RFA-DP-21-001 DP006602 PUERTO RICO PREGNANCY RISK ASSESSMENT MONITORING SYSTEM COMPONENT A: CORE SURVEILLANCE

波多黎各妊娠风险评估监测系统（PR-PRAMS）： 组件A核心监控 PR-PRAMS的主要目标是收集代表PR人群健康状况的数据， 母亲的态度，行为和经验发生之前，期间，和怀孕后， 降低母婴发病率和死亡率。这将有助于做出明智的决定 制定、资源分配、政策和系统变化，以支持有效的规划 为妇女和婴儿提供的服务，从而对公共卫生产生影响， 人口健康。本研究的目的是：（1）实施以人群为基础的监测， PR关于发生在之前、期间和之后不久的选定的母亲行为和经历 最近活产的妇女怀孕，包括新出现的问题和灾后 2）确保数据具有高科学质量和可比性 通过遵循CDC PRAMS方案中记录的方法向其他司法管辖区提供; 3） 根据分析计划对PR-PRAMS数据进行全面分析， 为方案活动提供信息，研究和实施公共卫生实践; 4） 将研究分析结果转化为实用信息并向公众传播 公共关系中的卫生行动，可以指导方案的制定和评估，与 PR-PRAMS指导委员会。PR-PRAMS将遵循标准化数据收集 该方法允许与其他国家进行比较，并最佳利用数据， 单态分析调查将包括核心、标准和国家开发的问题， PR-PRAMS方法结合了两种模式， 数据收集：邮寄问卷和电话访谈，并尝试进行后续调查。每个 月，从生命统计（VS）数据文件中抽取分层样本， 接触尝试。调查问卷将邮寄2至4个月，以抽样选定的妇女 刚生下活婴的孕妇数据收集周期为60至95天。 PR-PRAMS自2016年起实施。在实施的前四（4）年期间 根据合作协议，PR-PRAMS已实现其所有目标和目的。人员已经 以继续运营。该项目的基础设施正在有效运作， 2017年的回复率为63%，2018年为80%，2019年为81%。组织SC继续 为问题选择、状态分析计划（SAP）的制定和翻译提供投入 和传播数据。正在使用PR-PRAMS数据监测PR国家业绩 标题五块的目标，并已服务于基准选择性能指标， 证明标题V对健康结果的影响。收集的数据也用于支持 新出现的问题和其他优先事项，并评价和 持续开展公共卫生工作，制定计划和培训。数据正在通过以下途径传播： 为各种利益攸关方举办各种论坛，以提高对孕产妇和儿童健康的认识 问题.调查的预期成果是：1）及时生成高质量的数据 代表辖区人口监测孕产妇和婴儿健康的风险因素; 2)分析和传播有关妇幼保健各种主题的PRAMS数据，以告知公众健康 计划、研究和系统变化，以及医疗保健系统变化; 3）记录努力 将数据转化为可用于公共卫生行动的信息; 4）提供PRAMS数据 包括公共卫生机构、临床提供者、卫生系统在内的利益相关者， 研究人员开展研究，以了解孕产妇和婴儿健康方面的知识差距。

PUERTO RICO PREGNANCY RISK ASSESSMENT MONITORING SYSTEM (PR-PRAMS): COMPONENT A CORE SURVEILLANCE The major goal of PR-PRAMS is to collect data representative of PR’s population on health status, maternal attitudes, behaviors and experiences that occur prior to, during, and after pregnancy, in order to reduce maternal and infant morbidity and mortality. This will allow for informed decision making, resource allocation, policies, and systems changes that support effective programming of services for women and infants, resulting in public health impact and improvements in population health. The study objectives are: 1) To implement population-based surveillance in PR on selected maternal behaviors and experiences that occur prior to, during, and shortly after pregnancy among women with a recent live birth, including emerging issues and post-disaster surveillance needs, as they arise; 2) To ensure data is of high scientific quality and comparable to other jurisdictions by following the methodology documented in the CDC PRAMS protocol; 3) To conduct comprehensive analysis of PR-PRAMS data based on an analysis plan designed to inform programmatic activities, research and implement public health practices in PR; 4) To translate and disseminate research analytic results into practical and useful information for public health action in PR that can guide program development and evaluation, in collaboration with the PR-PRAMS Steering Committee (SC). PR-PRAMS will follow a standardized data collection methodology that allows for comparisons with other states and for optimal use of the data for single-state analysis. The survey will include core, standard and state developed questions, according to gaps in data identified for PR. PR-PRAMS methodology combines two modes of data collection: a mailed questionnaire and telephone interviews with follow-up attempts. Each month, a stratified sample is drawn from the Vital Statistics (VS) data file and the sequence of contacts is attempted. A questionnaire will be mailed 2 to 4 months to sample selected women who have recently delivered live born infants. The data collection cycle takes 60 to 95 days. PR-PRAMS has been implemented since 2016. During the first four (4) years of implementation of the cooperative agreement, PR-PRAMS has met all its goals and objectives. Staff is already in place to continue operations. The project’s infrastructure is operating efficiently, reaching a 63% response rate in 2017, 80% in 2018 and 81% in 2019. A SC is organized to continue providing input on questions selection, development of State Analysis Plan (SAP) and translation and dissemination of data. PR-PRAMS data is being used to monitor PR national performance objectives for Title V block, and has served to benchmark select performance measures to demonstrate the impacts of Title V on health outcomes. The data collected is also used to support emerging issues and other priorities in Maternal and Child Health (MCH), and to evaluate and sustain public health efforts, develop plans, and training. Data is being disseminated through different forums to a variety of stakeholders to raise awareness on maternal and child health issues. The expected outcomes of the survey are: 1) Produce timely, high quality data representative of the jurisdiction’s population to monitor risk factors for maternal and infant health; 2) Analyze and disseminate PRAMS data on a variety of MCH topics to inform public health programs, research and system changes, and health care system changes; 3) Document efforts to translate data into useable information for public health action; 4) Make PRAMS data available to stakeholders including public health agencies, clinical providers, health systems, and researchers for studies to inform knowledge gaps in maternal and infant health.