Wednesday, September 3, 2025 9/3/2025

The impact of state policy changes on pregnancy outcomes in the United States

Award Number: R33HD112921
ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/05/2023
PERIOD OF PERFORMANCE END DATE: 08/31/2028

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The impact of state policy changes on pregnancy outcomes in the United States - Abstract: This project addresses the urgent need for baseline data to capture the impact of state reproductive health policy changes on the health of pregnant women, as well as the need for rigorous estimates of abortion incidence both within and outside of the formal health care system. Without these data, policy makers, program developers, service providers, researchers and the public will not have the research-based evidence needed to understand reproductive health needs now and going forward. To address this critical need, we propose four linked aims. Starting in the first month of the R61 phase (Aim 1), we will begin data collection activities to measure change in care within and outside the formal health sector using a new and adaptive monthly measurement system by surveying representative samples of health facilities providing care. We will produce public-facing, national monthly estimates of facility-based incidence, leveraging decades of historical facility-level data in a Bayesian hierarchical model to improve precision. In Aim 1b, we will collect data on abortions occurring outside of the formal health care sector, measuring complications and the healthcare needs of women by surveying them and providers. Data collected in Aim 1 will be used in the R33 phase to measure the impact of state policy change and inform estimation of abortion incidence outside the formal health care sector. In Aim 2, we will assess the impact of state reproductive health policy changes implemented during project year 1 on the number of women obtaining facility-based abortions and the incidence of interstate travel to obtain care. In Aim 3, we will adapt a methodology used extensively outside of the US to estimate abortion incidence outside of the formal health sector. Finally, in Aim 4, we will combine data to estimate the national incidence of abortion and related health outcomes.


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 = $570,469 )
2025	2025	GUTTMACHER INSTITUTE, INC.	125 MAIDEN LN FL 7	NEW YORK	NY	10038	NEW YORK	USA	Child Health and Human Development Extramural Research	001	3	8/27/2025	NON-COMPETING CONTINUATION	$570,469
2025	2024	GUTTMACHER INSTITUTE, INC.	125 MAIDEN LN FL 7	NEW YORK	NY	10038	NEW YORK	USA	Child Health and Human Development Extramural Research	000	2	11/13/2024	EXTENSION WITH OR WITHOUT FUNDS	$0
														Subtotal = $570,469

Issue Date FY: 2024 ( Subtotal = $591,234 )
2024	2024	GUTTMACHER INSTITUTE, INC.	125 MAIDEN LN FL 7	NEW YORK	NY	10038	NEW YORK	USA	Child Health and Human Development Extramural Research	000	2	9/18/2024	EXTENSION WITH OR WITHOUT FUNDS	$591,234
														Subtotal = $591,234

Grand Total All Awards = $1,161,703

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The impact of state policy changes on pregnancy outcomes in the United States

Award Number: R33HD112921

ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

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

PERIOD OF PERFORMANCE START DATE: 09/05/2023

PERIOD OF PERFORMANCE END DATE: 08/31/2028

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