Pregnancy Risk Assessment Monitoring System (PRAMS)

组件A：核心监测-妊娠风险评估监测系统 PD/PI：Paulette Valliere，公共卫生硕士;大卫Laflamme，博士，公共卫生硕士 新罕布什尔州公共卫生服务部 项目摘要 妊娠风险评估监测系统（PRAMS）的目标是减少婴儿死亡率。 通过宣传孕产妇和儿童健康， (MCH)方案和政策，并影响孕产妇在怀孕期间和早期的行为， 婴儿期。PRAMS的目标是：（1）实施基于各州人口的 监测产妇在产前、产中和产后的态度、行为和经历 （2）收集高科学质量的基于人口的数据;（3）进行数据收集， 分析，为方案活动和公共卫生实践提供信息;（4）翻译和 将分析结果传播为公共卫生行动的有用信息;（5） 应对灾后或大流行病监测需求的能力， 实施PRAMS调查补充或过度抽样。 这些目标将通过持续开展的活动来实现，例如： 不可用;描述母亲在怀孕期间的行为、态度和经历， 婴儿早期;通过与决策者合作， 将调查结果纳入决策过程;并承诺国家工作人员和资源， 进行监视所需技能的专业知识。 PRAMS的方法包括从国家出生档案中抽取妇女样本; 在特定的时间轴上邮寄问卷（最多三份）;用 由一名经过培训的面试官在30天内进行最多15次电话面试。 这些目的、目标和方法符合国家PRAMS议定书。 新罕布什尔州（NH）PRAMS工作人员将遵循PRAMS的研究方法，在进行这一 监测项目，以产生高质量的数据。进行了全州妇幼保健需求评估 2020年确定了即将发布的七个新的优先领域，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什尔州妇女和婴儿的健康。这些 优先事项包括一系列需求，如减少使用和滥用酒精、烟草和 改善所有人获得所需保健服务的机会 妇幼保健人口，改善妇女在围产期获得心理保健服务的机会， 增加第五章对健康的社会决定因素的关注， 消除影响妇幼保健人口健康的障碍， 0-21岁的儿童。来自PRAMS的信息将填补关键的数据空白， 解决这些和其他妇幼保健优先事项的政策、系统和方案。

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.