Maternal American-Indian Rural Community Health (MARCH)

美国印第安人农村社区卫生研究卓越中心|M.A.R.C.H. 项目摘要 母亲美国印第安人农村社区健康研究卓越中心（M.A.R.C.H.）是 为研究人员、部落民族、农村社区和主要利益攸关方提供一个平台， 关于孕产妇保健的信息通报，特别是死亡率和严重发病率的驱动因素。所有中心组件 围绕着两个在我们地区有着明显健康差异的人群--美洲印第安人和农村居民。 改善获得保健机会和更好地了解获得保健的障碍和促进因素的新机制 将获取护理信息纳入中心和拟议项目的总体主题。的关键要素 M.A.R.C.H.包括1）从长期社区关系中产生多层次和新颖的项目 目标是解决可预防的孕产妇死亡问题，降低孕产妇严重发病率， 孕产妇健康公平; 2）社区参与核心，将作为连接M.A.R.C.H. 与广大合作伙伴网络开展的活动;以及3）一个培训核心，将支持具体项目的培训需求， 以及一个以文化能力和卫生研究素养为重点的整体培训结构。

Maternal American Indian Rural Community Health Research Center of Excellence | M.A.R.C.H. PROJECT SUMMARY The purpose of the Maternal American Indian Rural Community Health Research Center of Excellence (M.A.R.C.H.) is to provide a platform for researchers, tribal nations, rural communities and key stakeholders to engage in bidirectional communications on maternal health, in particular drivers of mortality and severe morbidity. All center components revolve around two populations with stark health disparities in our region – American Indian and rural residents. Novel mechanisms for improving access to care and creating a better understanding of barriers to and facilitators of accessing care feed into the overarching theme of the center and the projects proposed. The key elements of M.A.R.C.H. include 1) multi-layered and novel projects that have emerged from long-standing community relationships with the goal of addressing preventable maternal mortality, decreasing severe maternal morbidity, and promoting maternal health equity; 2) a community engagement core that will serve as a central hub to connect M.A.R.C.H. activities with the vast network of partners; and 3) a training core which will support project-specific training needs, as well as an overall structure of training focused on cultural competency and health research literacy.