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。在以农村为主的密西西比州，性健康和生殖健康项目旨在解决被认为是种族/民族和性/性别少数群体的育龄成年人（18至45岁）的生殖保健需求。该项目旨在结束该州以种族为优先顺序的需求，因此，根据综合社会和孕产妇脆弱性指数，使用更复杂的社会脆弱性标志来确定该州种族/民族和性/性别少数群体更容易受到伤害的优先领域。我们的方法是一种基于社区的参与性方法，确保我们希望改善的生活本身在确定需要解决的结构性因素和需要衡量的健康结果的优先次序方面具有主导发言权。拟议的项目将可能解决与提供非歧视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。在密西西比州，获得安全、非歧视性的护理是解决生殖和性健康优先事项，包括孕产妇保健和艾滋病毒/性病发病率的关键初步步骤。

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.