Scale-up approach to reduce pregnancy-related harm and disparities
Official title: Scale-up Implementation Approaches to Reducing Pregnancy Related and Associated Morbidity and Mortality (PRAMM) and Disparities
Funded at Henry Ford Health + Michigan State University Health Sciences · NIH-11408534 · Data updated 2026-11-12
A national-scale plan to spread proven hospital and community care practices to reduce pregnancy-related harm and disparities, especially in outpatient and community settings.
Quick facts
| Grant type | NIH-funded research |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Henry Ford Health + Michigan State University Health Sciences NIH-funded |
| Lab location | 1 site (East Lansing, United States) |
| Project start | August 17, 2023 |
| Project end | July 31, 2030 |
| Funding year | 2026 |
| Award (this year) | $889,688 |
| NIH project number | 5U54HD113291-04 |
| Project ID | NIH-11408534 on NIH RePORTER |
Who could benefit from this research
✓Could help
People who are pregnant or recently pregnant, especially in communities with higher disparities in maternal outcomes.
✕Less likely to help
Individuals who do not receive or engage with the implemented community care bundles may not experience direct benefits.
What this research studies
This project will expand and test methods to implement evidence-based maternal safety bundles beyond hospitals, focusing on reducing pregnancy-related morbidity and mortality and addressing disparities. It will study how to roll out these bundles across two counties, involving coordination between hospital care and community-based services. The effort includes bundles for postpartum safety, maternal mental health, chronic conditions, and intimate partner violence, all aimed at reaching underserved populations. The goal is to make high-quality, equitable obstetric care more available outside of hospital walls and across different parts of the care continuum.
Why it matters
Potential benefit: If successful, communities could experience fewer pregnancy-related complications and deaths, with more equitable care for all racial and socioeconomic groups.
How similar studies have gone: Prior hospital-based bundles reduced overall PRAMM but did not reduce disparities, suggesting room for improvement with community-focused scales.
Where this research is happening
-
Henry Ford Health + Michigan State University Health Sciences
East Lansing, United States Active
Researchers
- Principal investigator: Johnson, Jennifer E — Henry Ford Health + Michigan State University Health Sciences
- Study coordinator: Johnson, Jennifer E
Related research
Other NIH-funded projects on the same topics.
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Training program to reduce pregnancy-related and pregnancy-associated morbidity and mortality disparities
A multi-year training program helps scientists and trainees build skills to study and reduce disparities in pregnancy-related health outcomes.
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PRAMM: a patient-friendly digital program to reduce pregnancy-related morbidity
A digital program called PC-PRAMM uses a flexible app to screen pregnant people, share tailored guidance, and connect them to live help to reduce pregnancy-related complications.
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Multilevel, community-centered plan to reduce pregnancy-related illness and death and close disparities
A large, real-world trial will test a coordinated set of community and healthcare changes to reduce pregnancy complications and death, with a focus on Black, Hispanic, and Medicaid populations.
-
Pregnancy and Heart Health: Predicting and Preventing Pregnancy-Related Cardiovascular Problems
A research grant is developing advanced data tools to identify pregnant women at high risk of heart-related complications so clinicians can prevent maternal death.
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Expanding hospital and community care to reduce pregnancy-related illness, deaths, and racial gaps
This project is rolling out proven care bundles in hospitals and community clinics to help pregnant and postpartum people—especially Black birthing people—have fewer serious health problems and deaths.
-
Pregnancy Checkup app to lower pregnancy-related illness and deaths
This expands a pregnancy app to give pregnant people tailored risk screening, helpful content, and immediate live-chat support to connect them with services.
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page.