Hawaiʻi Health Data Warehouse


The Pregnancy Risk Assessment and Monitoring System (PRAMS) collects state-specific, population-based data on maternal attitudes and experiences before, during, and shortly after pregnancy. PRAMS is an annual written and telephone survey that is conducted throughout the year. It is conducted by the Hawaiʻi State Department of Health, Family Health Services Division in collaboration with the Centers for Disease Control and Prevention (CDC).

PRAMS uses a stratified systematic sample design. Women from some groups are sampled at a higher rate to ensure adequate data are available in smaller but higher risk populations. PRAMS uses the state birth certificate file to select adult women who have had a recent live birth to participate in the survey. Selected women are first contacted by mail. If there is no response to repeated mailings, women are contacted and interviewed by telephone. Participant responses are linked to the infant’s birth certificate for additional information. Data collection procedures and instruments are standardized to allow comparisons between states. Results are weighted to represent all women with a recent birth in Hawaiʻi. In Hawaiʻi, weighted estimates are available at the state and county level. Additional information about PRAMS and results from other participating states can be found here.

Data Release Notes

The surveys we use to collect data are constantly being updated. As the surveys evolve, new indicators are created and old indicators are removed. The data release notes contain information about new indicators and dimensions that have been added each year. General data release notes are available on the PRAMS Health Indicator Selection page.

YearWomen SurveyedHawai‘i SurveysData Release Notes
20221338PRAMS 2016-20222022 Release Notes
202113492021 Release Notes
202012272020 Release Notes
20196292019 Release Notes
2018No survey2018 Release Notes
2017No survey2017 Release Notes
201610762016 Release Notes
20151296PRAMS 2012-20152015 Release Notes
201413092014 Release Notes
20111555PRAMS 2009-2011
20081758PRAMS 2004-2008
20031893PRAMS 2000-2003

Pregnancy Risk Assessment Monitoring System Reports

Report Requests

If you have searched our website, and still can’t find what you are looking for, we are here to help. Please click on the button and fill out a request form.    

Please give us as much notice as possible as some requests take longer than others. An HHDW team member will contact you via email or phone for a follow-up.

Record Level Data Request

If you are interested in obtaining de-identified record-level data for your own analyses, please click on the button to see the instructions. 

Most record-level data requests can be processed within 2-4 weeks, but delays in the approval process can extend the timeline.

Data Sources