An annotated listing is presented of projects offering maternal and child health care services. These projects, referred to as special projects of regional and national significance (SPRANS), are supported by the Office of Maternal and Child Health of the Department of Health and Human Services. The first section provides information on services for prenatal care, risk reduction in pregnancy, and systems development for perinatal services. Infant health is covered in the second section; information is presented on reducing mortality and morbidity, screening for genetic disorders, breastfeeding, and parenting. Programs providing services on child health are listed in the third section. These include primary care and prevention, emergency medical services, accident prevention, and grief and hospice care. Children with special health needs are covered in section four. Entries include listings of projects dealing with early childhood intervention, family-community comprehensive services, chronic and disabling illness, the technology dependent and medically fragile, Cooley's anemia, thalassemia, and hemophilia/AIDS. The section on adolescent health focuses on preventive health services, violence/injury prevention, and youth in transition. General program concerns are covered in the final chapter. (JD)