This annotated listing provides brief descriptions of the 591 projects funded during 1991 by federal set-aside funds of the Maternal and Child Health (MCH) Services Block Grant and identified as special projects of regional and national significance (SPRANS). Preliminary information includes an introduction, an organization chart of the Maternal and Child Health Bureau, and a glossary of commonly used acronyms. Listings typically include title of project, address, contact person and phone number, and an annotation focusing on project goal and major activities. Topic categories are maternal health, infant health, child health, children with special health needs, adolescent health, and general program concerns. Specific topics of projects include the following: content and utilization of prenatal care; risk reduction in pregnancy; systems development for perinatal services; reducing mortality and morbidity (infants); newborn screening and/or follow-up; breastfeeding and infant nutrition; parenting; primary care/preventive health services (child health); health and safety in child care settings; emergency medical services; lead poisoning prevention; violence/injury prevention; early childhood intervention; family-centered, community-based, comprehensive services (children with special health needs); chronic illness, disabling conditions; technology dependent, medically fragile; Colley's Anemia, Thalassemia; Hemophilia/AIDS (Acquired Immune Deficiency Syndrome); primary care/preventive health services (adolescents); violence/injury prevention (adolescents); youth in transition; state staff development; MCH/Public Health professional development; program coordination and networking; financing; data/information; and overcoming ethnocultural barriers to genetic services. Indexes to project titles, grantee names, locations, and subjects are provided. (DB)