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The North Carolina Nutrition Services Branch of the Division of Public Health maintains three separate surveillance systems to monitor nutrition and physical activity and provides detailed information about these program-based surveillance systems. This website and the related links provide the most recent county-specific data and state data on maternal and child health indicators of nutritional status such as overweight, underweight, anemia, breastfeeding initiation and duration. Additionally, this site provides technical information such as data collection and reporting guidance tools to staff in public health agencies for collecting and reporting information on physical activity and nutrition behaviors.
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PNSS Overview
The North Carolina Pregnancy Nutrition Surveillance System (PNSS) supports the efforts of the Women’s Health and WIC programs providing accurate and timely information on pregnancy risk factors and outcomes of low-income women. The PNSS monitors the prevalence of nutrition problems and behavioral risk factors among women at high risk for adverse pregnancy outcomes who are enrolled in the public health programs. Through annual reports PNSS data is made available for use by public health professionals and other interested groups in evaluating the health status of pregnant women, targeting high-risk groups, and planning interventions - both community and statewide.
At the national level the Centers for Disease Control and Prevention conducts the surveillance activities by collecting and analyzing data from the states that contributes to the PNSS: http://www.cdc.gov/nccdphp/dnpa/PNSS.htm.
North Carolina's Pregnancy Nutrition Surveillance System (PNSS) links data from the WIC program, public maternity clinics, birth certificates and fetal death certificates. These data are collected at the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC Program) and prenatal clinics funded by the Maternal and Child Health Services Block Grant) to the State of North Carolina and the Eastern Band of Cherokee Indians.
The PNSS collects prenatal and postpartum information about these women and outcome information about their infants. North Carolina’s annual PNSS report is usually published about a year after the reported calendar year due to the late availability of the birth/fetal death files. The PNSS report consists of a summary, state profile, facts in brief, detailed graphs, tables, methodology and definitions. Below are the reports for North Carolina.
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PedNSS Overview
The Pediatric Nutrition Surveillance System (PedNSS) is a child-based public health surveillance system that monitors the nutritional status of low income children in federally funded maternal and child health programs. Data on birthweight, short stature, underweight, overweight, anemia, and breastfeeding are collected for children who visit public health clinics for routine care and nutrition services, including education and supplemental food. Data are collected at the clinic level, and then aggregated at the state level and submitted to the Centers for Disease Control and Prevention (CDC) for analysis.
The CDC has established a website, http://www.cdc.gov/nccdphp/dnpa/pednss.htm, which provides access to the most recent national data on prevalence data for overweight, breastfeeding initiation and duration for low-income populations and detailed information about the program-based surveillance systems. Also included is training information on reading the data tables, an epidemiologic approach to interpreting the data, and application of the data.
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The North Carolina Child Health Assessment and Monitoring Program (NC-CHAMP) is a surveillance system that collects information about the health characteristics of children and adolescents from birth to age 17 in North Carolina. CHAMP is designed to: monitor the status of child health (ages 0–17) and identify child health problems in North Carolina; measure parents’ perspectives on child health issues; provide accurate and valid data to inform evidence-based decisions, strategies, and policies to improve child health; and assess relationships between parent health and child health, and inform family-centered approaches to improve child health.
Detailed data tables, fact sheets, reports and surveillance updates are posted on the State Center for Health Statistics NC-CHAMP Publications page on an annual basis. Data are available for each calendar year starting with 2005. State level estimates are available for a variety of child health measures, tabulated by sex, race, ethnicity and age group.
The purpose of the NC-NPASS is to provide accurate, timely information relevant to child health indicators of nutritional status such as overweight, underweight and anemia. Local public health departments and WIC programs routinely submit data on clients to the NC Health Services Information System (HSIS). NC-NPASS is a subset of this larger HSIS database and includes height, weight, a few lab measures and limited behavioral data. In the future, NC-NPASS will have the capacity to monitor trends in key nutrition and physical activity behaviors such as soft drink consumption, fruit and vegetable consumption, levels of physical activity and television viewing.
The data set used to generate NC-NPASS reports may not be representative of the population as a whole since it is comprised of data collected on children seen in NC Public Health sponsored Women, Infants and Children (WIC) and child health clinics and some school-based health centers. Please click on the following link to learn more about the system and review these data: http://www.eatsmartmovemorenc.com/Data/Data.html.
To Download Adobe Reader: The Pregnancy Nutrition Surveillance Reports are saved in Adobe Portable Document Format (PDF). In order to view this document, you must have Adobe Acrobat Reader installed on your personal computer. Most computers already have Acrobat Reader installed. If you do not have Acrobat Reader, download a FREE copy from the Adobe Website. Once you have downloaded the Reader, you may need to restart your browser.
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