1. Kansas PRAMS Linda Kenney January 21, 2011 Blue Ribbon Panel on Infant Mortality

2. Kansas PRAMS Prenatal risk assessment monitoring system CDC Initiative w/ 33 states Goals: Reduce infant mortality & LBW Maternal health behaviors & experiences

3. Kansas PRAMS Population-based data Comprehensive analyses Use to plan and evaluate PH programs Build state capacity to address PH issues

4. Kansas PRAMS Monthly, stratified sample of ~200 mothers Mailed 14 page questionnaire If no response 1-2 more mailings If no response, attempt phone interviews

5. Kansas PRAMS

6. Information collected – Attitudes & feelings about pregnancy – Barriers to & content of prenatal care – Folic acid intake – Pregnancy related violence – Psychosocial supports and stress

7. Kansas PRAMS Information collected (cont.) – Alcohol use & tobacco before & during PG – Infant’s early development, HC, sleep position, and exposure to passive smoke – HIV testing – Immunizations (Flu, Tdap, Hep B, etc) – Health insurance coverage

8. Kansas PRAMS Increase knowledge about factors involved in (+) and (-) pregnancy outcomes Develop new M&I programs Inform public health policy Help PH professionals Monitor progress towards objectives

9. Kansas PRAMS Mothers’ responses – “Thank you for caring” – “Thank you for sending me the brochure to fill out…” – “I am very happy I was selected to participate.” – “My family thanks you.”

10. KS application submitted January 20, 2011 Jamie Kim, MCH Epidemiologist, grant writer