Community Collaboration for Farmworker Health and Safety

描述（由申请人提供） 农场工人健康和安全社区合作项目将利用PRECEDE-PROCEED健康教育/干预模式，在两个独立的移民农场工人社区站点中的每一个创建当地设计的职业干预措施。 其目的是在纽约东部和缅因州的移民社区中，直接测量以前量化的职业伤害和疾病率的下降。 基本目标是：1）建立一个有效的社区移民健康计划联盟-缅因州移民健康计划（MMHP）和哈德逊谷移民健康计划（HVMHP）;每个地点的初级保健医生（PCP）;和一个研究小组-东北农业健康中心（NEC）。 2)通过联盟制定和测试有效的职业干预程序。 这一进程将是非常有用的NEC在刺激类似的干预措施在其他一些合作地点在整个东北部。 该项目的核心是一名基于NEC的项目协调员和每个社区站点的站点协调员的努力。 通过这项工作，该项目将包括：1）与移民社区对话，征求社区意见，并确定领导人加入每个地点的工人、雇主、PCP和其他利益攸关方的项目小组。 2)遵循PRECEDE-PROCEED模式，协助这些团队选择社区面临的最重要的职业健康问题，并为这些问题制定适当的干预措施。 这些小组将利用来自正在进行的NEC流行病学研究的现有当地伤害数据、PCP委员会成员的伤害预防专业知识和社区投入来做出这些决定。 3)征求项目团队和社区对NEC研究人员收集的过程和干预结果评估数据进行审查和评估，以确定被证明有效的干预措施。 4)利用社区和联盟资源，向移民和农业社区以及职业健康社区传播有效的干预措施，并将所有或部分干预措施永久嵌入当地组织。 拟议的项目解决了一些NIOSH的诺拉的优先事项，并将导致正在进行的联盟为基础的干预工作与其他十个移民健康计划，目前正在与正在进行的NEC移民农场工人伤害流行病学研究。

DESCRIPTION (provided by applicant) The Community Collaboration for Farmworker Health and Safety project will utilize the PRECEDE-PROCEED model of health education/intervention to create locally-designed occupational interventions at each of two independent migrant farm worker community sites. The aim is a directly measurable decline in previously quantitated rates of occupational injury and illness in migrant communities in eastern New York and Maine. The fundamental goals are: 1) to build an effective coalition of community migrant health programs - Maine Migrant Health Program (MMHP) and Hudson Valley Migrant Health Program (HVMHP); primary care practitioners (PCPs) at each site; and a research team - the Northeast Center for Agricultural Health (NEC). 2) to develop and test a process for effective occupational interventions through coalitions. This process would be of great utility to the NEC in stimulating similar interventions at a number of other collaborating sites throughout the Northeast. Central to this project are the efforts of a NEC-based Project Coordinator and of Site Coordinators at each of the community sites. Through this work the project would include: 1) dialogue with the migrant community, soliciting community input and identifying leaders to join a project team of workers, employers, PCPs and other stakeholders at each site. 2) Following the PRECEDE-PROCEED model, in assisting these teams in selecting the most significant occupational health problems challenging the community and devising appropriate interventions for these problems. The teams would draw upon existing local injury data from ongoing NEC epidemiologic studies, upon the injury prevention expertise of the PCP committee members and upon community input to make these determinations. 3) Solicit project team and community review and assessment of the process and intervention outcome evaluation data collected by NEC researchers to determine those interventions that proved to be effective. 4) Utilize community and coalition resources to both disseminate effective interventions to the migrant and farm community, as well as the occupational health community and to permanently embed all or portions of the interventions in local organizations. The proposed project addresses a number of NIOSH's NORA priorities and would lead to ongoing coalition-based intervention efforts with the other ten migrant health programs who are currently collaborating with ongoing NEC migrant farmworker injury epidemiology research.