Project Summary/Abstract The Wisconsin Department of Health Services (DHS), Division of Public Health (DPH) is applying to the Centers for Disease Control and Prevention (CDC) for the Pregnancy Risk Assessment Monitoring System (PRAMS) Funding Opportunity Announcement Number: RFP- DP-21-001, U01, Component A: Core Funding. PRAMS is an ongoing survey, conducted by the CDC and state health departments, of mothers who recently had a live birth. PRAMS is an essential tool in maternal and child health program and policy development, monitoring, and evaluation and is a key source of information on disparities in birth outcomes and their risk factors. This fourth cycle of funding will allow Wisconsin PRAMS to continue and meet the objectives below and investigate Wisconsin’s racial and ethnic disparities during the project period May 1, 2021 – April 30, 2026. The objectives of Wisconsin PRAMS are as follows: (1) to understand better how behaviors, attitudes, and experiences before, during, and immediately after pregnancy relate to and influence racial inequities in maternal and infant outcomes; (2) to collect population-based data of high quality not found in other data sources; and (3) to translate results into information for planning and evaluating public health programs and policy. Wisconsin PRAMS conducts a survey of a random sample of mothers (stratified by race/ethnicity) who have had a recent live birth. The survey asks about maternal experiences and perspectives related to their social and economic conditions, health behaviors, health conditions, and health care before, during, and shortly after pregnancy. The first funding cycle, 2006 – 2011, was primarily focused on the design of operating procedures, research, and protocol, including the sample methodology. The second and third cycles, 2011 – 2016 and 2016-2021, respectively, focused on maintaining data collection procedures and improving response rates, expanding the non-Hispanic black oversample and conducting a census sample of Native women in Wisconsin, to enhance our ability to investigate disparities. The second and third cycles also saw increased dissemination of data for program planning both to local partners and to national stakeholders. Results from the PRAMS survey provided compelling, stark, and unique evidence of major racial and ethnic disparities in social determinants of health, preconception health, health behaviors, pregnancy intention, stress, postpartum depression, and safe sleep practices. In this third cycle, 2016 – 2021, WI PRAMS will focus on deepening and consolidating relationships with key partners, including Wisconsin’s Tribal nations and community health workers, to leverage PRAMS data for improved program and policy planning. PRAMS data will be key to the development of the priorities and strategies of the new Infant and Maternal Mortality Prevention program, created by Governor Evers in the last state biennial budget. WI PRAMS will also explore innovative data...