Michigan PRAMS

What is PRAMS?
The Michigan Pregnancy Risk Assessment Monitoring System (PRAMS) is an ongoing survey project of mothers who deliver live births in Michigan. PRAMS is part of a national effort to reduce infant mortality and adverse birth outcomes by providing information useful for developing and implementing intervention programs and for evaluating existing programs. This data is used to monitor progress toward national and state pregnancy-related health objectives, including the increase of positive birth outcomes. PRAMS is also used to identify and monitor selected self-reported maternal behaviors and experiences that occur before, during, and after pregnancy among women who deliver live-born infants.

The PRAMS survey was developed in 1987 through the cooperative effort of the Centers for Disease Control and prevention (CDC), the District of Columbia and the states of Indiana, Maine, Michigan, Oklahoma, and West Virginia.  

MI PRAMS Survey:
PRAMS generates statewide estimates of important perinatal health indicators among women delivering live infants. PRAMS staff collect data through a mailed survey with follow-up of non-respondents by telephone. The PRAMS survey is revised every three to five years, and each revision is referred to as a phase.  

Need help finding relevant questions by topic or survey year? Try the MI PRAMS Topic Map.

§   Phase 8 Survey (2016-2018)
§   Phase 7 Survey (2012-2015) 
  Phase 6 Survey (2009-2011) 
§   Phase 5 Survey (2004-2008)  

Data to Action:
Using MI PRAMS data, the Women's Reproductive Health Unit was able to provide compelling evidence of a need to improve access to family planning services for the socio-economically vulnerable.  As a result, the Centers for Medicare and Medicaid Services approved Michigan's submission of a Section 1115 demonstration waiver to extend family planning.  The five-year demonstration waiver was implemented under the program name Plan First! on July 1, 2006.  

MI PRAMS was also an essential data source for the Talk Early & Talk Often initiative. The initiative is a workshop targeted toward parents of middle school children, which provides parents with education and skill building to help them communicate with their children about abstinence and sexuality. Both the Section 1115 demonstration waiver and Talk Early & Talk Often are part of the Governor's Blueprint for Preventing Unintended Pregnancies.  

MI PRAMS publishes annual data tables and reports that provide prevalence estimates for a list of perinatal behaviors, health experiences, and outcomes. Quarterly newsletters that highlight specific topics of interest from PRAMS data are also published.  

Annual Tables and Reports
2014 Michigan PRAMS Tables
2013 Michigan PRAMS Tables
2012 Michigan PRAMS Tables
2008 Annual Report 

Newsletters: MI PRAMS Delivery 

Summer: Infant Safe Sleep Report, MI Native American PRAMS 2012

Summer: Oral Health During Pregnancy, MI PRAMS 2004-2008

Spring: Preconception Health, MI PRAMS 2009
Winter: Daily Multivitamin Use Before Pregnancy, MI PRAMS 2007-2009

Spring: Infant Safe Sleep, MI PRAMS 2001-2008  
Winter: Breastfeeding Initiation and Three Month Exclusive Duration, MI PRAMS 2004-2008  

Fall: Life Stressors and Smoking Status During Pregnancy, MI PRAMS 2008  


PRAMS Phase 8 State-Added Section: Prioritization Process Report

Recent Presentations: 
Emotional Reactions to Racism and Postpartum Depression: Results from MI PRAMS, 2009-2010
Preconception Dieting and Multivitamin Use: Results from Michigan PRAMS, 2009
PRAMS and Preconception Health Counseling, 2009

Epidemiologist/Coordinator Roles and Responsibilities:  
This position provides administrative and epidemiological support to the Department of Health and Human Services, the Bureau of Epidemiology on all epidemiologic matters concerning PRAMS.  This includes: questionnaire development, data management, surveillance, epidemiologic study design and planning, statistical analysis, policy and program development, program evaluation, technical expertise and training.  This position plays a key role in improving the use of PRAMS, obtaining funding to conduct such activities, and fostering active collaboration with other maternal child health programs.   

Contact Info:  
Epidemiologist: Pete Haak
Email: haakp@michigan.gov
Phone: 517-335-9509
Fax: 517-335-9195
333 S. Grand Ave.
P.O. Box   30195
Lansing, MI 48909   


Key MI PRAMS Staff:
·       Patricia McKane, DVM, MPH   -     PRAMS PI (Director, Lifecourse Epidemioloyg & Genomics Division)
·       Chris Fussman, MS   -     PRAMS Manager (Manager, Maternal & Child Health Epidemiology Section)
·       Pete Haak, BS   -     Analyst/Coordinator (Maternal & Child Health Epidmiology Section)
·       Mei You, MS   -     Sampling Statistician (Division for Vital Records and Health Statistics)
·       Jill Hardy, MA   -     Kellogg Project Outreach Coordinator (Maternal & Child Health Epidmiology Section)


For More Information:
If you have any questions about Michigan's PRAMS or would like to request the most recent MI PRAMS dataset, please call 517-335-9509 or email pramsmi@michigan.gov .

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