Missouri Pregnancy Risk Assessment Monitoring System

说明(申请人提供)：项目摘要(核心活动，B类，现有国家)怀孕风险评估和监测系统(PRMS)于1987年启动，是疾病控制和预防中心(CDC)降低婴儿死亡率和低出生体重倡议的一部分。近年来，该计划已经扩大，以支持疾病预防控制中心的安全母亲倡议，以促进健康怀孕和健康婴儿的分娩。PRMS是一个持续的、以人口为基础的监测系统，旨在确定和监测在怀孕前、怀孕期间和婴儿早期在分娩活产的分层样本中发生的选定的产妇经历和行为。与美国其他地区一样，密苏里州在过去十年里在降低婴儿死亡率方面进展甚微，存在显著的种族差异。为了通过减少婴儿死亡率、低出生体重和早产等不良妊娠结局来改善母亲和婴儿的健康，密苏里州与其他九个新地点一起，于2006年成为CDC PRMS州，并于2007年5月开始收集数据。MOPRMS一直遵守疾病控制与预防中心PRMS议定书的所有方面，自项目开始以来一直配备了足够的工作人员。MOPRMS不断争取达到65%的加权应答率，以便将调查结果在统计上外推到普通人群和更广泛的数据传播。MOPRMS在密苏里州2010年标题V五年母婴健康需求评估和确定密苏里州十大妇幼保健优先事项中发挥了关键作用。MOPRMS仍然是方案规划、评估和政策制定的关键资源。除了是监测密苏里州在实现惠普2010/2020年目标和绩效衡量方面的进展的关键数据来源外，MOPRMS还继续提供其他资源无法获得的关于新出现的妇幼保健问题的宝贵数据。妇幼保健会继续通过指导委员会、报告、情况介绍和介绍向妇幼卫生利益攸关方传播MOPRMS调查结果。从2010年开始在密苏里州实施新的出生证明，没有对MO婴儿车的业务产生任何不利影响。MOPRMS还准备从2012年4月开始迁移到新的基于网络的数据收集系统，并将继续满足疾控中心PRMS的要求和项目的时间表。在下一个项目期，MO PROMS将继续收集高质量的数据，并将进一步加强数据分析、传播和翻译的努力。将特别强调PRAM、妇幼保健和慢性病方案之间的数据联系/分析，并从生命过程的角度进行分析。

DESCRIPTION (provided by applicant): PROJECT ABSTRACT (CORE ACTIVITIES, CATEGORY B, EXISTING STATES) Pregnancy Risk Assessment and Monitoring System (PRAMS) was initiated in 1987 as part of the Centers for Disease Control and Prevention (CDC) initiative to reduce infant mortality and low birth weight. In recent years, the program has been expanded in support of CDC's Safe Motherhood Initiative to promote healthy pregnancies and the delivery of healthy infants. PRAMS is an ongoing, population-based surveillance system designed to identify and monitor selected maternal experiences and behaviors that occur before and during pregnancy and during the child's early infancy among a stratified sample of women delivering a live birth. As in the rest of the nation, Missouri (MO) has made little progress in reducing infant mortality rates during the past decade, with significant racial disparities. In an effort to improve the health of mothers and infants by reducing adverse pregnancy outcomes such as infant mortality, low birth weight, and preterm births, Missouri became a CDC PRAMS state, along with nine other new sites, in 2006 and began data collection in May 2007. MO PRAMS has been in compliance with all aspects of the CDC PRAMS protocol and has been adequately staffed since the start of the project. MO PRAMS constantly strives to attain a weighted response rate of 65% for the findings to be statistically extrapolated to the general population and wider data dissemination. MO PRAMS played a key role in Missouri's 2010 Title V five year Maternal and Child Health (MCH) Needs Assessment and identification of top ten Missouri MCH priorities. MO PRAMS continues to be a key resource for program planning, evaluation and policy development. Apart from being a key data source to monitor Missouri's progress towards HP 2010 / 2020 objectives and performance measures, MO PRAMS continues to provide valuable data on emerging MCH issues not available through other resources. MO PRAMS findings continue to be disseminated to MCH stakeholders through steering committees, reports, fact sheets, and presentations. The implementation of a new birth certificate in Missouri starting in 2010 did not have any adverse impact on MO PRAMS operations. MO PRAMS is also poised to migrate to the new web based system of data collection beginning in April 2012 and will continue to meet CDC PRAMS requirements and timelines for the project. During the next project period, MO PRAMS will continue to collect high quality data and will further enhance its efforts for data analysis, dissemination, and translation. Special emphasis will be placed on data linkages / analyses between PRAMS, MCH and chronic disease programs with a life course perspective approach.