Pregnancy Risk Assessment Monitoring System (PRAMS)

A部分：核心监测--怀孕风险评估监测系统 PD/PI：Paulette Valliere，公共卫生硕士；David Laflamme，博士，公共卫生硕士 新汉普郡公共卫生服务部 项目摘要 妊娠风险评估监测系统(PRAMS)的目标是减少婴儿 发病率和死亡率，并通过向妇幼保健提供信息促进产妇保健 (妇幼保健)方案和政策，并影响孕期和早期的母亲行为 婴儿期。PRMS的目标是：(1)实施以州为基础的特定人口 监测母亲在怀孕之前、期间和之后的态度、行为和经历 (2)收集高科学质量的基于人群的数据；(3)进行数据 为方案活动和公共卫生实践提供信息的分析；(4)翻译和 将分析结果传播为可用于公共卫生行动的信息；以及(5)具有 应对可能出现的灾后或大流行监测需求的能力 实施PRMS调查、补充或过度抽样。 这些目标将通过正在进行的活动来实现，例如：以其他方式收集数据 不可用；描述怀孕和怀孕期间的母亲行为、态度和经历 婴儿期；通过与政策制定者合作影响公共卫生政策 将调查结果纳入决策过程；并承诺国家工作人员和资源 在进行监视所需技能方面的专业知识。 PRMS方法包括从州出生文件中抽取妇女样本；发送 在特定时间线上邮寄调查问卷(最多三份)；对所有未回复的人进行跟踪调查 一位训练有素的面试官在30天内连续打出多达15通电话。 这些目标、目的和方法符合国家PRMS议定书。 新的汉普郡(NH)PRMS工作人员将遵循PRMS的研究方法进行这项工作 监测项目，以产生高质量的数据。进行全州妇幼保健需求评估 在2020年，确定了七个即将发布的新的优先领域，这些领域是妇幼保健工作的重点 在未来五年内改善新罕布夏州妇女和婴儿的健康状况。这些 优先事项包括一系列需要，如减少使用和滥用酒精、烟草和 孕妇中的其他物质，改善所有人获得所需医疗服务的机会 妇幼保健人口，改善围产期妇女获得精神卫生服务的机会， 增加标题五对健康的社会决定因素的关注，并解决 影响妇幼保健人群健康的障碍，并减少意外伤害 0-21岁的儿童。来自PRAM的信息将填补关键的数据空白，并为 解决这些和其他妇幼保健优先事项的政策、系统和计划。

Component A: Core Surveillance – Pregnancy Risk Assessment Monitoring System PD/PIs: Paulette Valliere, MPH; David Laflamme, PhD, MPH New Hampshire Division of Public Health Services Project Summary The goal of the Pregnancy Risk Assessment Monitoring System (PRAMS) is to reduce infant morbidity and mortality and to promote maternal health by informing maternal and child health (MCH) programs and policies, and influencing maternal behaviors during pregnancy and early infancy. The objectives of PRAMS are: (1) to implement state-specific population-based surveillance on maternal attitudes, behaviors and experiences that occur prior to, during and after pregnancy; (2) to collect population-based data of high scientific quality; (3) to conduct data analyses to inform programmatic activities and public health practice; (4) to translate and disseminate analytic results into usable information for public health action; and (5) to have capacity to respond to post-disaster or pandemic surveillance needs that may arise by implementing a PRAMS survey supplement or oversample. The objectives will be accomplished by ongoing activities such as: collecting data otherwise unavailable; describing maternal behaviors, attitudes, and experiences during pregnancy and early infancy; influencing public health policy by working with policy makers to incorporate findings into the decision-making process; and committing state staff and resources to develop expertise in the skills required to conduct surveillance. The PRAMS methodology includes drawing a sample of women from the state birth file; sending mailed questionnaires (up to three) on a specific timeline; following up all non-responders with a series of up to 15 telephone calls over 30 days by a trained interviewer. These goals, objectives, and methodology are in accordance with the national PRAMS protocol. New Hampshire (NH) PRAMS staff will follow PRAMS research methods in the conduct of this surveillance project to produce high quality data. A statewide MCH needs assessment conducted in 2020 identified seven new soon-to-be-released priority areas that are the focus of MCH efforts to improve the health of women and babies in New Hampshire over the next five years. These priorities include a range of needs such as decreasing the use and abuse of alcohol, tobacco and other substances among pregnant women, improving access to needed healthcare services for all MCH populations, improving access to mental health services for women in the perinatal period, increasing the focus of Title V on the Social Determinants of Health and the resolution of barriers impacting the health of the MCH population, and reducing unintentional injury in children 0-21 years of age. The information from PRAMS will fill critical data gaps and inform policies, systems, and programs that address these and other MCH priorities.