{"id":2205,"date":"2025-10-10T16:45:03","date_gmt":"2025-10-10T20:45:03","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/data\/?page_id=2205"},"modified":"2026-05-20T10:00:07","modified_gmt":"2026-05-20T14:00:07","slug":"prams-sae-map","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/data\/prams\/prams-sae-map\/","title":{"rendered":"Local Estimates Map"},"content":{"rendered":"<div id=\"pl-2205\"  class=\"panel-layout\" ><div id=\"pg-2205-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-2205-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-2205-0-0-0\" class=\"so-panel widget widget_nav_menu panel-first-child\" data-index=\"0\" ><div class=\"cd-navigation-menu panel-widget-style panel-widget-style-for-2205-0-0-0\" ><h3 class=\"widget-title\">Dashboard Navigation Menu<\/h3><div class=\"menu-prams-container\"><ul id=\"menu-prams\" class=\"menu\"><li id=\"menu-item-2196\" class=\"dashboards-menu-item menu-item menu-item-type-post_type menu-item-object-page first-menu-item menu-item-2196\"><a href=\"https:\/\/www.vdh.virginia.gov\/data\/prams\/\"><i class=\"fa fa-home\" title=\"Home\" aria-label=\"home\"><\/i> Home<\/a><\/li>\n<li id=\"menu-item-2204\" class=\"dashboards-menu-item menu-item menu-item-type-post_type menu-item-object-page menu-item-2204\"><a href=\"https:\/\/www.vdh.virginia.gov\/data\/prams\/prams-measures\/\">PRAMS Health Measures<\/a><\/li>\n<li id=\"menu-item-2209\" class=\"dashboards-menu-item menu-item menu-item-type-post_type menu-item-object-page menu-item-2209\"><a href=\"https:\/\/www.vdh.virginia.gov\/data\/prams\/prams-sae-map\/\">Local Estimates Map<\/a><\/li>\n<li id=\"menu-item-2197\" class=\"dashboards-menu-item menu-item menu-item-type-post_type menu-item-object-page last-menu-item menu-item-2197\"><a href=\"https:\/\/www.vdh.virginia.gov\/data\/maternal-child-health\/\">Maternal &#038; Child Health Dashboards<\/a><\/li>\n<\/ul><\/div><\/div><\/div><div id=\"panel-2205-0-0-1\" class=\"so-panel widget widget_sow-editor\" data-index=\"1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>The Local Estimates Map provides estimates at the locality-level using Small Area Estimation (SAE) methodology. SAE methodology combines PRAMS survey responses with modeled estimates based on additional external data. This method generates more accurate and stable county-level estimates than the survey alone could produce.\u00a0 The PRAMS survey is not designed to produce reliable estimates at the locality level. Sample sizes for these geographic areas are typically too small to yield stable estimates of important maternal and child health indicators.<\/p>\n<p>The Virginia PRAMS SAE approach uses multilevel regression with post-stratification (MRP) to produce both state and county-level estimates. These model-based estimates draw on PRAMS data (2016\u20132018), National Center for Health Statistics data, and U.S. Census Bureau information to create robust small-area predictions. For detailed methodology and technical specifications, please refer to the PRAMS SAE Guidelines document below the dashboard.<\/p>\n<p>Currently, 2020-2021 combined years are the most recent local estimates data available. More information and definitions can be found in '<strong>About the Data<\/strong>' below the dashboard. Use the dashboard filters to see changes by year and indicator. Hover over the map to view more information.<\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-2205-0-0-2\" class=\"so-panel widget widget_sow-editor\" data-index=\"2\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<div class='tableauPlaceholder' id='viz1777640745720' style='position: relative'><noscript><a href='#'><img alt='PRAMS Local Estimates ' src='https:&#47;&#47;public.tableau.com&#47;static&#47;images&#47;Sm&#47;SmallAreaEstimatesDashboard&#47;PRAMSLocalEstimates&#47;1_rss.png' style='border: none' \/><\/a><\/noscript><object class='tableauViz'  style='display:none;'><param name='host_url' value='https%3A%2F%2Fpublic.tableau.com%2F' \/><param name='embed_code_version' value='3' \/><param name='site_root' value='' \/><param name='name' value='SmallAreaEstimatesDashboard&#47;PRAMSLocalEstimates' \/><param name='tabs' value='no' \/><param name='toolbar' value='yes' \/><param name='static_image' value='https:&#47;&#47;public.tableau.com&#47;static&#47;images&#47;Sm&#47;SmallAreaEstimatesDashboard&#47;PRAMSLocalEstimates&#47;1.png' \/><param name='animate_transition' value='yes' \/><param name='display_static_image' value='yes' \/><param name='display_spinner' value='yes' \/><param name='display_overlay' value='yes' \/><param name='display_count' value='yes' \/><param name='language' value='en-US' \/><\/object><\/div>\n<p>                <script type='text\/javascript'>                    var divElement = document.getElementById('viz1777640745720');                    var vizElement = divElement.getElementsByTagName('object')[0];                    if ( divElement.offsetWidth > 800 ) { vizElement.style.width='1000px';vizElement.style.height='827px';} else if ( divElement.offsetWidth > 500 ) { vizElement.style.width='1000px';vizElement.style.height='827px';} else { vizElement.style.width='100%';vizElement.style.height='727px';}                     var scriptElement = document.createElement('script');                    scriptElement.src = 'https:\/\/public.tableau.com\/javascripts\/api\/viz_v1.js';                    vizElement.parentNode.insertBefore(scriptElement, vizElement);                <\/script><\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-2205-0-0-3\" class=\"so-panel widget widget_sow-features panel-last-child\" data-index=\"3\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-features so-widget-sow-features-default-d478797de967-2205\"\n\t\t\t\n\t\t><ul\n\tclass=\"sow-features-list\n\tsow-features-responsive\">\n\n\t\t\t<li\n\t\t\tclass=\"sow-features-feature sow-icon-container-position-top\"\n\t\t\tstyle=\"display: flex; flex-direction: column; width: calc(33.333% - 25px);\"\n\t\t>\n\t\t\t\n\t\t\t\t\t\t<a\t\t\t\tclass=\"sow-icon-container sow-container-sticker\"\n\t\t\t\tstyle=\"color: #1e73be; \"\n\t\t\t\ttitle=\"PRAMS Webpage\"\n\t\t\t\t\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/prams\/\"\n\t\t\t\t\ttarget=\"_blank\" rel=\"noopener noreferrer\"\t\t\t>\n\t\t\t\t<span class=\"sow-icon-materialicons sowm-regular\" data-sow-icon=\"&#xe069\"\n\t\tstyle=\"font-size: 24px; color: #fff\" \n\t\taria-hidden=\"true\"><\/span>\t\t\t<\/a>\n\n\t\t\t<div class=\"textwidget\">\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<h5 class=\"sow-features-feature-title\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a\n\t\t\t\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/prams\/\"\n\t\t\t\t\t\t\t\ttarget=\"_blank\" rel=\"noopener noreferrer\"\t\t\t\t\t\t\t>\n\t\t\t\t\t\t\tPRAMS Webpage\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/h5>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/li>\n\n\t\t\t<li\n\t\t\tclass=\"sow-features-feature sow-icon-container-position-top\"\n\t\t\tstyle=\"display: flex; flex-direction: column; width: calc(33.333% - 25px);\"\n\t\t>\n\t\t\t\n\t\t\t\t\t\t<a\t\t\t\tclass=\"sow-icon-container sow-container-sticker\"\n\t\t\t\tstyle=\"color: #1e73be; \"\n\t\t\t\ttitle=\"Request Data\"\n\t\t\t\t\t\t\t\t\thref=\"https:\/\/redcap.vdh.virginia.gov\/redcap\/surveys\/?s=4PP8XDLR3D\"\n\t\t\t\t\ttarget=\"_blank\" rel=\"noopener noreferrer\"\t\t\t>\n\t\t\t\t<span class=\"sow-icon-icomoon\" data-sow-icon=\"&#xe99b;\"\n\t\tstyle=\"font-size: 24px; color: #fff\" \n\t\taria-hidden=\"true\"><\/span>\t\t\t<\/a>\n\n\t\t\t<div class=\"textwidget\">\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<h5 class=\"sow-features-feature-title\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a\n\t\t\t\t\t\t\t\thref=\"https:\/\/redcap.vdh.virginia.gov\/redcap\/surveys\/?s=4PP8XDLR3D\"\n\t\t\t\t\t\t\t\ttarget=\"_blank\" rel=\"noopener noreferrer\"\t\t\t\t\t\t\t>\n\t\t\t\t\t\t\tRequest Data\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/h5>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/li>\n\n\t\t\t<li\n\t\t\tclass=\"sow-features-feature sow-icon-container-position-top\"\n\t\t\tstyle=\"display: flex; flex-direction: column; width: calc(33.333% - 25px);\"\n\t\t>\n\t\t\t\n\t\t\t\t\t\t<a\t\t\t\tclass=\"sow-icon-container sow-container-sticker\"\n\t\t\t\tstyle=\"color: #1e73be; \"\n\t\t\t\ttitle=\"Small Area Estimate Methodology\"\n\t\t\t\t\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/110\/PRAMS-SAE-Guidelines_7-2024.pdf\"\n\t\t\t\t\ttarget=\"_blank\" rel=\"noopener noreferrer\"\t\t\t>\n\t\t\t\t<span class=\"sow-icon-fontawesome sow-fas\" data-sow-icon=\"&#xe522;\"\n\t\tstyle=\"font-size: 24px; color: #fff\" \n\t\taria-hidden=\"true\"><\/span>\t\t\t<\/a>\n\n\t\t\t<div class=\"textwidget\">\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<h5 class=\"sow-features-feature-title\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a\n\t\t\t\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/110\/PRAMS-SAE-Guidelines_7-2024.pdf\"\n\t\t\t\t\t\t\t\ttarget=\"_blank\" rel=\"noopener noreferrer\"\t\t\t\t\t\t\t>\n\t\t\t\t\t\t\tSmall Area Estimate Methodology\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/h5>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/li>\n\n\t<\/ul>\n<\/div><\/div><\/div><\/div><div id=\"pg-2205-1\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-2205-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-2205-1-0-0\" class=\"so-panel widget widget_sow-accordion panel-first-child panel-last-child\" data-index=\"4\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-accordion so-widget-sow-accordion-default-37a5456e788c-2205\"\n\t\t\t\n\t\t><div>\n\t<div class=\"sow-accordion\">\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"about-the-data\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-about-the-data\" aria-controls=\"accordion-content-about-the-data\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tAbout the Data\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-about-the-data\"\n\t\t\t\tid=\"accordion-content-about-the-data\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<p><strong>Data Sources:<\/strong><\/p>\n<ul>\n<li><strong>Pregnancy Risk Assessment Monitoring System (PRAMS):<\/strong> Provides population-based survey data on maternal behaviors, experiences, and health indicators before, during, and shortly after pregnancy.<\/li>\n<li><strong>National Center for Health Statistics (NCHS):<\/strong> Used for modeling and generating small area estimates through the CDC Do we want these here (Census Bureau 2010)? This is in guidelines for SAE from CDC<\/li>\n<li><strong>Census Bureau 2010: <\/strong>Used for county adjacency data to identify those adjacent counties for analysis<\/li>\n<\/ul>\n<p><strong><br \/>\nHealth Measure Definitions:<\/strong><\/p>\n<ul>\n<li><strong>Breastfeeding for 2+ Months: <\/strong>Indicator displays the response of 2+ months or 8+ weeks to the question, \u201cHow many weeks or months did you breastfeed or feed pumped milk to your baby?\u201d<\/li>\n<li><strong>Contraception Utilization Before Pregnancy: <\/strong>Indicator displays the response of \u2018Yes\u2019 to the question, \u201cWhen you got pregnant with your new baby, were you or your husband or partner doing anything to keep from getting pregnant?<\/li>\n<li><strong>Dental Visit Before Pregnancy:<\/strong> Indicator displays the response of \u2018Visit to have my teeth cleaned by a dentist or dental hygienist\u2019 to the question, \u201cWhat type of health care visit did you have in the 12 months before you got pregnant with your new baby?\u201d<\/li>\n<li><strong>Depression During Pregnancy:<\/strong> Indicator displays the response of \u2018Depression\u2019 to the question, \u201cDuring your most recent pregnancy, did you have any of the following health conditions?\u201d<\/li>\n<li><strong>Intimate Partner Violence During Pregnancy:<\/strong> Indicator displays the response of \u2018My husband or partner\u2019 or \u2018My ex-husband or ex-partner\u2019 to the question, \u201cDuring your most recent pregnancy, did any of the following people push, hit, slap, kick, choke, or physically hurt you in any other way?\u201d<\/li>\n<li><strong>Postpartum Checkup:<\/strong> Indicator displays the response of \u2018Yes\u2019 to the question, \u201cSince your new baby was born, have you had a postpartum checkup for yourself?\u201d<\/li>\n<li><strong>Postpartum Contraception Utilization:<\/strong> Indicator displays the response of \u2018Yes\u2019 to the question, \u201cAre you or your husband or partner doing anything now to keep from getting pregnant?\u201d<\/li>\n<li><strong>Postpartum Depression: <\/strong>Indicator displays the response of \u2018Always\u2019 or \u2018Often\u2019 to either question, \u201cSince your new baby was born, how often have you felt down, depressed, or hopeless?\u201d or \u201cSince your new baby was born, how often have you had little interest or little pleasure in doing things you usually enjoyed?\u201d<\/li>\n<li><strong>Postpartum Depression Screening: <\/strong>Indicator displays the response \u2018Yes\u2019 of \u2018Asked me if I was feeling down or depressed\u2019 to the question, \u201cDuring your postpartum checkup, did a doctor, nurse, or other health care worker do any of the following things?\u201d<\/li>\n<li><strong>Safe Sleep Practices: <\/strong>Indicator displays the response of \u2018On his or her back\u2019 to the question, \u201cIn which one position do you most often lay your baby down to sleep now?\u201d<\/li>\n<\/ul>\n<p><strong><br \/>\nHealth Districts:<\/strong><\/p>\n<ul>\n<li>BRHD: Blue Ridge Health District<\/li>\n<li>RCHD: Richmond City Health District<\/li>\n<li>ROV: Rest of Virginia<\/li>\n<\/ul>\n<p><strong>Other:<\/strong>\u00a0Data are produced and processed from sources believed to be reliable and accurate at that point of time. No warranty expressed or implied is made regarding accuracy, adequacy, completeness, legality, reliability or usefulness of any information. Additionally, not all data elements are reported at the source. Please see Virginia Code\u00a0\u00a732.1 for information on data mandated to be conveyed by the patient and\/or facility. This disclaimer applies to both isolated and aggregate uses of the data. Unknown\/Unreported variables are not displayed, but are included in the overall counts. Counts lower than 20 and their associated rates should be interpreted with caution.<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>The Local Estimates Map provides estimates at the locality-level using Small Area Estimation (SAE) methodology. SAE methodology combines PRAMS survey responses with modeled estimates based on additional external data. This method generates more accurate and stable county-level estimates than the survey alone could produce.\u00a0 The PRAMS survey is not designed to produce reliable estimates at [&hellip;]<\/p>\n","protected":false},"author":627,"featured_media":0,"parent":2191,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","inline_featured_image":false,"footnotes":"","_links_to":"","_links_to_target":""},"tags":[],"class_list":["post-2205","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Local Estimates Map - Data<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/data\/prams\/prams-sae-map\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Local Estimates Map - Data\" \/>\n<meta property=\"og:description\" content=\"The Local Estimates Map provides estimates at the locality-level using Small Area Estimation (SAE) methodology. 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