Hawaii Pregnancy Risk Assessment Monitoring System (PRAMS)
The Hawaii Pregnancy Risk Assessment Monitoring System (PRAMS) Program is a population-based surveillance system designed to identify and monitor maternal experiences, attitudes, and behaviors from preconception, through pregnancy and into the interconception period. The program is funded by the Centers for Disease Control and Prevention (CDC), Division of Reproductive Health.
PRAMS was developed in 1987 to supplement the birth certificate records by providing state-specific data on maternal behaviors and experiences to be used for planning and assessing maternal and child health programs. Hawaii PRAMS started out as a pilot program in 1999, with Hawaii becoming an official PRAMS state in 2000. Forty states and New York City currently participate in the PRAMS program (six others participated previously). This represents approximately 78% of all U.S. live births. PRAMS provides ongoing monitoring of maternal behaviors to determine how to reduce infant deaths, decrease low birth weights and improve the overall health of the population in Hawaii.
PRAMS PROJECT GOALS AND OBJECTIVES
The overall goal of PRAMS is to reduce infant morbidity and mortality by impacting maternal and child health programs, policies and maternal behaviors during pregnancy and early infancy.
There are four PRAMS objectives:
- Collect high quality population-based data on maternal behaviors before and during pregnancy and during the early life of the infant.
- Conduct epidemiologic analysis and study of maternal behaviors and experiences during pregnancy and early infancy and determine their relationship to health outcomes.
- Translate data analyses into useable information for program planning, monitoring and evaluation.
- Increase public awareness of healthy pregnancy behaviors to improve maternal health across the life span.
HOW DOES PRAMS OPERATE?
A PRAMS questionnaire is mailed to approximately 200 new mothers per month on all of the islands of Hawaii. The new moms are randomly selected from the birth certificates of recently born infants. The questionnaire includes questions that are asked by PRAMS programs in all states (core) as well as Hawai‘i-specific questions. All questions were developed and researched by CDC to identify relevant topics and issues. The PRAMS questionnaire addresses priority maternal and child health issues such as unintended pregnancy, breastfeeding, smoking and alcohol use, insurance coverage, contraception use, post-partum depression and intimate partner violence. Hawaii-specific questions are selected by the PRAMS Program, in partnership with the Hawaii PRAMS Steering Committee, other Department of Health program staff, and local community stakeholders.
HAWAII PRAMS QUESTIONNAIRES
- 2000-2003 Hawaii PRAMS Questionnaire (65 kb, PDF version)
- 2004-2008 Hawaii PRAMS Questionnaire (168 kb, PDF version)
- 2009-2011 Hawaii PRAMS Questionnaire (196 kb, PDF version)
- 2012-2015 Hawaii PRAMS Questionnaire (337 kb, PDF version)
- 2016-Current Hawaii PRAMS Questionnaire (227 kb, PDF version)
HAWAII PRAMS REPORTS
Data collected by the Hawaii PRAMS program is used to enhance discussion about important health issues facing families in Hawaii. Reports are shared in various formats including state reports, factsheets, presentations, and published manuscripts. We hope that these and other products produced using Hawaii PRAMS data will be useful information to improve the health of everyone in Hawaii.
Hawaii PRAMS 2009-2015 Trend Report: In 2019, the Hawaii PRAMS 2009-2015 Trend Report was released to describe data for 23 selected indicators of maternal and infant risk factors and outcomes that were selected based on feedback from the Hawaii PRAMS steering committee. For 10 of the 23 indicators, this report is a continuation of the Hawaii PRAMS Trend Report 2000-2008 as these indicators did not change over time. A copy of the report is available online at https://health.hawaii.gov/fhsd/files/2019/07/PRAMS-Trend-Report-ALL-FINAL6-2019-LR.pdf
Hawaii PRAMS 2000-2008 Trend Report: In 2010, the Hawaii PRAMS 2000-2008 Trend Report was released to highlight changes statewide in 16 indicators since Hawaii began collecting data. A copy of the report is available on line at http://health.hawaii.gov/mchb/files/2013/05/pramstrendreport2010.pdf
County-specific trend reports are available online at the following links:
Prevalence and Risk Factors for Self-Reported Postpartum Depression Symptoms (SRPDS) in Hawai‘i, 2012-2015: Postpartum depression (PPD) affects an estimated 10% to 20% of women in the United States, but little is known about the risk factors for PPD in Hawai‘i. This study sought to identify PPD risk factors and examine whether disparities exist in Hawai‘i. Aggregated 2012-2015 Hawai‘i Pregnancy Risk Assessment Monitoring System (PRAMS) data from 5572 women with a recent live birth were analyzed. Read the full report here.
Factsheets: Factsheets are used to increase discussion, focus further analyses, and present data that may be useful for program planning. The length of a factsheet is limited and is not meant to portray a complete picture for any one particular issue.
- Breastfeeding Quick Facts
- Cesarean Delivery
- High Blood Pressure and Pregnancy
- Infant Safe Sleep Factsheet
- Intimate Partner Violence
- Maternal Diabetes and Pregnancy
- Medicaid/QUEST Birth Outcomes
- Perinatal Alcohol Use Quick Facts
- Perinatal Smoking Quick Facts
- Perinatal Substance Use
- Post-Delivery Health Services Utilization
- Postpartum Depression
- Preconception Obesity
- Preconception Alcohol Use
- Preconception Vitamin
- Premature Births
- Prenatal Care
- Unintended Pregnancy
WHY IS THE PRAMS QUESTIONNAIRE IMPORTANT FOR WOMEN’S HEALTH?
If you have recently had a baby in Hawaii and received a PRAMS questionnaire to complete, please do so. Answering the PRAMS questions helps doctors, health professionals, clinics, and organizations improve health care services for all women and children in Hawaii. A token of appreciation will be sent to you approximately 4 weeks after we receive your survey. All questionnaires are kept confidential as provided by Hawaii State law. No reports or responses will be traced back to mother’s participating in the survey. The Hawaii PRAMS birth sample is chosen from all women who recently had a live birth. PRAMS provide data not available from other sources about pregnancy and the first few months after birth. The gathered information can also be compared to other states participating in PRAMS which can then help maternal and child health organizations across the country improve their programs and policies. So, the information you provide on the survey CAN make a real difference!
HAWAII PRAMS FAQ HANDOUTS If you have questions about the Hawaii PRAMS program or Hawaii PRAMS data, feel free to contact the Hawaii PRAMS Program Coordinator (contact info below). However, the Hawaii PRAMS program has also developed two handouts with answers to the most common questions received.
Selected Hawaii PRAMS data and reports are available online at the Hawaii Health Matters, Hawaii Health Data Warehouse (2000-2013 Hawaii PRAMS data only) and Hawaii Indicator Based Information System (2014-current Hawaii PRAMS data) websites.
For further information about the CDC PRAMS Program, please visit the CDC PRAMS website.
For more information about the Hawaii PRAMS Program, please contact:
Hawaii PRAMS Program Coordinator
Email: [email protected]