Nebraska Pregnancy Risk Assessment Monitoring System (PRAMS)

描述(由申请人提供)：项目摘要自1999年以来，内布拉斯加州(东北)PRMS收集了与怀孕前、怀孕期间和怀孕后的经历有关的高科学质量的、基于人口的数据。PRMS补充了生命记录数据库，增加了只有自我报告的数据才能做到的细微差别。以下是改善内布拉斯加州母亲和婴儿健康需要解决的问题的例子。内布拉斯加州的婴儿死亡率在一些种族/民族(黑人、美国印第安人、西班牙裔和墨西哥人)中明显更低，远远高于2020年健康人(HP)的目标，即每1000名活产中有6.0名婴儿。所有种族/民族在怀孕前三个月开始的产前护理低于惠普2020年77.9%的目标。内布拉斯加州的种族和民族多样性在过去十年中有所增加，该州人口增长的大部分预计将来自年轻的少数族裔人口。全国幼儿保育和康复方案按种族/族裔分层，并将继续提供数据，以规划解决这些问题的战略并进行评估。多达三份自我管理的调查问卷被邮寄给抽样的母亲。没有回复任何邮件的母亲们会通过电话进行跟踪，并鼓励她们完成电话采访。总体应答率一直高于疾控中心要求的应答率阈值。Ne PRMS继续开发方法来提高我们对黑人和美国印第安人的应答率，这些人的应答率一直较低，因为他们被定位而不是实际拒绝。这包括扩大来源以确定当前的电话号码和地址，并在调查问卷中提供不同的奖励/奖励。在产前和产后医院包中以及在健康博览会的展览期间提供PRMS信息，以宣传填写PRMS问卷的重要性。在内布拉斯加州卫生与公众服务部(NDHHS)母婴健康(MCH)方案的规划、实施和评估中，Ne PRAM仍然是至关重要的。许多NDHHS项目、地方卫生部门和社区卫生组织利用NEPRMS数据进行报告；编写小册子、海报、新闻稿、情况说明书和数据手册。NEPRMS将继续制作情况说明书、数据报告、完成数据请求并与全州范围的公共卫生计划合作项目。

DESCRIPTION (provided by applicant): Project Summary Nebraska (NE) PRAMS has collected high scientific quality, population-based data on topics related to experiences before, during, and after pregnancy since 1999. PRAMS complements the vital records database adding nuances that only self-reported data can do. The following shows examples of issues that need to be addressed to improve the health of mothers and babies in Nebraska. Rates of infant mortality in Nebraska are significantly worse in some racial/ethnic groups (Black, American Indian, Hispanic and Mexican) are considerably higher than the Healthy People (HP) 2020 goal of 6.0 infants per 1,000 live births. Prenatal care initiated during the first trimester of pregnancy for all racial/ethnic groups are below the HP 2020 goal of 77.9%. Nebraska's racial and ethnic diversity has increased over the past decade and most of the growth in the state's population is projected to come from the young minority population. NE PRAMS stratifies by race/ethnicity and will continue to provide data to plan strategies to address these issues and for evaluation. Up to three self-administered questionnaires are mailed to sampled mothers. Mothers, who do not respond to any of the mailings, are followed up by telephone and encouraged to complete a telephone interview. Overall response rates have always been higher than the required CDC response rate threshold. NE PRAMS continues to develop methods to increase our response rates with the Black and American Indian populations that have consistently had lower response rates, due to locating them than actual refusals. This includes expanding sources to locate current phone numbers and addresses, and offering different rewards/incentives in the questionnaire packets. PRAMS information is provided in prenatal and postpartum hospital packets and during exhibits at health fairs to communicate the importance of completing the PRAMS questionnaire. NE PRAMS continues to be vital in planning, implementing and evaluating programs in the Nebraska Department of Health and Human Services (NDHHS) Maternal and Child Health (MCH) programs. NE PRAMS data is utilized for reports; to develop brochures, posters, press releases, fact sheets, and data books by many NDHHS programs, local health departments, and community health organizations. NE PRAMS will continue to produce fact sheets, data reports, completing data requests and collaborating on projects with statewide public health programs.