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R42 MCH Secondary Data Analysis Research

Award Number: R4249147
ORGANIZATION: MATERNAL AND CHILD HEALTH BUREAU
OPDIV: HRSA
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SOCIAL SCIENCE RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 07/01/2023
PERIOD OF PERFORMANCE END DATE: 06/30/2025

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R42 MCH Secondary Data Analysis Research - The COVID-19 pandemic has resulted in a rapid shift in the delivery of prenatal care services to telehealth modalities due to the inaccessibility of traditional care services and high exposure risks of in-person healthcare visits. Prior to the pandemic, obstetricians utilized telehealth with specific populations. Studies during this time suggest that care delivered via telehealth is associated with positive outcomes, specifically the management of gestational diabetes, cigarette smoking cessation, and breastfeeding initiation. Although telehealth has the potential to improve access for patients who face transportation and childcare barriers, telehealth may also exacerbate health inequities. African Americans are less likely to utilize telehealth than their white counterparts, and if utilized, the audio/telephone is the preferred modality. The COVID-19 pandemic has disproportionately affected communities of color, who already experience elevated risks of adverse perinatal outcomes. In addition to the disproportionate burden of adverse birth outcomes, such as low birth weight and preterm birth experienced by African Americans and the ongoing Black maternal mortality crisis, it is critical to ensure consistent, high-quality, uninterrupted prenatal care for African American women. As such, the overall goal of the proposed research is to examine the association between receipt of preconception care and utilization of prenatal care services during the COVID-19 pandemic. We will specifically 1)examine whether there is a difference in the initiation, utilization, and preferred mode of delivery of prenatal care by receipt of preconception care; 2) examine the roles of race/ethnicity in the associations between receipt of preconception care and timing of initiation of prenatal care, prenatal care utilization and preferred mode of delivery of prenatal care during the COVID-19 pandemic and 3) determine if there are differences in contributing factors influencing utilization of telehealth for prenatal care by race/ethnicity during the COVID-19 pandemic. To achieve this goal, we will conduct a secondary data analysis of data from the COVID-19 Supplement of the Pregnancy Risk Assessment and Monitoring Survey (PRAMS). This work is imperative in our quest to eliminate health inequities and prepare for a more patient-centered, resource-efficient approach to prenatal care post-COVID-19 pandemic.


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: 2026 ( Subtotal = -$11,093 )
2026	2023	MORGAN STATE UNIVERSITY	1700 E COLD SPRING LN	BALTIMORE	MD	21251	BALTIMORE CITY	USA	Special Projects of Regional and National Significance	07	1	1/22/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$11,093
														Subtotal = -$11,093

Issue Date FY: 2025 ( Subtotal = $0 )
2025	2023	MORGAN STATE UNIVERSITY	1700 E COLD SPRING LN	BALTIMORE	MD	21251	BALTIMORE CITY	USA	Special Projects of Regional and National Significance	06	1	2/28/2025	EXTENSION WITH OR WITHOUT FUNDS	$0
														Subtotal = $0

Issue Date FY: 2024 ( Subtotal = $0 )
2024	2023	MORGAN STATE UNIVERSITY	1700 E COLD SPRING LN	BALTIMORE	MD	21251	BALTIMORE CITY	USA	Maternal and Child Health Federal Consolidated Programs	04	1	11/8/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	MORGAN STATE UNIVERSITY	1700 E COLD SPRING LN	BALTIMORE	MD	21251	BALTIMORE CITY	USA	Maternal and Child Health Federal Consolidated Programs	03	1	11/2/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	MORGAN STATE UNIVERSITY	1700 E COLD SPRING LN	BALTIMORE	MD	21251	BALTIMORE CITY	USA	Maternal and Child Health Federal Consolidated Programs	05	1	5/10/2024	EXTENSION WITH OR WITHOUT FUNDS	$0
														Subtotal = $0

Issue Date FY: 2023 ( Subtotal = $119,966 )
2023	2023	MORGAN STATE UNIVERSITY	1700 E COLD SPRING LN	BALTIMORE	MD	21251	BALTIMORE CITY	USA	Maternal and Child Health Federal Consolidated Programs	01	1	9/15/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2023	MORGAN STATE UNIVERSITY	1700 E Cold Spring Ln	Baltimore	MD	21251	BALTIMORE CITY	USA	Maternal and Child Health Federal Consolidated Programs	00	1	5/12/2023	NEW	$119,966
2023	2023	MORGAN STATE UNIVERSITY	1700 E COLD SPRING LN	BALTIMORE	MD	21251	BALTIMORE CITY	USA	Maternal and Child Health Federal Consolidated Programs	02	1	9/15/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $119,966

Grand Total All Awards = $108,873

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R42 MCH Secondary Data Analysis Research

Award Number: R4249147

ORGANIZATION: MATERNAL AND CHILD HEALTH BUREAU

OPDIV: HRSA

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SOCIAL SCIENCE RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 07/01/2023

PERIOD OF PERFORMANCE END DATE: 06/30/2025

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