Pregnancy intendedness not only predicts birth outcomes, but is a vital indicator of economic, eduational and health potential across the lifespan. The state of MI collects PRAMS (Pregnancy Risk Assessment Monitoring System) data, but this is not generalizable to the county level. MIHP (Maternal Infant Health Program) collects this data on the clients they serve, but the data is unavailable at this time and does not represent the entire population. The CDC and state epidemiologists will not come out in support of including pregnancy intendedness as a vital statistic on the birth certificate worksheet because they believe the timing is wrong (i.e. after giving birth, as opposed to in the course of prenatal care). ACOG won't include it on the "Antepartum Record" because they feel the research isn't there to support it. In the meantime, those of us in the trenches are stuck with little data to show whether our initiatives to reduce unintended pregnancies are working or not - what's a local public health worker to do?
In Matlab, Bangladesh icddr,b (International Centre for Diarrhoeal Disease Research, Bangladesh) maintains a longitudinal health and demographic surveillance system and this variable should be there in the database. You can check.
It is possible to request county or individual level PRAMS data through your state health department.
Because PRAMS is oversampled in some areas, it is not possible to use the data at the county level. However, I did finally reach someone on the ACOG committee responsible for reviewing the form and they were supposed to consider adding a question on pregnancy intendedness, but I am not aware of the outcome, as I no longer work in public health.
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