Pregnancy Risk Assessment Monitoring System (PRAMS)

摘要：哥伦比亚特区卫生局PRMS应用 哥伦比亚特区是多元化人口的家园，尽管健康状况并不相同 按种族、民族或社会经济水平分布，城市的各个部分仍然很高 种族隔离(该市东南象限近96%的黑人)。这一社会和经济问题 环境决定了我们近一半的人口健康结果，并反映在 母婴和儿童健康(MICH)，在那里黑人婴儿患上这种疾病的可能性几乎是前者的两倍 早产，在一岁生日前死亡的可能性是 白人婴儿。 虽然关键的健康结果，如婴儿死亡率是通过生命记录来记录的，但更多 需要有关母亲态度、知识和行为的全面数据，以 了解根本原因，适当制定干预措施，并制定政策以改善 MICH结果。当前的母亲行为数据是通过特定的方案收集的(例如 健康起步和妇女、婴儿和儿童(WIC))，但仅反映小样本量和 不适合分析人口健康趋势。中确定的其他数据需求 DC健康人2020年数据发展议程和通过标题V需求评估 母乳喂养的持续性、意外怀孕、早产健康、母亲 抑郁和亲密伴侣暴力。将利用婴儿车来填补这些差距，以 数据，特别是人口层面的健康指标，趋势数据驱动决策 和纲领性决策和评估。 监测系统，如婴儿车，是有效的公共卫生工作的基础。在……里面 为了实现健康公平，我们需要了解人口随着时间的推移的健康状况， 召集主要利益攸关方分享调查结果，并转变范式，以便所有部门(例如 交通、环境、规划、公共安全等)个人认识到自己的角色 参与并采取行动，改善地区母亲、婴儿和儿童的健康。在……里面 为了实现这一目标，该地区实施了所有政策中的健康方法，该方法将 以这种方式帮助建立对我国人口健康的集体问责。 最后，婴儿车本身可以作为一种健康干预，因为它有能力将这些 经历过或正在经历暴力、抑郁或其他挑战的个人 我们社区的资源和支持。

Abstract: District of Columbia Department of Health PRAMS Application The District of Columbia is home to a diverse population, though health status is not equally distributed by race, ethnicity, or socioeconomic level, and sections of the city remain highly segregated (nearly 96% Black in the southeast quadrant of the city). This social and economic environment determines nearly half of our population health outcome and is reflected in maternal, infant and child health (MICH), where Black infants are almost twice as likely to be born prematurely and five times more likely to expire before their first birthday as compared to White infants. While key health outcomes such as infant mortality are captured through vital records, more comprehensive data surrounding maternal attitudes, knowledge, and behaviors are needed to understand root causes, appropriately target interventions, and institute policies to improve MICH outcomes. Current maternal behavior data are collected through specific programs (e.g. Healthy Start and Women, Infants and Children (WIC)), but only reflect small sample sizes and are not suitable for analyzing population health trends. Additional data needs identified in the DC Healthy People 2020 data development agenda and through the Title V Needs Assessment are breastfeeding persistence, unintended pregnancy, preconception health, maternal depression and intimate partner violence. PRAMS would be utilized to address these gaps in data, specifically for population-level health indicators where trend data drive policymaking and programmatic decision-making and evaluation. Surveillance systems, such as PRAMS, are the foundation of effective public health work. In order to achieve health equity, we need to understand population health status over time, convene key stakeholders to share findings, and shift the paradigm so that all sectors (e.g. transportation, environment, planning, public safety, etc.) and individuals recognize their role in and take action toward improving health for District mothers, infants and children. In achieving this, the District has implemented a Health in All Policies approach that will engage stakeholders in this way to help create collective accountability for the health of our population. Finally, PRAMS can serve as a health intervention in itself as it has the ability to connect those individuals who have experienced or are experiencing violence, depression, or other challenges to resources and support in our community.