The Hawai'i 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. 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 Hawai'i. The overall goal of Hawai'i 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: 1) Collect high quality population-based data on maternal behaviors before and during pregnancy and during the early life of the infant;2) Conduct epidemiologic analysis and study of maternal behaviors and experiences during pregnancy and early infancy and the relationship to health outcomes;3) Translate data analyses into useable information for program planning, monitoring and evaluation;and 4) Increase public awareness of healthy pregnancy behaviors to improve maternal health across the life span. A PRAMS questionnaire is mailed to approximately 200 new mothers per month on all major islands of Hawai'i. The new mothers are identified by the Office of Health Status and Monitoring (OHSM), Hawai'i Department of Health, from the birth certificates of recently born infants. The Hawai'i questionnaire includes questions that are asked by PRAMS programs in all states as well as standard questions selected for inclusion by the Hawai'i PRAMS Program, in partnership with the Hawai'i PRAMS Steering Committee, other Department of Health program staff, and local healthcare providers. The questionnaire addresses priority maternal and child health issues such as unintended pregnancies, smoking and alcohol use during pregnancy, insurance at time of pregnancy, contraception, post-partum depression and domestic violence. Hawai'i PRAMS standard questions address topics such as breastfeeding, dental care, drug use, general health, HIV, and maternal health conditions.

Public Health Relevance

The mission of the Hawai'i Department of Health is to protect and improve the health and environment for all people in Hawai'i .The Hawai'i Pregnancy Risk Assessment Monitoring System (PRAMS) Program fulfills this mission through collecting and analyzing both quantitative and qualitative data on maternal behaviors before, during, and immediately after pregnancy. The information from Hawai'i PRAMS is invaluable to providers, policy makers, and program managers who use it to design prevention, treatment, and education programs and policies to increase the health of women and infants in Hawai'i.

National Institute of Health (NIH)
National Center for Chronic Disease Prev and Health Promo (NCCDPHP)
Research Project--Cooperative Agreements (U01)
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Special Emphasis Panel (ZDP1-DYB (03))
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Brown, Michael
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Hawaii State Department of Health
United States
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Mattheus, Deborah; Shannon, Maureen; Lim, Eunjung et al. (2016) The Association Between Socio-demographic Factors, Dental Problems, and Preterm Labor for Pregnant Women Residing in Hawai'i. Hawaii J Med Public Health 75:219-27
Hayes, Donald K; Turnure, Matthew; Mattheus, Deborah J et al. (2015) Predictors of Dental Cleaning Over a Two-year Time Period Around Pregnancy Among Asian and Native Hawaiian or Other Pacific Islander Race Subgroups in Hawai'i, 2009-2011. Hawaii J Med Public Health 74:328-33
Roberson, Emily K; Patrick, Walter K; Hurwitz, Eric L (2014) Marijuana use and maternal experiences of severe nausea during pregnancy in Hawai'i. Hawaii J Med Public Health 73:283-7
Roberson, Emily K; Hurwitz, Eric L (2014) Prescription drug use during and immediately before pregnancy in Hawai'i—findings from the Hawai'i Pregnancy Risk Assessment Monitoring System, 2009-2011. Hawaii J Med Public Health 73:382-6
Tsai, Pai-Jong Stacy; Roberson, Emily; Dye, Timothy (2013) Gestational diabetes and macrosomia by race/ethnicity in Hawaii. BMC Res Notes 6:395