Community Collaboration for Farmworker Health and Safety

描述(由申请人提供) 社区合作促进农民工人健康和安全项目将利用健康教育/干预的先行模式，在两个独立的移徙农场工人社区每个地点创建当地设计的职业干预措施。其目的是使纽约东部和缅因州移民社区以前量化的职业伤害率和疾病率直接可衡量的下降。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从业者(PCP)；以及一个研究团队-东北农业健康中心(NEC)。2)制定和测试通过联合进行有效职业干预的程序。这一进程将对全国选举委员会在东北部其他一些合作地点鼓励类似的干预措施大有裨益。这一项目的核心是一名以国家经济共同体为基础的项目协调员和每个社区站点的现场协调员的努力。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、初级保健医生和其他利益攸关方组成的项目小组。2)遵循预先进行的模式，帮助这些小组选择对社区最重要的职业健康问题，并针对这些问题制定适当的干预措施。这些小组将利用正在进行的NEC流行病学研究中现有的当地伤害数据、PCP委员会成员的伤害预防专业知识和社区意见来做出这些决定。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，以确定那些被证明有效的干预措施。4)利用社区和联盟资源，向移民和农场社区以及职业卫生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。 拟议的项目涉及NIOSH的NIOA优先事项，并将导致与其他十个移民健康计划正在进行的基于联盟的干预努力，这些计划目前正在与NEC正在进行的移民农场工人伤害流行病学研究合作。

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.