Maternal and Child Health EpidemiologyData Request Form

Maternal and Child Health Epidemiology

Data Request Form

Maternal and Child Health Epidemiology at the Maryland Department of Health

The Maryland Maternal and Child Health (MCH) Epidemiology team leads the collection, analysis, and interpretation of maternal and child health data, including children and youth with special health care needs (CYSHCN), Women, Infants, and Children (WIC), the Pregnancy Risk Assessment Monitoring System (PRAMS), Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program, Child Fatality Review (CFR), Maternal Mortality Review (MMR), Fetal and Infant Mortality Review (FIMR), Severe Maternal Morbidity (SMM), Family Planning, and Reproductive Health.

Epidemiologists generate reports and data briefs on maternal and child health topics in response to leadership and legislative action for public review. Team members engage with public health leadership to implement and evaluate programs to promote health, develop data-driven policies, and collaborate with the community.

Resources

Please visit these resources prior to filling out the data request below:

Title of Request*

Contact Email*

Date of Request*

Name*

Title*

Organization*

Phone Number*

Phone

Date Data Request is Needed*

(Note: please allow a minimum of 15 business days to complete data requests)

Reason for Request*

(check all that apply)

Select or enter value

Please provide a brief overview of your project and its purpose.*

If you are a researcher, what are your specific questions?

Type of Data Requested:*

Select

Please provide a detailed description of the data you are requesting.*

(including jurisdiction, race, ethnicity, sex, age groups, date range, etc.)

Format of Data Requested*

Select or enter value

I understand the data I receive can only be used for the purpose(s) indicated on the request form. Any other use requires approval by MDH MCHB*

I agree that the data I receive cannot be published without written approval from MDH MCHB.*

Questions may be directed to mdh.mch_epidemiology@maryland.gov

Send me a copy of my responses

Privacy Notice|Report Abuse