Pregnancy Risk Assessment Monitoring System (PRAMS)

妊娠风险评估监测系统（PRAMS）

• 批准号: 10393200
• 负责人: David Jean Laflamme
• 金额: $ 16万
• 依托单位: NH STATE DEPT/HLTH STATISTICS/DATA MGMT
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-01 至 2026-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10393200
• 关键词: Pregnancy; Risk; Assessment; Monitoring; System

Component A: Core Surveillance – Pregnancy Risk Assessment Monitoring System PD/PIs: Paulette Valliere, MPH; David Laflamme, PhD, MPH New Hampshire Division of Public Health Services Project Summary The goal of the Pregnancy Risk Assessment Monitoring System (PRAMS) is to reduce infant morbidity and mortality and to promote maternal health by informing maternal and child health (MCH) programs and policies, and influencing maternal behaviors during pregnancy and early infancy. The objectives of PRAMS are: (1) to implement state-specific population-based surveillance on maternal attitudes, behaviors and experiences that occur prior to, during and after pregnancy; (2) to collect population-based data of high scientific quality; (3) to conduct data analyses to inform programmatic activities and public health practice; (4) to translate and disseminate analytic results into usable information for public health action; and (5) to have capacity to respond to post-disaster or pandemic surveillance needs that may arise by implementing a PRAMS survey supplement or oversample. The objectives will be accomplished by ongoing activities such as: collecting data otherwise unavailable; describing maternal behaviors, attitudes, and experiences during pregnancy and early infancy; influencing public health policy by working with policy makers to incorporate findings into the decision-making process; and committing state staff and resources to develop expertise in the skills required to conduct surveillance. The PRAMS methodology includes drawing a sample of women from the state birth file; sending mailed questionnaires (up to three) on a specific timeline; following up all non-responders with a series of up to 15 telephone calls over 30 days by a trained interviewer. These goals, objectives, and methodology are in accordance with the national PRAMS protocol. New Hampshire (NH) PRAMS staff will follow PRAMS research methods in the conduct of this surveillance project to produce high quality data. A statewide MCH needs assessment conducted in 2020 identified seven new soon-to-be-released priority areas that are the focus of MCH efforts to improve the health of women and babies in New Hampshire over the next five years. These priorities include a range of needs such as decreasing the use and abuse of alcohol, tobacco and other substances among pregnant women, improving access to needed healthcare services for all MCH populations, improving access to mental health services for women in the perinatal period, increasing the focus of Title V on the Social Determinants of Health and the resolution of barriers impacting the health of the MCH population, and reducing unintentional injury in children 0-21 years of age. The information from PRAMS will fill critical data gaps and inform policies, systems, and programs that address these and other MCH priorities.

组件A：核心监视 - 怀孕风险评估监测系统 PD/PIS：Paulette Valliere，MPH； David Laflamme博士，MPH 新罕布什尔州公共卫生服务部 项目摘要 怀孕风险评估监测系统（PRAM）的目标是减少婴儿 发病率和死亡率，并通过告知物物和儿童健康来促进物物健康 （MCH）计划和政策，并影响怀孕期间和早期的母校行为 婴儿期。婴儿车的目标是：（1）实施基于国家的基于州的人群 对出勤率，行为和经验的监视，在此之前和之后发生 怀孕; （2）收集高科学质量的基于人群的数据； （3）进行数据 分析以告知程序活动和公共卫生实践； （4）翻译和 将分析结果传播到可用信息中，以进行公共卫生行动； （5） 响应灾后或大流行监视需求的能力，可能会产生 实施婴儿车调查补充剂或过度采样。 这些目标将通过正在进行的活动来实现：否则将收集数据 不可用；描述怀孕期间和 婴儿期；通过与政策制定者合作并合并来影响公共卫生政策 决策过程中的发现；并承诺国家工作人员和资源发展 进行监视所需技能的专业知识。 婴儿车方法包括从国家出生档案中绘制妇女样本；发送 在特定时间表上邮寄问卷（最多三个）；跟踪所有非反应者 经过训练的访调员，在30天内，最多15个电话。 这些目标，目标和方法与国家婴儿车协议一致。 新罕布什尔州（NH）的婴儿车工作人员将遵循行动研究方法 监视项目生产高质量数据。进行了全州MCH需求评估 2020年，确定了七个即将发布的优先领域，这是MCH努力的重点 在未来五年内，为了改善新罕布什尔州的妇女和婴儿的健康。这些 优先级包括一系列需求，例如减少酒精，烟草和滥用 孕妇中的其他物质，改善所有人获得所需的医疗服务 MCH人群，改善围产期妇女获得心理健康服务的机会， 将标题V的重点增加到健康的社会决定因素和解决方案 影响MCH人口健康的障碍，并减少了无意的伤害 儿童0-21岁。来自婴儿车的信息将填补关键的数据空白和信息 解决这些问题和其他MCH优先事项的政策，系统和计划。