Tennessee PRAMS Component A RFA-DP-21-001(UO1) Project Abstract The Tennessee Department of Health (TDH) submits this application for RFA-DP-21-001, Tennessee Pregnancy Risk Assessment Monitoring System (PRAMS), Component A: Core Surveillance. This application will allow for continued monitoring of behaviors and experiences before, during, and after pregnancy among women with a recent live birth. Tennessee PRAMS will sample approximately 100 mothers that are 2-6 months postpartum from the provisional birth file. Sampled mothers will be given three opportunities to complete the PRAMS questionnaire by mail. Non-respondents will then be contacted by phone, with up to 15 contact attempts per telephone number. The objectives of the Tennessee PRAMS program are to 1) monitor prevalence and trends for maternal and child health indicators, including emerging issues, 2) increase dissemination of findings to appropriate audiences, including health care professionals, and 3) use PRAMS data to inform programs and develop relevant policies that will improve the health of women of child- bearing age and their infants. These objectives will be met through 1) adherence to the CDC PRAMS protocol for accurate and timely data collection, 2) creating and distributing factsheets and reports using PRAMS data, and 3) increasing availability and access of PRAMS data to the TDH Title V Program and other internal and external collaborators.