Delta Mississippi Center of Excellence in Maternal Health

项目总结：总体 美国的孕产妇死亡率高于其他国家，而且自1990年以来一直没有下降。 除死亡率外，严重的孕产妇死亡影响了太多的妇女。这些高利率不仅是因为 令人震惊的是，存在着显著的种族/族裔和社会经济差距。这些不平等是高度地区性的， 生活在美国东南部农村的妇女，包括密西西比三角洲，拥有 产妇死亡率和发病率最高。不幸的是，这些差距已被证明是顽固的。 抵制干预，需要以社区实践为重点的创新的多方面方法， 建立信任，优先考虑病人的声音。为了满足这一需要，这项建议旨在建立联合司法服务大学- 密西西比河三角洲产妇健康卓越研究中心，目标是解决 可预防的孕产妇死亡率，降低严重孕产妇发病率，促进孕产妇保健公平 与密西西比河三角洲社区合作。这个研究中心将进行两个多层次的研究 项目。研究项目1将确定循证社区卫生工作者的有效性 家访计划以病人和社区的广泛参与为基础。研究项目2将 评估多层次和多部门传播和卫生知识普及战略的有效性 提高密西西比河三角洲妇女对产后保健的信任和参与度 特别关注黑人妇女、她们的家庭和她们的社区。这两个研究项目都有 首要目标是与社区合作，确定和满足孕妇和 提高密西西比河三角洲产后妇女的保健水平，并解决产妇保健方面的差距问题。支持 研究项目的目标，为早期调查人员提供广泛的研究培训方案，利用 社区卫生合作伙伴将解决影响孕产妇结果的人际因素和结构性因素。 我们的社区伙伴关系部分将确保成功、持续、协作的工作 整个中心的环境，目标是建立有意义和平等的社区伙伴关系 贯穿整个研发过程和培训。为了实现这些目标，我们带来了 汇聚一支经验丰富的团队，拥有不同的专业知识和视角，结合知识和资源 来自杰克逊州立大学，密西西比州卫生部，六个维度(密西西比州 社区公共卫生咨询公司)，哈佛大学陈天佑公共卫生学院，以及 各种社区合作伙伴。通过在世界各地与社区建立平等的伙伴关系 流程-包括与临床实践和医院的整合，与社区资源的连接，以及 来自患者的定期输入-我们设想这个研究中心将克服结构和人际关系 阻碍高质量、有文化能力的孕产妇保健，并最终改善孕产妇发病率和 居住在密西西比河三角洲的妇女死亡率。 1

PROJECT SUMMARY: OVERALL Maternal mortality in the United States is higher than in peer nations and has not decreased since 1990. Beyond mortality, severe maternal mortality impacts far too many women. Not only are these high rates alarming, but notable racial/ethnic and socioeconomic disparities exist. These inequities are highly regional, with women living in the rural southeast part of the United States, including the Mississippi Delta, having the highest rates of maternal mortality and morbidity. Unfortunately, these disparities have proven to be stubbornly resistant to interventions, necessitating an innovative multifaceted approach focused on community practice, building trust, and prioritizing patient voices. To meet this need, this proposal aims to establish the JSU- Mississippi Delta Research Center of Excellence for Maternal Health with the goal of addressing preventable maternal mortality, decreasing severe maternal morbidity, and promoting maternal health equity in partnership with the Mississippi Delta community. This research center will conduct two multi-layered research projects. Research Project 1 will determine the effectiveness of an evidenced-based community health worker home visiting program grounded in extensive patient and community participation. Research Project 2 will evaluate the effectiveness of a multilevel and multisectoral communication and health literacy strategy to increase trust and engagement in postpartum healthcare among women in the Mississippi Delta, with a specific focus on Black women, their families, and their communities. These research projects both have the overarching goal of partnering with the community to determine and meet the needs of pregnant and postpartum women in the Mississippi Delta and address the disparities within maternity care. Supporting the goals of the research projects, an extensive research training program for early-stage investigators, utilizing community health partners, will address the interpersonal and structural factors that affect maternal outcomes. Our Community Partnership Component will ensure a successful, sustained, collaborative working environment throughout the center with the goal of establishing meaningful and equal community partnerships throughout the research development process and training. To achieve these objectives, we have brought together an experienced team with diverse expertise and perspectives, combining knowledge and resources from Jackson State University, the Mississippi State Department of Health, Six Dimensions (a Mississippi community-based public health consulting company), the Harvard TH Chan School of Public Health, and various community partners. By establishing an equal partnership with the community in all parts of the process – including integration with clinical practices and hospitals, connection with community resources, and regular input from patients – we envision that this research center will overcome structural and interpersonal barriers to high-quality, culturally competent maternal care and ultimately improve maternal morbidity and mortality for women residing in the Mississippi Delta. 1