Achieving Optimal Sexual and Reproductive Health (SRWH Project)

My Brother‘s Keeper，Inc.及其合作伙伴密西西比大学医学中心、南密西西比大学和密西西比州卫生部提议在密西西比州的种族/民族和性/性别少数群体中实施实现最佳性健康和生殖健康(SRWH)项目。SRWH项目将旨在解决密西西比州以农村为主的育龄成年人(18至45岁)的生殖保健需求，他们认为自己是种族/民族和性/性别少数群体。该项目旨在结束该州对需要的种族主义优先次序，并因此使用更复杂的社会脆弱性标记，根据综合的社会和产妇脆弱性指数，确定该州种族/族裔和性/性别少数群体更易受伤害的优先领域。我们的方法是以社区为基础的参与式方法，确保我们旨在改善的生活在优先考虑需要解决的结构性因素和需要衡量的健康结果方面拥有主导发言权。拟议的项目可能涉及与提供非歧视性保健服务和资源有关的关键结构性因素。我们将解决两个核心领域，包括促进医疗保健的不间断利用和坚持，以及扩大宽带基础设施，以增加医疗保健接入。在密西西比州，获得安全、非歧视的护理是解决生殖和性健康优先事项的关键的第一步，包括产妇健康和艾滋病毒/性传播疾病发病率。

My Brother’s Keeper, Inc., and it partners, the University of Mississippi Medical Center, the University of Southern Mississippi, and the Mississippi State Department of Health, propose to implement the Achieving Optimal Sexual and Reproductive Health (SRWH) Project Among Racial/Ethnic and Sexual/Gender Minorities in Mississippi. The SRWH Project will be designed to address the reproduced healthcare needs adults of reproductive age (18 to 45 years old) who identify as racial/ethnic and sexual/gender minorities in the largely rural state of Mississippi. The project aims to end racialized prioritization of need in the state, and as such, uses more complex markers of social vulnerability to identify priority areas in the state where racial/ethnic and sexual/gender minorities are more vulnerable based on comprehensive social and maternal vulnerability indices. Our approach, a community-based participatory approach, ensures that the very lives we aim to improve have the leading voice in prioritizing the structural factors that need to be addressed and the health outcomes that need to be measured. The proposed project will potentially address key structural factors related to the availability of non-discriminatory healthcare services and resources. We will address two core areas including promoting uninterrupted healthcare utilization and adherence as well as expanding broadband infrastructure to increase healthcare access. Access to safe, non-discriminatory care is a key initial step to address reproductive and sexual health priorities, including maternal health and HIV/STD incidence, in Mississippi.