In 1992 CityMatCH, a national organization of urban maternal and child health programs and leaders, initiated a survey of programs to serve as an information resource for urban public health practitioners. This report updates previous data, presents baseline information on maternal and child health (MCH) programs in urban health departments serving areas with populations under 200,000, and provides comprehensive information on childhood immunization in urban communities. Section 1 describes the survey and technical issues, with an overview of findings on urban MCH programs. Section 2 contains descriptions of self-reported successful urban health department immunization initiatives. Section 3 contains contact information for major urban MCH programs, as well as key survey findings and recommendations. Leadership of urban MCH programs continues to change from year to year, but organizations remain fairly stable. State and local funds support the majority of MCH programs. About half of American's urban children are estimated to be fully immunized at 24 months of age, with 94 percent immunized at school entry. Over 75 percent of responding urban health departments reported experiencing a shift from private to public sectors in the delivery of immunization services. Seven tables and three figures illustrate the discussion. Appendixes contain the survey instrument and a list of surveyed health departments. (SLD)