSA) Maternal and Child Heath Bureau indicators. The DOHMH will partner with academics, community groups, providers, government agencies, and professional organizations to ensure PRAMS data are used to support programs and policies to improve maternal and infant health.