PUERTO RICO - PREGNANCY RISK ASSESSMENT MONITORING SYSTEM (PR - PRAMS)

波多黎各妊娠风险评估监测系统（PR-PRAMS） PR-PRAMS致力于收集和描述健康状况，母亲的态度，行为和 怀孕前、怀孕期间和怀孕后的经历，以便做出知情决定 制定和分配资源，以支持有效、高效和高质量的方案拟订， 妇幼保健、政策以及孕产妇行为，以减少孕产妇 以及婴儿发病率和死亡率。 PR-PRAMS有几个目标：1）建立和维护选定的PR-PRAMS 孕妇在怀孕前、怀孕期间和怀孕后的态度、行为和经历; 2)使用疾病预防控制中心收集PR中基于人口的孕产妇和儿童健康指标数据 PRAMS方案和方法; 3）基于分析的PR-PRAMS数据进行分析， 计划在公共关系中为方案活动和公共卫生实践提供信息; 4）翻译和 将分析结果传播为公共卫生行动的实用和有用信息， 与指导委员会合作，指导项目的开发和评估; 5） 建立和维持一个以项目为基础的组织结构， 调查补充或过度抽样，以调查新出现的妇幼保健问题， 包括在数据收集周期中可能出现的灾后或流行病需要。 PR-PRAMS将是一种标准化的数据收集方法，可以与 其他国家和最佳使用的数据进行单一状态的分析。它将包括一个自定义 PR-PRAMS协议结合了两种数据模式， 收集;邮寄问卷与多次后续尝试，和电话采访。 每个月，从生命统计数据文件中抽取一个分层样本， 接触尝试。调查问卷将邮寄2至4个月的样本选定的妇女 刚生下活婴的孕妇数据收集周期为60至95天。 预期的结果是：1）具有统计上的代表性数据，并提供高 提供关于不同主题的高质量数据，供分析和向公共卫生提供适当建议， 负责确定优先事项和转变孕产妇和 PR中的儿童健康; 3）使用PR-PRAMS数据为社区，地方和州的健康计划提供信息 和政策，可以是有用的，以引进的变化，以医疗保健系统的目标， 孕产妇和儿童健康; 4）有PR-PRAMS数据提供给疾病预防控制中心，国家公共卫生 （b）促进各机构、提供者和外部研究人员的合作，提高妇幼保健方案编制的质量。

PUERTO RICO PREGNANCY RISK ASSESSMENT MONITORING SYSTEM (PR-PRAMS) PR-PRAMS pursues to collect and describe the health status, maternal attitudes, behaviors and experiences that occur prior to, during, and after pregnancy to allow for informed decision making and resource allocation that supports effective, efficient and quality programming for women and infants health, policies as well as maternal behaviors in order to reduce maternal and infant morbidity and mortality. PR-PRAMS has several objectives to: 1) establish and maintain the PR-PRAMS on selected maternal attitudes, behaviors and experiences that occur prior to, during, and after pregnancy; 2) gather population-based data on maternal and child health indicators in PR using the CDC PRAMS protocol and methods; 3) conduct an analysis of PR-PRAMS data based on an analytic plan to inform programmatic activities and public health practices in PR; 4) translate and disseminate analytic results into practical and useful information for public health action in PR to guide program development and evaluation in collaboration with the Steering Committee; 5) establish and maintain a project-based organizational structure for the implementation of a survey supplement or oversample to investigate emerging maternal and child health issues, including post-disaster or pandemic needs that may arise during the data collection cycle. PR-PRAMS will be a standardized data collection methodology that allows for comparisons with other states and for optimal use of the data for single-state analysis. It will include a customize questions to adapt to the needs of PR. PR-PRAMS protocol combines two modes of data collection; a mailed questionnaire with multiple follow-up attempts, and telephone interviews. Each month, a stratified sample is drawn from the vital statistics data file and the sequence of contacts is attempted. A questionnaire will be mailing 2 to 4 months to sample selected women who have recently delivered live born infants. The data collection cycle takes 60 to 95 days. The expected outcomes are: 1) have statistically representative data and provide access to high quality data on diverse topics for analysis and for giving proper advice to public health and health systems leaders responsible for establishing priorities and transforming maternal and child health in PR; 3)use PR-PRAMS data to inform community, local and state health programs and policies that can be useful to introduce changes to the health care system targeting maternal and child health; 4) have PR-PRAMS data available to CDC, state public health agencies, providers and external researchers and quality improvement of MCH programming.