Missouri Pregnancy Risk Assessment Monitoring System

描述（由申请人提供）：项目摘要（核心活动，B类，现有国家）妊娠风险评估和监测系统（PRAMS）于1987年启动，作为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，该计划已扩大到支持疾病预防控制中心的安全孕产倡议，以促进健康怀孕和健康婴儿的分娩。PRAMS是一个持续的、以人口为基础的监测系统，旨在对分娩活产的妇女进行分层抽样，以确定和监测在怀孕前和怀孕期间以及婴儿早期发生的选定产妇经历和行为。与全国其他地区一样，密苏里州在过去十年中在降低婴儿死亡率方面进展甚微，种族差异很大。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，密苏里州于2006年与其他9个新地点沿着成为CDC PRAMS州，并于2007年5月开始收集数据。MO PRAMS一直遵守疾病预防控制中心PRAMS协议的所有方面，并且自项目开始以来一直配备充足的人员。MO PRAMS不断努力达到65%的加权回复率，以便将调查结果统计推断到一般人群和更广泛的数据传播。MO PRAMS在密苏里州2010年第五章五年期妇幼保健需求评估和确定密苏里州妇幼保健十大优先事项中发挥了关键作用。MO PRAMS仍然是方案规划、评价和政策制定的关键资源。除了作为监测密苏里州实现惠普2010 / 2020年目标和绩效措施进展情况的关键数据来源外，MO PRAMS还继续提供通过其他资源无法获得的有关新出现的妇幼保健问题的宝贵数据。继续通过指导委员会、报告、概况介绍和介绍向妇幼保健利益攸关方传播MO PRAMS的调查结果。2010年开始在密苏里州实施新的出生证明，并未对MO PRAMS的运营产生任何不利影响。MO PRAMS也准备从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CDC PRAMS的要求和项目的时间表。在下一个项目期间，MO PRAMS将继续收集高质量数据，并将进一步加强数据分析、传播和翻译工作。将特别强调PRAMS、妇幼保健和慢性病方案之间的数据联系/分析，并采用生命过程视角方法。

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.