DP-21-001 Maryland Pregnancy Risk Assessment Monitoring System (PRAMS)

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Pregnancy Risk Assessment Monitoring System (PRAMS) in Maryland Executive Summary, July 2020 Background-The Maternal and Child Health Bureau and the Vital Statistics Administration have worked jointly to implement the Maryland PRAMS project since 2000 through a cooperative agreement with the Centers for Disease Control and Prevention (CDC). PRAMS surveys mothers 2-9 months after delivery about factors before, during, and shortly after pregnancy that may have an impact on pregnancy outcome. The program has also proven its capacity to implement survey supplements on emerging issues including the influenza vaccine, Zika, disability, and opioid use. The Maryland PRAMS survey booklet is sent monthly to a sample of new mothers along with an incentive (manicure file). The survey questionnaire, as well as other PRAMS materials, is available in both English and Spanish. Each mother is sent up to three surveys followed by a telephone interview if no written surveys have been returned. A $100 gift card is given out monthly to a mother chosen randomly who has completed the mail or phone survey. Maryland currently utilizes a stratified random sample based on infant birth weight (over-selecting mothers who have delivered a low birth weight infant under <2500 grams). Program Features-Maryland PRAMS data are analyzed annually and currently include reports from 2001 to 2017 birth years. Focus Briefs on various topics are posted on the PRAMS website at www.marylandprams.org. Human Subjects Training occurs annually for all PRAMS staff and was last completed in July 2020. Number of Mothers Served-Approximately 2,000 new mothers are surveyed annually. As of June 2020, 44,714 new mothers in Maryland have been mailed the PRAMS survey since its inception. Annual weighted response rates from 2001-2017 births have met or exceeded the threshold. Budget-Maryland PRAMS is currently funded at $172,500 annually ($157,500 in core funding and $15,000 in supplemental disability funding). We are currently in year five of a five year cycle. This competitive application is for year one of the next 5 year grant cycle. We will be requesting the ceiling award amount of $175,000.