Achieving Optimal Sexual and Reproductive Health (SRWH Project)

我兄弟的守护者公司它的合作伙伴，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，建议在密西西比的种族/民族和性/性别少数群体中实施实现最佳性和生殖健康（SRWH）项目。 SRWH项目旨在满足密西西比这个大部分为农村州的育龄成年人（18至45岁）的生殖保健需求，这些成年人被认为是种族/民族和性/性别少数群体。 该项目旨在结束该州按种族划分需求优先次序的做法，因此，使用更复杂的社会脆弱性标志，根据综合社会和孕产妇脆弱性指数，确定该州种族/族裔和性/性别少数群体更脆弱的优先领域。我们的方法是一种以社区为基础的参与性方法，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成果方面具有主导地位。拟议的项目将可能解决与提供非歧视性医疗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，包括促进不间断的医疗保健利用和遵守，以及扩大宽带基础设施，以增加医疗保健的可及性。在密西西比，获得安全、不歧视的护理是解决生殖健康和性健康优先事项的关键第一步，包括孕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.