MOTTEP--PREVENTING THE NEED

MOTTEP的努力非常有效，目前（1992年）少数人的捐赠水平与他们在人口中的百分比（25%）相当。(See表3）全国有越来越多的少数民族越来越认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，MOTTEP希望扩大其广泛的努力，因为少数民族继续不成比例地患有终末期肾病和其他疾病，最终导致需要器官和组织移植。MOTTEP认识到，少数群体在其人口水平上的捐款远远不够。少数族裔占总人口的25%，但占移植等候名单上人数的40%以上，占肾移植等候名单上人数的50%以上。由于少数捐助者和受援者之间的这种差距，MOTTEP正在为2000年至2005年的另外五年争取资金，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个地点扩大到30个地点，以覆盖全国更多的少数民族。包括在可能的新网站是：路易斯维尔，肯塔基州;巴尔的摩，马里兰州;杰克逊，MS;凤凰城或图森，AX;俄克拉荷马州塔尔萨，（2）扩大和加深少数民族，特别是年轻人对器官/组织捐赠和移植价值的认识，（3）通过发送捐赠卡，进行家庭讨论，（4）促进少数民族，特别是年轻人的健康行为，从而从长远来看，减少对器官/组织移植的需求，（5）通过要求全职而不是兼职的项目协调员职位，扩大当地MOTTEP项目活动的能力（就像现在的情况一样），以及（6）在5年内将少数族裔的移植等待时间缩短10%。正如它在以前的项目中所做的那样，MOTTEP将使用高素质的分包商每年对该项目进行评估。承包商将使用过程、结果和影响评估来衡量MOTTEP教育和宣传活动的影响。MOTTEP很可能在本项目中继续使用以下评估网格：

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: