Pregnancy Risk Assessment Monitoring System

A部分--怀孕风险评估监测系统 PD/PI：Paulette Valliere，公共卫生硕士；David Laflamme，博士，公共卫生硕士 新汉普郡公共卫生服务部 项目摘要 妊娠风险评估监测系统(PRAMS)的目标是减少婴儿 发病率和死亡率，并通过向孕产妇和儿童提供信息促进孕产妇健康 保健(妇幼保健)方案和政策，以及对孕期母亲行为的影响 和早期的婴儿期。PRMS的目标是：(1)实施国家特定人口-- 基于对之前发生的母亲的态度、行为和经历的监测， 孕期和孕后；(2)收集高科学质量的基于人群的数据；(3) 进行数据分析，为方案活动和公共卫生实践提供信息；(4) 将分析结果转化和传播为可用于公共卫生行动的信息； 以及(5)有能力应对可能出现的灾后或大流行监测需求 通过实施PRMS调查、补充或过度抽样而产生。 这些目标将通过正在进行的活动来实现，例如：以其他方式收集数据 不可用；描述怀孕和怀孕期间的母亲行为、态度和经历 婴儿期；通过与政策制定者合作影响公共卫生政策 将调查结果纳入决策过程；并承诺国家工作人员和资源 培养开展监督所需技能方面的专业知识。 PRMS方法包括从州出生档案中抽取妇女样本； 在特定时间线上发送邮寄的调查问卷(最多三份)；跟踪所有非 由训练有素的面试者在30天内接听多达15通电话的应答者。 这些目标、目的和方法与国家可持续发展战略相一致。 协议。汉普郡(NH)PRMS的新员工将遵循PRMS的研究方法 实施这一监测项目，以产生高质量的数据。全州范围内的妇幼保健需要 2015年进行了评估，结果确定了八个优先事项作为重点 在今后五年内努力改善保健中心的妇幼保健。这些优先事项 包括一系列需要，如减少使用和滥用酒精、烟草和其他 孕妇的物质，减少儿童超重和肥胖，以及 通过推广安全睡眠实践来减少意外伤害。信息来自 PRAM将填补关键数据缺口，并为解决以下问题的政策、系统和计划提供信息 这些和其他妇幼保健优先事项。

Component A – 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 was conducted in 2015, resulting in the setting of eight priorities as the focus of efforts to improve maternal and child health in NH 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, decreasing pediatric overweight and obesity, and reducing unintentional injury by promoting safe sleep practices. The information from PRAMS will fill critical data gaps and inform policies, systems, and programs that address these and other MCH priorities.