Pregnancy Risk Assessment Monitoring System (PRAMS)

妊娠风险评估监测系统（PRAMS）

• 批准号: 10393200
• 负责人: David Jean Laflamme
• 金额: $ 16万
• 依托单位: NH STATE DEPT/HLTH STATISTICS/DATA MGMT
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-01 至 2026-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10393200
• 关键词: Pregnancy; Risk; Assessment; Monitoring; System

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.

组成部分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·拉弗拉姆，博士，公共卫生硕士 新罕布什尔州公共卫生服务部 项目概要 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，并通过宣传孕产妇和儿童健康来促进孕产妇健康 (MCH) 计划和政策，以及影响怀孕期间和早期母亲的行为 婴儿期。 PRAMS 的目标是： (1) 实施基于州特定人群的 对产前、产中和产后产妇的态度、行为和经历进行监测 怀孕; (2) 收集高科学质量的人群数据； (3) 进行数据 为规划活动和公共卫生实践提供信息的分析； (4) 翻译和 将分析结果传播为公共卫生行动可用的信息；和（5）有 应对可能出现的灾后或大流行监测需求的能力 实施 PRAMS 调查补充或过度抽样。 这些目标将通过持续的活动来实现，例如： 收集数据 不可用；描述母亲在怀孕期间的行为、态度和经历， 婴儿期早期；通过与政策制定者合作来影响公共卫生政策 将调查结果纳入决策过程；并投入国家工作人员和资源来开发 进行监视所需的技能方面的专业知识。 PRAMS 方法包括从州出生档案中抽取女性样本；发送 在特定时间内邮寄调查问卷（最多三份）；跟进所有无反应者 由训练有素的访谈员在 30 天内进行最多 15 次电话采访。 这些目的、目的和方法符合国家 PRAMS 协议。 新罕布什尔州 (NH) PRAMS 工作人员将遵循 PRAMS 研究方法进行此项研究 监测项目以产生高质量的数据。进行全州妇幼保健院需求评估 2020 年确定了七个即将发布的新优先领域，这些领域是妇幼卫生工作的重点 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，例如减少酒精、烟草和酒精的使用和滥用 孕妇中的其他物质，改善所有人获得所需医疗服务的机会 妇幼保健人群，改善围产期妇女获得心理健康服务的机会， 增加第五章对健康的社会决定因素和解决问题的关注 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 PRAMS 的信息将填补关键数据空白并提供信息 解决这些和其他妇幼保健优先事项的政策、系统和计划。