Friday, October 31, 2025 10/31/2025

Guam Maternal Mortality Review Committee

Award Number: NU58DP007237
ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/30/2022
PERIOD OF PERFORMANCE END DATE: 02/28/2025

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Guam Maternal Mortality Review Committee - There were 40 maternal deaths in the U.S. Territory of Guam from 1968 to 2021, resulting invery high maternal mortality ratios (MMR) during the years when there are maternal deaths.The MMR during the past fifty years ranged from a low of 22.6 in 1996 to a high of 30.4 in2021; using a 10-year average MMR from the most recent ten-year period, 2008-2017, at 27.0is still higher than the U.S. MMR of 20.7. Chamorro and Chuukese women on Guam have both disproportionately higher maternal mortality and extremely low birth weight (ELBW)infants. Approximately one-fourth of Guam women are at risk for unintentional pregnancy due to not using any contraception or any reliable methods of contraception. The percent of pregnant women who receive prenatal care beginning in the 1st trimester on Guam remained relatively unchanged since 2015 at 60.9%, and the percent of women whose prenatal care initiation was late or received no prenatal care also remained unchanged at 13.4%. A study which examined reasons for the lack of prenatal care among women of reproductive age on Guam showed that lack of medical insurance (24.3%) and lack of transportation (22.6%) were the main reasons given by respondents. Risk factors for maternal death are also high on Guam and reflect disparities in access to health and coverage whereby women with lower education and lower household income were less likely to either have health insurance coverage or have had a routine check-up in the past year. The estimated proportion of current smokers, and the proportions overweight or obese, or with diabetes or gestational diabetes in Guam’s female population all follow income and educational gradients. The Guam Department of Public Health and Social services (DPHSS) proposes to implement several strategies to address high maternal mortality: (1) improve the quality and availability of death records on Guam through a consistent process to enable thorough maternal death review, (2) implement a standardized process for selecting maternal deaths for review, and for obtaining additional information from medical and other records, and interviews, and (3) establish a Maternal Mortality Review Committee to conduct population level review of possible pregnancy-related deaths and relevant data, and to make recommendations for the prevention of maternal deaths. There are three main outcomes for this proposed project: (1) improvement of State-Level Maternal Health Data and Surveillance through enhancing the quality and availability of death records on Guam, through a consistent process to enable thorough maternal death review; (2) implementation of a standardized process for selecting maternal deaths for review, and for obtaining additional information from medical and other records, and interviews and (3) establishment of a Guam Maternal Mortality Review Committee (MMRC).


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = -$237,596 )
2025	2023	DEPARTMENT OF PUBLIC HEALTH AND SOCIAL SERVICES	123 CHALAN KARETA	MANGILAO	GU	96913	GUAM	USA	Cooperative Agreements to Support State-Based Safe Motherhood and Infant Health Initiative Programs	03	2	9/24/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$143,337
2025	2022	DEPARTMENT OF PUBLIC HEALTH AND SOCIAL SERVICES	123 CHALAN KARETA	MANGILAO	GU	96913	GUAM	USA	Cooperative Agreements to Support State-Based Safe Motherhood and Infant Health Initiative Programs	03	2	9/24/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$94,259
														Subtotal = -$237,596

Issue Date FY: 2024 ( Subtotal = $0 )
2024	2023	DEPARTMENT OF PUBLIC HEALTH & SOCIAL SERVICES	123 CHALAN KARETA	MANGILAO	GU	96913	GUAM	USA	Cooperative Agreements to Support State-Based Safe Motherhood and Infant Health Initiative Programs	01	2	11/28/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	DEPARTMENT OF PUBLIC HEALTH AND SOCIAL SERVICES	123 CHALAN KARETA	MANGILAO	GU	96913	GUAM	USA	Cooperative Agreements to Support State-Based Safe Motherhood and Infant Health Initiative Programs	02	2	8/5/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2023 ( Subtotal = $143,337 )
2023	2023	DEPARTMENT OF PUBLIC HEALTH & SOCIAL SERVICES	123 CHALAN KARETA	MANGILAO	GU	96913	GUAM	USA	Cooperative Agreements to Support State-Based Safe Motherhood and Infant Health Initiative Programs	00	2	7/24/2023	NON-COMPETING CONTINUATION	$143,337
2023	2022	DEPARTMENT OF PUBLIC HEALTH & SOCIAL SERVICES	155 Hesler Place	Hagatna	GU	96910	GUAM	USA	Cooperative Agreements to Support State-Based Safe Motherhood and Infant Health Initiative Programs	01	1	12/7/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $143,337

Issue Date FY: 2022 ( Subtotal = $143,337 )
2022	2022	DEPARTMENT OF PUBLIC HEALTH & SOCIAL SERVICES	155 Hesler Place	Hagatna	GU	96932	GUAM	USA	Cooperative Agreements to Support State-Based Safe Motherhood and Infant Health Initiative Programs	00	1	8/31/2022	NEW	$143,337
														Subtotal = $143,337

Grand Total All Awards = $49,078

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Guam Maternal Mortality Review Committee

Award Number: NU58DP007237

ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/30/2022

PERIOD OF PERFORMANCE END DATE: 02/28/2025

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