Category B Delaware PRAMS (Pregnancy Risk Assessment Monitoring System) Project

描述（由申请人提供）：特拉华州PRAMS 2011项目总结/第7部分摘要PRAMS（妊娠风险评估监测系统）是一个由联邦政府资助的、州特异性的、基于人群的监测系统，旨在识别和监测妊娠前、妊娠期间和妊娠后的选定孕产妇行为和经历。该项目的目的是使公共卫生方案能够针对特定的孕产妇和儿童健康人群，以改善健康结果。对儿童来说，这将是婴儿发病率和死亡率的降低，特拉华州的婴儿发病率和死亡率高于全国平均水平。 各州已将PRAMS监测数据用于方案规划和评估，并改变公共卫生实践和州妇幼保健方案的公共卫生政策。PRAMS数据的高质量使各州能够更有效地制定和评估现有的计划，如新生儿筛查，小岛屿发展中国家的认识，以及孕产妇和儿童健康整笔赠款。PRAMS还提供了一个系统来监测国家在实现2020年健康人民目标方面的进展，即降低婴儿和孕产妇发病率和死亡率。 PRAMS项目为实施全州育龄妇女监测系统提供资金。监测包括分析妇女在怀孕、分娩和产后2至6个月期间的行为、做法和经历。每年从产后至少两个月的妇女中随机分层抽样，纳入该项目。抽样的参与者进行调查，以评估行为，做法和经验。 描述性和分析性统计将提供该州最高风险人群的信息，包括少数民族和低出生体重婴儿的妇女。关注这些群体将使公共卫生司能够更好地针对现有的妇幼保健方案。针对高危人群的方案将影响该州出生的妇女和婴儿的发病率和死亡率。

DESCRIPTION (provided by applicant): Delaware PRAMS 2011 Project Summary/Abstract for Part 7 PRAMS (Pregnancy Risk Assessment Monitoring System) is a federally funded, state- specific, population-based surveillance system designed to identify and monitor selected maternal behaviors and experiences before, during, and after pregnancy. The purpose of the project is to enable public health programs to target specific maternal and child health populations for improved health outcomes. For children this would be a reduction in infant morbidity and mortality rates, which for Delaware are above the national average. States have used the PRAMS surveillance data for program planning and evaluation, and changing public health practice and public health policy for state maternal and child health programs. The high quality of the PRAMS data enables states to more efficiently develop and evaluate existing programs such as Newborn Screening, SIDS awareness, and the Maternal and Child Health Block Grant. PRAMS also provides a system to monitor the state's progress towards achieving the Healthy People 2020 goal of reducing infant and maternal morbidities and mortality. The PRAMS project funds implementation of a state-wide surveillance system of women of childbearing age. Surveillance includes analysis of women's behaviors, practices, and experiences during pregnancy, childbirth, and two to six months post-partum. A random, stratified sample of women at least two months post-partum is selected annually for inclusion in the project. The sampled participants are surveyed to assess behaviors, practices, and experiences. Descriptive and analytic statistics will provide information on the highest risk populations in the state, including minorities and women who deliver a low birth weight baby. Focusing on these groups will enable DPH to better target existing programs in Maternal and Child Health. Targeting programs at high-risk populations will impact the rate of morbidity and mortality among women and infants born in the state.