Ahluwalia Indu B, Harrison Leslie, Simpson Patrick, Wako Etobssie, Helms Shealy Kristen, Kapaya Martha, Williams Tanya, Williams Letitia, D'Angelo Denise
1 Pregnancy Risk Assessment Monitoring System, Division of Reproductive Health, National Centers for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention , Atlanta, Georgia .
J Womens Health (Larchmt). 2015 Apr;24(4):257-60. doi: 10.1089/jwh.2015.5260.
Maternal and child health (MCH) surveillance data are important for understanding gaps in services and disparities in burden of disease, access to care, risk behaviors, and health outcomes. However, national and state surveillance systems are not always designed to gather sufficient data for calculating reliable estimates of the health conditions among high-risk or underrepresented population subgroups living in smaller geographic areas. The Centers for Disease Control and Prevention's Pregnancy Risk Assessment Monitoring System (PRAMS) has conducted surveillance for over 25 years in collaboration with state and city health departments. In 2012, PRAMS embarked on a multiyear collaboration with the W.K. Kellogg Foundation (WKKF) to include oversampling of minority and low-income women in selected geographic areas in four states (Louisiana, Michigan, Mississippi, and New Mexico) where the WKKF funded extensive place-based initiatives are located. The PRAMS-WKKF collaboration has broad implications for promoting meaningful collaboration between public, private, local, state, and federal organizations to address MCH data gaps on disparities, and for improving the availability of information needed for MCH programs, policy makers, and women.
母婴健康(MCH)监测数据对于了解服务差距以及疾病负担、医疗服务可及性、风险行为和健康结果方面的差异至关重要。然而,国家和州级监测系统并非总是设计用于收集足够的数据,以计算生活在较小地理区域内的高危或代表性不足人群亚组健康状况的可靠估计值。疾病控制与预防中心的妊娠风险评估监测系统(PRAMS)已与州和城市卫生部门合作开展了25年以上的监测。2012年,PRAMS与W.K. 凯洛格基金会(WKKF)展开了为期多年的合作,在四个州(路易斯安那州、密歇根州、密西西比州和新墨西哥州)的选定地理区域对少数族裔和低收入女性进行过采样,WKKF在这些州资助了广泛的基于地点的倡议。PRAMS与WKKF的合作对于促进公共、私人、地方、州和联邦组织之间有意义的合作以解决MCH数据在差异方面的差距,以及改善MCH项目、政策制定者和女性所需信息的可得性具有广泛影响。