Project 3: Building Community Resillience through Disaster Mobile Health

该项目旨在描述大新奥尔良地区WIC参与者的特征，包括奥尔良教区、杰斐逊教区、圣伯纳德教区、普拉克明教区、拉富什教区和特雷波恩教区，这些地区都经历了墨西哥湾漏油事件后的不利环境后果。这些地区包括广泛的经济弱势群体和历史上存在健康差距的少数群体。拟议项目的总目标是加强易受伤害的孕妇和育龄非孕妇的社区复原力，方法是将社区保健工作者作为灾害干预人员，并将简单的移动电话和电话技术作为保健系统，特别是妇女保健诊所的可行和可持续组成部分。

The proposed project aims to characterize WIC participants in the Greater New Orleans area, including the Parishes of Orleans, Jefferson, St. Bernard, Plaquemines, Lafourche, and Terrebonne, all of which experienced adverse environmental consequences following the Gulf of Mexico Oil Spill. These areas include a broad spectrum of economically disadvantaged and minority populations with historic health disparities. The overarching goal of the proposed project is to strengthen community resilience of vulnerable pregnant women and non-pregnant women of reproductive age by integrating community health workers as disaster interventionists and simple cellular and telephone technology as a viable and sustainable component of the health system, especially WIC Clinics. This CBPR project is explicitly designed to address community resiliency and assess the effectiveness of integrating the use of cell-phones into a WIC Community Health Education Program to improve pregnancy and post-partum outcomes among an under-served population through the following specific aims, 1) Develop a community-driven disaster mobile health platform to improve community resilience targeting selected Women Infants and Children (WIC) programs serving pregnant women and those of reproductive age 2) Train WIC-affiliated community health workers to serve as disaster interventionists with special curricular emphasis on maternal and child health, environmental health, risk communication, disaster preparedness, response, and recovery, cultural competence , and mobile health technology 3) Determine the impact of a community asset-driven health system integrating community health workers as disaster interventionists and tailored Information Technology (IT) to achieve sustained community resiliency 4) Examine the effect of the interactive capabilities of the disaster mobile health platform on just-in-case and just-in-time risk communication and community risk perception