Category B Delaware PRAMS (Pregnancy Risk Assessment Monitoring System) Project

描述(由申请人提供)：特拉华州PRMS 2011项目摘要/摘要第7部分PRMS(怀孕风险评估监测系统)是一个由联邦政府资助的、特定于州、以人群为基础的监测系统，旨在识别和监测选定的孕妇在怀孕前、怀孕期间和怀孕后的行为和经历。该项目的目的是使公共卫生方案能够针对特定的妇幼保健人口，以改善健康结果。对于儿童来说，这将降低婴儿发病率和死亡率，特拉华州的发病率和死亡率高于全国平均水平。各州已将PRMS监测数据用于项目规划和评估，以及改变州妇幼保健项目的公共卫生实践和公共卫生政策。PRMS数据的高质量使各州能够更有效地开发和评估现有的项目，如新生儿筛查、小岛屿发展中国家意识和母婴健康整体补助金。PRMS还提供了一个系统，以监测国家在实现2020年健康人目标方面取得的进展，该目标旨在减少婴儿和孕产妇的发病率和死亡率。PRMS项目为实施全州育龄妇女监测系统提供资金。监测包括分析妇女在怀孕、分娩和产后2至6个月期间的行为、做法和经历。每年对产后至少两个月的妇女进行随机分层抽样，以纳入该项目。对抽样调查的参与者进行调查，以评估行为、实践和经验。描述性和分析性统计将提供该州最高风险人群的信息，包括少数族裔和分娩低出生体重婴儿的妇女。将重点放在这些群体上将使DPH能够更好地针对现有的妇幼保健计划。针对高危人群的方案将影响该州出生的妇女和婴儿的发病率和死亡率。

DESCRIPTION (provided by applicant): Delaware PRAMS 2011 Project Summary/Abstract for Part 7 PRAMS (Pregnancy Risk Assessment Monitoring System) is a federally funded, state- specific, population-based surveillance system designed to identify and monitor selected maternal behaviors and experiences before, during, and after pregnancy. The purpose of the project is to enable public health programs to target specific maternal and child health populations for improved health outcomes. For children this would be a reduction in infant morbidity and mortality rates, which for Delaware are above the national average. States have used the PRAMS surveillance data for program planning and evaluation, and changing public health practice and public health policy for state maternal and child health programs. The high quality of the PRAMS data enables states to more efficiently develop and evaluate existing programs such as Newborn Screening, SIDS awareness, and the Maternal and Child Health Block Grant. PRAMS also provides a system to monitor the state's progress towards achieving the Healthy People 2020 goal of reducing infant and maternal morbidities and mortality. The PRAMS project funds implementation of a state-wide surveillance system of women of childbearing age. Surveillance includes analysis of women's behaviors, practices, and experiences during pregnancy, childbirth, and two to six months post-partum. A random, stratified sample of women at least two months post-partum is selected annually for inclusion in the project. The sampled participants are surveyed to assess behaviors, practices, and experiences. Descriptive and analytic statistics will provide information on the highest risk populations in the state, including minorities and women who deliver a low birth weight baby. Focusing on these groups will enable DPH to better target existing programs in Maternal and Child Health. Targeting programs at high-risk populations will impact the rate of morbidity and mortality among women and infants born in the state.