Missouri Pregnancy Risk Assessment Monitoring System

项目摘要（核心活动，B类，现有国家）妊娠风险评估和监测系统（PRAMS）于1987年启动，作为疾病控制和预防中心（CDC）倡议的一部分，旨在降低婴儿死亡率和低出生体重。近年来，该方案得到扩大，以支持疾病预防控制中心的“安全孕产倡议”，以促进健康怀孕和分娩健康婴儿。PRAMS是一项持续的、以人群为基础的监测系统，旨在确定和监测在活产妇女的分层样本中，在怀孕前和怀孕期间以及儿童婴儿期发生的选定产妇经历和行为。与美国其他地区一样，密苏里州（MO）在过去十年中在降低婴儿死亡率方面几乎没有取得进展，种族差异很大。为了通过减少诸如婴儿死亡率、低出生体重和早产等不良妊娠结果来改善母亲和婴儿的健康，密苏里州与其他9个新地点一起于2006年成为疾控中心PRAMS州，并于2007年5月开始收集数据。MO PRAMS一直遵守CDC PRAMS协议的所有方面，并且自项目开始以来一直配备充足的人员。MO PRAMS不断努力达到65%的加权反应率，以便将调查结果统计外推到一般人群和更广泛的数据传播。MO PRAMS在密苏里州2010年第五章五年期妇幼保健需求评估和确定密苏里州妇幼保健十大优先事项方面发挥了关键作用。MO PRAMS仍然是项目规划、评估和政策制定的关键资源。除了作为监测密苏里州实现惠普2010 / 2020目标和绩效指标进展的关键数据来源外，MO PRAMS还继续提供有关新兴妇幼保健问题的宝贵数据，这些数据是其他资源无法获得的。MO PRAMS的调查结果继续通过指导委员会、报告、情况说明书和演示文稿传播给妇幼保健利益相关者。密苏里州从2010年开始实施新的出生证明，对MO PRAMS的运作没有任何不利影响。MO PRAMS也准备从2012年4月开始迁移到新的基于网络的数据收集系统，并将继续满足CDC PRAMS项目的要求和时间表。在下一个项目期间，MO PRAMS将继续收集高质量的数据，并将进一步加强数据分析、传播和翻译工作。特别强调将放在数据链接/分析之间的PRAMS，妇幼保健和慢性病方案与生命历程的角度来看的方法。

DESCRIPTION (provided by applicant): PROJECT ABSTRACT (CORE ACTIVITIES, CATEGORY B, EXISTING STATES) Pregnancy Risk Assessment and Monitoring System (PRAMS) was initiated in 1987 as part of the Centers for Disease Control and Prevention (CDC) initiative to reduce infant mortality and low birth weight. In recent years, the program has been expanded in support of CDC's Safe Motherhood Initiative to promote healthy pregnancies and the delivery of healthy infants. PRAMS is an ongoing, population-based surveillance system designed to identify and monitor selected maternal experiences and behaviors that occur before and during pregnancy and during the child's early infancy among a stratified sample of women delivering a live birth. As in the rest of the nation, Missouri (MO) has made little progress in reducing infant mortality rates during the past decade, with significant racial disparities. In an effort to improve the health of mothers and infants by reducing adverse pregnancy outcomes such as infant mortality, low birth weight, and preterm births, Missouri became a CDC PRAMS state, along with nine other new sites, in 2006 and began data collection in May 2007. MO PRAMS has been in compliance with all aspects of the CDC PRAMS protocol and has been adequately staffed since the start of the project. MO PRAMS constantly strives to attain a weighted response rate of 65% for the findings to be statistically extrapolated to the general population and wider data dissemination. MO PRAMS played a key role in Missouri's 2010 Title V five year Maternal and Child Health (MCH) Needs Assessment and identification of top ten Missouri MCH priorities. MO PRAMS continues to be a key resource for program planning, evaluation and policy development. Apart from being a key data source to monitor Missouri's progress towards HP 2010 / 2020 objectives and performance measures, MO PRAMS continues to provide valuable data on emerging MCH issues not available through other resources. MO PRAMS findings continue to be disseminated to MCH stakeholders through steering committees, reports, fact sheets, and presentations. The implementation of a new birth certificate in Missouri starting in 2010 did not have any adverse impact on MO PRAMS operations. MO PRAMS is also poised to migrate to the new web based system of data collection beginning in April 2012 and will continue to meet CDC PRAMS requirements and timelines for the project. During the next project period, MO PRAMS will continue to collect high quality data and will further enhance its efforts for data analysis, dissemination, and translation. Special emphasis will be placed on data linkages / analyses between PRAMS, MCH and chronic disease programs with a life course perspective approach.