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

Hawai 'i PRAMS项目摘要 夏威夷怀孕风险评估监测系统（PRAMS） 是一个以人口为基础的监测系统，旨在识别和监测孕产妇 经验，态度和行为，从孕前，通过怀孕和进入 受孕间期PRAMS提供对孕产妇行为的持续监测 以确定如何减少婴儿死亡，减少低出生体重， 夏威夷人口的整体健康状况。 夏威夷PRAMS的总体目标是降低婴儿发病率和死亡率， 影响孕产妇和儿童健康方案、政策和孕产妇行为， 怀孕和婴儿早期。PRAMS有四个目标：1）收集高质量 基于人口的关于母亲在怀孕前、怀孕期间和怀孕期间行为的数据 婴儿的早期生活; 2）对产妇进行流行病学分析和研究 怀孕和婴儿早期的行为和经历以及与 健康结果; 3）将数据分析转化为可用于计划的信息 规划、监测和评估; 4）提高公众对健康的认识， 怀孕行为，以改善整个生命周期的孕产妇健康。 每月向大约200名新妈妈邮寄PRAMS调查问卷 在夏威夷的所有主要岛屿上这些新妈妈是由卫生局确定的 状态和监测（OHSM），夏威夷卫生部，从出生证明 最近出生的婴儿。夏威夷调查问卷包括以下问题： 所有州的PRAMS程序以及由 夏威夷PRAMS计划，与夏威夷PRAMS指导合作 委员会，其他卫生部计划的工作人员，和当地的医疗服务提供者。 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、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。

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.