Category B: Hawaii Pregnancy Risk Assessment Monitoring System (PRAMS)

描述（由申请人提供）：夏威夷PRAMS项目摘要夏威夷妊娠风险评估监测系统（PRAMS）计划是一个基于人口的监测系统，旨在识别和监测孕产妇的经验，态度和行为，从孕前，通过怀孕到受孕期。PRAMS提供对产妇行为的持续监测，以确定如何减少婴儿死亡，降低出生体重不足和改善夏威夷人口的整体健康。 夏威夷PRAMS的总体目标是通过影响孕产妇和儿童健康方案、政策以及孕产妇在怀孕期间和婴儿早期的行为，降低婴儿发病率和死亡率。PRAMS有四个目标：1）收集关于孕妇在怀孕前、怀孕期间和婴儿早期生活中的行为的高质量的基于人口的数据; 2）对孕妇在怀孕期间和婴儿早期的行为和经历及其与健康结果的关系进行流行病学分析和研究; 3）将数据分析转化为可用于方案规划、监测和评估的信息;提高公众对健康怀孕行为的认识，以改善孕产妇的终身健康。 每月向夏威夷所有主要岛屿的大约200名新母亲邮寄PRAMS调查表。新妈妈是由夏威夷卫生部健康状况和监测办公室（OHSM）从最近出生的婴儿的出生证明中确定的。夏威夷调查问卷包括所有州的PRAMS项目提出的问题，以及夏威夷PRAMS项目与夏威夷PRAMS指导委员会、其他卫生部项目工作人员和当地医疗保健提供者合作选择的标准问题。调查问卷涉及优先的妇幼保健问题，如意外怀孕、怀孕期间吸烟和饮酒、怀孕期间的保险、避孕、产后抑郁症和家庭暴力。夏威夷PRAMS标准问题涉及母乳喂养、牙科护理、药物使用、一般健康、艾滋病毒和孕产妇健康状况等主题。

DESCRIPTION (provided by applicant): Hawai'i PRAMS Project Summary The Hawai'i Pregnancy Risk Assessment Monitoring System (PRAMS) Program is a population-based surveillance system designed to identify and monitor maternal experiences, attitudes, and behaviors from preconception, through pregnancy and into the interconception period. PRAMS provides ongoing monitoring of maternal behaviors to determine how to reduce infant deaths, decrease low birth weights and improve the overall health of the population in Hawai'i. The overall goal of Hawai'i PRAMS is to reduce infant morbidity and mortality by impacting maternal and child health programs, policies and maternal behaviors during pregnancy and early infancy. There are four PRAMS objectives: 1) Collect high quality population-based data on maternal behaviors before and during pregnancy and during the early life of the infant; 2) Conduct epidemiologic analysis and study of maternal behaviors and experiences during pregnancy and early infancy and the relationship to health outcomes; 3) Translate data analyses into useable information for program planning, monitoring and evaluation; and 4) Increase public awareness of healthy pregnancy behaviors to improve maternal health across the life span. A PRAMS questionnaire is mailed to approximately 200 new mothers per month on all major islands of Hawai'i. The new mothers are identified by the Office of Health Status and Monitoring (OHSM), Hawai'i Department of Health, from the birth certificates of recently born infants. The Hawai'i questionnaire includes questions that are asked by PRAMS programs in all states as well as standard questions selected for inclusion by the Hawai'i PRAMS Program, in partnership with the Hawai'i PRAMS Steering Committee, other Department of Health program staff, and local healthcare providers. The questionnaire addresses priority maternal and child health issues such as unintended pregnancies, smoking and alcohol use during pregnancy, insurance at time of pregnancy, contraception, post-partum depression and domestic violence. Hawai'i PRAMS standard questions address topics such as breastfeeding, dental care, drug use, general health, HIV, and maternal health conditions.