Project Summary/Abstract The Florida Department of Health, Division of Community Health Promotion along with state partners understand the need to collect, analyze, and disseminate population- based data on maternal and child health indicators (MCH) of high scientific quality. The purpose of the Florida Pregnancy Risk Assessment Monitoring System (PRAMS) project is to conduct surveillance of select maternal behaviors and experiences before, during, and shortly after pregnancy from women in the state of Florida who recently experienced a live birth. Their response to the survey will afford Florida the opportunity to improve resources, health care, and programs available to women and children across the state. Objectives and specific aims of Florida PRAMS are to: (1) collect population-based data of high scientific quality on topics relative to pregnancy and early infancy; (2) perform data analysis in efforts to increase understanding of maternal behaviors and experiences during pregnancy and early infancy, and their relationship to health outcomes; (3) translate results from analyses to useable information for planning and evaluation of public health programs and policy; and (4) build high functioning state capacity that will allow transparency and sharing of data analyses findings. To achieve specific aims of PRAMS, Florida PRAMS intends to ensure that data collection activities align with the Centers for Disease Control and Prevention (CDC) PRAMS protocol by administering surveys to the sample population via US mail and follow-up of non-responders by telephone. Inclusion of a sample population that will transcribe into data analyses will be the foundation of understanding and guiding state and CDC PRAMS MCH issues, programs, and resources. Collection of PRAMS data will ensure that Florida PRAMS can benchmark and measure State Maternal and Child Health Priorities such as, reduce infant mortality and related disparities, prevent pregnancy-related mortality and maternal morbidity, and reduce racial disparities. To conclude, Florida PRAMS will continue to engage and collaborate with state and local partners, and data users to address state-specific needs which align with PRAMS goals.