Enid QuintanaTorres MPH Arizona PRAMS Coordinator enidquintanatorresazdhsgov 6025422097 To Improve the Health of Women and Babies in Arizona PRAMS PRAMS is the Pregnancy Risk Assessment Monitoring ID: 1048078
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1. Your Story. Your Opportunity.Enid Quintana-Torres, MPHArizona PRAMS Coordinatorenid.quintana-torres@azdhs.gov602-542-2097To Improve the Health of Women and Babies in Arizona
2. PRAMSPRAMS is the Pregnancy Risk Assessment Monitoring SystemPRAMS is a survey about a woman's health and life experiences before, during and after pregnancy. Established in 1987 It is a joint research project between the state departments of health and the Centers for Disease Control and Prevention, Division of Reproductive Health
3. PRAMS47 states, New York City, Puerto Rico, the District of Columbia and the Great Plains Tribal Chairmen’s Health Board (GPTCHB) currently participate in PRAMSRepresenting approximately 83% of all U.S. live births
4. Arizona PRAMSAll Arizona residents that delivered a live birth in Arizona are eligible to participate. 3 months after their delivery, around 200 women will be asked to participate in Arizona PRAMS each month.Each year, approximately 700 randomly selected American Indian/Native Mothers will be invited to participate.
5. Arizona PRAMS SampleThe random sample reflects the diversity of tribal nation affiliations in Arizona.In 2015, there was close to 5,000 births to American Indian mothers in Arizona.Half of these births are on reservation land. The majority of births are from members of the Navajo Nation.
6. Collaboration EffortsNavajo PRAMS workgroup (Navajo Epidemiology Center, New Mexico PRAMS, Utah PRAMS and Arizona PRAMS)ITCA Epidemiology CenterITCA Tribal Leaders Meeting
7. PRAMS Survey TopicsPrenatal care and barriers to careHealth care coverage during pregnancy and deliveryAlcohol, tobacco and drug use during pregnancyPost-partum checkups, including barriers to health care accessInfant Health CarePreconception HealthOral health, including barriers to health care accessBirth Control methods and behaviorsInterconception Health
8. Arizona Prams Survey TopicsAnxiety and depression before, during and after pregnancyDrug use during pregnancyPreconception health Pregnancy intentionalityOral HealthHomevisitingWell baby checkupsPost-partum checkupsMet and unmet needs for services
9. Updates Batches 001- 009BatchNumber of ParticipantsResponse Rate001(closed)22524%002 (closed)13530%003 (closed)10334%004 (closed)16827%005 (closed)13520%006 (closed)14225%007 (closed)18319%008 (closed)13830%009 (closed)18226%010 (open)16426%011 (open)1397%012 (open)1091%Average (closed batches)25%
10. Difference in Response Rates across Strata25% Overall Response Rate
11. PRAMS DATA TO ACTIONWashington PRAMSTribe-driven development of flu vaccination outreach materials for American Indian and Alaska Native women in Washington StateDeath rates due to influenza and pneumonia, which were 7 times higher among AI/AN infants than among other infants in the state.Washington PRAMS received supplemental funding from CDC in 2011–2013 for enhanced outreach to raise awareness about PRAMS among tribes, encourage participation in PRAMS, and disseminate results from PRAMS to tribal communities. PRAMS Tribal Flu Steering Committee developed two products about flu vaccination for targeted outreach to AI/AN pregnant women to get the flu vaccination and to educate family and friends to support their decision.
12. Arizona PRAMS Data Collection TimelineData Collection Day1 81536435895Pre-letter1st Questionnaire Packet2nd Questionnaire Packet3rd Questionnaire PacketStart of telephone attempts (15 in total)End of data collection for that batchReminder
13. Components of the participant packetsLetter (1 or 2 if bilingual)Informed Consent (bilingual double-sided)Booklet (1 or 2 if bilingual)Frequently Asked Questions about PRAMSQuestionnaire3 year calendarResource guides (1 or 2 if bilingual)Return EnvelopeIncentive
14. Components of the participant packets*Booklet includes Commonly Asked Questions and a 3-yr calendarSurvey Booklet*
15. Components of the participant packetsResource GuideReturn EnvelopeIncentive
16. Arizona PRAMSOpportunities for promotionIHS ClinicsLocal/Self-governed Health Care FacilitiesITCA WIC ClinicsNavajo WIC Clinics
17. Promotional Flyers
18. Postcard
19. Thank you!Enid Quintana-Torres, MPHArizona PRAMS Coordinatorenid.quintana-torres@azdhs.gov602-542-2097