# Hawaii Pregnancy Risk Assessment Monitoring System (PRAMS): Component A - Core Surveillance

> **NIH ALLCDC U01** · HAWAII STATE DEPARTMENT OF HEALTH · 2020 · $96,981

## Abstract

Hawaii PRAMS Project Abstract
 The Hawaii Pregnancy Risk Assessment Monitoring System (PRAMS) program is a population-based
surveillance system designed to identify and monitor maternal experiences, attitudes and behaviors from
preconception through pregnancy and including the inter-conception period. PRAMS provides ongoing
monitoring of maternal behaviors to determine how to reduce infant deaths, decrease low birth weights and
improve the overall health of the population in Hawaii.
 The overall goal of the Hawaii PRAMS program is to reduce infant morbidity and mortality by impacting
maternal and child health programs, policies, and maternal behaviors during pregnancy and early infancy.
There are four PRAMS objectives to: 1) Collect high quality, population-based data on maternal behaviors
before, during and after pregnancy and during the early life of the infant; 2) Conduct epidemiological analysis
and study of maternal behaviors and experiences during pregnancy and early infancy and the relationship to
health outcomes; 3) Translate data analyses into useable information for program planning, monitoring and
evaluation; and 4) Increase public awareness of health pregnancy behaviors to improve maternal health across
the life span.
 A PRAMS questionnaire is mailed to approximately 200 new mothers per month on all the major
islands of Hawaii. The new mothers are identified by the Hawaii Department of Health (HDOH, Office of
Health Status Monitoring) from the birth certificates of recently born infants. The Hawaii questionnaire includes
questions asked by PRAMS programs in all states as well as standard questions selected for inclusion by the
Hawaii PRAMS program in partnership with the Hawaii PRAMS Steering Committee, other HDOH program
staff, and local healthcare providers. The questionnaire addresses priority maternal and infant health issues
such as unintended pregnancies, contraception, smoking and alcohol use during pregnancy, insurance at the
time of pregnancy, post-partum depression and domestic violence. Hawaii PRAMS standard questions
address topics such as breastfeeding, dental care, drug use, general health, and maternal health conditions.
 Hawaii PRAMS data will be used to identify high risk populations and assist with directing resources,
implementing effective interventions, and improving services to women, infants and their families. Data will
help to address priority areas identified for Hawaii’s Title V Maternal and Child (MCH) Health Block Grant
Needs Assessment (tied to state and national MCH priorities and Healthy People 2020 Objectives), including:
1) Reduce the rate of unintended pregnancy; 2) Increase abstinence from alcohol use during pregnancy; 3)
Reduce smoking during the third trimester of pregnancy; 4) Promote breastfeeding; 5) Promote safe sleeping
behaviors; 6) Promote utilization of oral health services during pregnancy, and 7) Promote
Preconception/Interconception care.

## Key facts

- **NIH application ID:** 9926854
- **Project number:** 5U01DP006214-05
- **Recipient organization:** HAWAII STATE DEPARTMENT OF HEALTH
- **Principal Investigator:** Matthew J Shim
- **Activity code:** U01 (R01, R21, SBIR, etc.)
- **Funding institute:** ALLCDC
- **Fiscal year:** 2020
- **Award amount:** $96,981
- **Award type:** 5
- **Project period:** 2016-05-01 → 2021-04-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9926854

## Citation

> US National Institutes of Health, RePORTER application 9926854, Hawaii Pregnancy Risk Assessment Monitoring System (PRAMS): Component A - Core Surveillance (5U01DP006214-05). Retrieved via AI Analytics 2026-06-08 from https://api.ai-analytics.org/grant/nih/9926854. Licensed CC0.

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