PREGNANCY RISK ASSESSMENT MONITORING SYSTEM COMPONENT A: CORE SURVEILLANCE

波多黎各怀孕风险评估监测系统(PR-PRMS)： 构成部分A核心监测 PR-PRMS的主要目标是收集代表PR人口健康状况的数据， 发生在怀孕前、怀孕期间和怀孕后的母亲的态度、行为和经历 以减少母婴发病率和死亡率。这将允许做出明智的决定 支持有效编程的制定、资源分配、政策和系统更改 为妇女和婴儿提供服务，从而对公共卫生产生影响，并改善 人口健康。研究的目标是：1)实施以人口为基础的监测 对发生在之前、期间和之后的选定的母性行为和经历进行公关 最近活产妇女的怀孕，包括新出现的问题和灾后问题 出现监测需求；2)确保数据具有高科学质量和可比性 通过遵循疾控中心PRMS议定书中记录的方法，向其他司法管辖区提供援助；3) 根据分析计划对PR-PRMS数据进行全面分析 告知方案活动，研究和实施公共关系中的公共卫生做法；4) 翻译和传播研究分析结果为公众提供实用和有用的信息 公共关系中的健康行动，可以指导方案的制定和评估，与 公关-PRMS指导委员会(SC)。PR-PRMS将遵循标准化的数据收集 一种方法，允许与其他州进行比较，并最佳地利用数据 单态分析。调查将包括核心问题、标准问题和国家制定的问题， 根据为公关确定的数据中的差距。PR-PRMS方法结合了两种模式 数据收集：邮寄问卷和电话采访，并进行跟踪调查。每个人 月，从生命统计(VS)数据文件和以下顺序中抽取分层样本 已尝试联系。调查问卷将在2至4个月内邮寄，以抽样调查选定的女性 他们最近生下了活着的婴儿。数据收集周期为60至95天。 PR-PRMS自2016年开始实施。在实施的头四(4)年中 在合作协议中，PR-PRMS达到了所有的目的和目的。工作人员已经在 准备好继续运营。该项目的基础设施正在高效运行，达到了 2017年应答率为63%，2018年为80%，2019年为81%。组织SC以继续 为问题选择、制定状态分析计划(SAP)和翻译提供意见 和数据的传播。公关-PRMS数据用于监测公关全国业绩 标题V区块的目标，并作为选定的绩效衡量标准的基准 展示第五章对健康结果的影响。收集的数据还用于支持 妇幼保健领域新出现的问题和其他优先事项，并评估和 持续公共卫生努力、制定计划和培训。数据通过以下方式传播 为各种利益攸关方举办不同的论坛，以提高对妇幼保健的认识 问题。调查的预期结果是：1)提供及时、高质量的数据 代表辖区人口监测孕产妇和婴儿健康的风险因素； 2)分析和传播关于各种妇幼保健主题的PRMS数据，以告知公众健康 方案、研究和系统变化，以及医疗保健系统变化；3)记录努力 将数据转化为可用于公共卫生行动的信息；4)使PRMS数据可用 利益相关者，包括公共卫生机构、临床提供者、卫生系统和 研究人员进行研究，以了解孕产妇和婴儿健康方面的知识差距。

PUERTO RICO PREGNANCY RISK ASSESSMENT MONITORING SYSTEM (PR-PRAMS): COMPONENT A CORE SURVEILLANCE The major goal of PR-PRAMS is to collect data representative of PR’s population on health status, maternal attitudes, behaviors and experiences that occur prior to, during, and after pregnancy, in order to reduce maternal and infant morbidity and mortality. This will allow for informed decision making, resource allocation, policies, and systems changes that support effective programming of services for women and infants, resulting in public health impact and improvements in population health. The study objectives are: 1) To implement population-based surveillance in PR on selected maternal behaviors and experiences that occur prior to, during, and shortly after pregnancy among women with a recent live birth, including emerging issues and post-disaster surveillance needs, as they arise; 2) To ensure data is of high scientific quality and comparable to other jurisdictions by following the methodology documented in the CDC PRAMS protocol; 3) To conduct comprehensive analysis of PR-PRAMS data based on an analysis plan designed to inform programmatic activities, research and implement public health practices in PR; 4) To translate and disseminate research analytic results into practical and useful information for public health action in PR that can guide program development and evaluation, in collaboration with the PR-PRAMS Steering Committee (SC). PR-PRAMS will follow a standardized data collection methodology that allows for comparisons with other states and for optimal use of the data for single-state analysis. The survey will include core, standard and state developed questions, according to gaps in data identified for PR. PR-PRAMS methodology combines two modes of data collection: a mailed questionnaire and telephone interviews with follow-up attempts. Each month, a stratified sample is drawn from the Vital Statistics (VS) data file and the sequence of contacts is attempted. A questionnaire will be mailed 2 to 4 months to sample selected women who have recently delivered live born infants. The data collection cycle takes 60 to 95 days. PR-PRAMS has been implemented since 2016. During the first four (4) years of implementation of the cooperative agreement, PR-PRAMS has met all its goals and objectives. Staff is already in place to continue operations. The project’s infrastructure is operating efficiently, reaching a 63% response rate in 2017, 80% in 2018 and 81% in 2019. A SC is organized to continue providing input on questions selection, development of State Analysis Plan (SAP) and translation and dissemination of data. PR-PRAMS data is being used to monitor PR national performance objectives for Title V block, and has served to benchmark select performance measures to demonstrate the impacts of Title V on health outcomes. The data collected is also used to support emerging issues and other priorities in Maternal and Child Health (MCH), and to evaluate and sustain public health efforts, develop plans, and training. Data is being disseminated through different forums to a variety of stakeholders to raise awareness on maternal and child health issues. The expected outcomes of the survey are: 1) Produce timely, high quality data representative of the jurisdiction’s population to monitor risk factors for maternal and infant health; 2) Analyze and disseminate PRAMS data on a variety of MCH topics to inform public health programs, research and system changes, and health care system changes; 3) Document efforts to translate data into useable information for public health action; 4) Make PRAMS data available to stakeholders including public health agencies, clinical providers, health systems, and researchers for studies to inform knowledge gaps in maternal and infant health.