MOTTEP--PREVENTING THE NEED

motep的努力非常有效，目前（1992年）的少数人捐赠水平达到了他们在人口中所占比例（25%）的水平。（见表3）全国范围内越来越多的少数民族意识到终末期器官衰竭的原因，器官/组织捐赠的重要性，并签署器官捐赠卡。然而，motep希望扩大其广泛的努力，因为少数群体继续遭受不成比例的终末期肾脏疾病和其他疾病，最终导致需要器官和组织移植。MOTTEP认识到，以他们的人口水平来看，少数民族的捐赠远远不够。少数民族占人口的25%，但在移植等候名单上超过40%，在肾移植等候名单上超过50%。由于这种少数捐助方和受援方之间的差异，MOTTEP正在从2000年到2005年再争取五年的资金，以扩大其成功的全国运动。拟议项目的具体目标是(1)将MOTTEP的范围从20个城市的15个站点扩大到30个站点，以覆盖全国更多的少数民族。可能的新地点包括：肯塔基州路易斯维尔；马里兰州巴尔的摩;杰克逊女士;凤凰城或亚利桑那州图森；塔尔萨，OK,(2)拓宽和加深少数民族，特别是年轻人，对器官/组织捐赠和移植价值的认识，(3)通过发出捐赠卡，与家人讨论，并在死后留下器官，增加少数民族成为国家捐赠库一部分的人数，(4)促进少数民族，特别是年轻人更健康的行为，从而从长远来看，减少对器官/组织移植的需求。(5)扩大当地MOTTEP项目活动的能力，要求全职而不是兼职项目协调员职位（就像目前的情况一样），(6)在5年内将少数民族移植的等待时间减少10%。与之前的项目一样，MOTTEP将使用高素质的分包商对该项目进行年度评估。承包商将使用过程、结果和影响评估来衡量motep的教育和推广活动的影响。MOTTEP很有可能在本项目中继续使用以下评价网格：

MOTTEP's efforts have been highly effective with the minority levels of donation currently (19992) at the level of their percentage in the population (25%). (See Table 3) Significantly more minorities around the country are becoming more aware of the causes of end-stage organ failure, the importance of organ/tissue donation, and are signing organ donor card. MOTTEP however, wants to expand its broad efforts because minorities continue to suffer disproportionately from end-stage renal disease and other illnesses which ultimately lead to the need for organ and tissue transplants. MOTTEP recognizes that minorities donating at their population level is far from enough. Minorities are 25% of the population, but greater than 40% of the number on transplant waiting lists and more than 50% on kidney transplant waiting lists. As a consequence of this minority donor recipient disparity, MOTTEP is soliciting financial for an additional five years from the year 2000 to 2005 to expand its successful national campaign. The specific aims of the proposed project are (1) to expand the scope of MOTTEP from 15 to 30 sites in 20 cities to reach more minorities around the country. Included among the probable new sites are: Louisville, KY; Baltimore, MD; Jackson, MS; Phoenix or Tucson, Ax; Tulsa, OK, (2) to broaden and deepen the knowledge of minorities, especially young people, about the value of organ/tissue donation and transplantation, (3) to increase the number of minoriti4es who become part of the national donor pool by signaling donor cards, having family discussions, and leaving organ behind after death, (4) to promote more healthy behaviors among minorities, especially young people, and thus in the long-run, reducing the need for organ/tissue transplantation, (5) to expand the capacity of local MOTTEP program activities by requiring full time rather than part time program coordinator positions (as is currently the case), and (6) to lower minority transplant waiting times by 10% within 5 years. As it has done in its previous projects, MOTTEP will use highly qualified subcontractors to evaluate this project on an annual basis. The contractor will use process, outcome, and impact evaluations to measure the impact MOTTEP's education and promotion campaign. MOTTEP is very likely to continue to use the following evaluation grid in this project: