Nebraska Pregnancy Risk Assessment Monitoring System (PRAMS)

自1999年以来，内布拉斯加州（NE） PRAMS收集了高科学质量的、基于人群的有关怀孕前、怀孕期间和怀孕后经历的主题数据。PRAMS补充了生命记录数据库，增加了只有自我报告数据才能做到的细微差别。以下是为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。内布拉斯加州一些种族/族裔群体（黑人、美洲印第安人、西班牙裔和墨西哥裔）的婴儿死亡率明显更糟，远高于健康人（HP） 2020年每1,000名活产6.0名婴儿的目标。所有种族/族裔群体在妊娠前三个月开展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，预计该州人口增长的大部分来自年轻的少数民族人口。neprams按种族/民族分层，并将继续提供数据，以规划解决这些问题的战略和进行评估。多达三份自我管理的问卷被邮寄给抽样母亲。没有回复任何邮件的母亲，将通过电话跟进，并鼓励她们完成电话访谈。总体回复率始终高于CDC要求的回复率阈值。NE PRAMS继续开发方法，以提高我们对黑人和美洲印第安人的回复率，这些人口的回复率一直较低，因为他们的定位比实际拒绝率低。这包括扩大来源，以找到目前的电话号码和地址，并在问卷包中提供不同的奖励/奖励。在产前和产后医院的资料包中以及在卫生展览会的展览中提供了人口普查方案的信息，以宣传填写人口普查方案问卷的重要性。内布拉斯加州卫生和人类服务部（NDHHS）母婴健康（MCH）项目的规划、实施和评估中，NE PRAMS继续发挥着至关重要的作用。NE PRAMS数据用于报告；为许多国家卫生与公众服务部项目、地方卫生部门和社区卫生组织制作小册子、海报、新闻稿、情况说明书和数据手册。东北PRAMS将继续制作情况说明书、数据报告、完成数据请求并与全州公共卫生计划合作开展项目。

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.