Training Program

项目总结：培训计划 尽管迫切需要解决产妇死亡率、严重发病率和差异问题，但以往的努力 未能改善产妇的健康状况。值得注意的是，大多数旨在降低孕产妇死亡率和 严重的孕产妇发病率侧重于临床护理，而没有解决孕产妇的作用 社区中的卫生人力。为有效减少孕产妇保健不平等现象并改善结果， 需要对产妇健康的结构和社会决定因素进行更多的研究，特别是研究 由来自这些社区的研究人员在服务不足的地区进行。为此，我们建议 密西西比河三角洲产妇健康卓越研究中心将包括一项培训计划， 早期调查人员侧重于解决影响产妇的人际关系和结构性因素 高危社区的健康结果。在应对健康的社会决定因素带来的挑战时， 人们越来越认识到与人进行研究的重要性，以及在有 最大的弱点。这包括评估科学家在历史上资源不足的国家工作的潜力 机构和服务不足的社区，如位于资源有限的机构的研究人员 美国南部地区和历史悠久的黑人学院和大学(HBCU) 城乡结合部。我们建议的培训计划将重点放在两个月前的早期调查人员 密西西比州HBCU、杰克逊州立大学和阿尔康州立大学，并将利用现有资源 在这些大学的产妇保健培训中，在南方农村发展中心 密西西比州立大学和哈佛大学。我们的协作方法将利用 我们计划领导和社区合作伙伴在孕产妇保健系统方面的专业知识，以及现有的强大 各参与机构之间的关系。我们研究性培训的首要目标是 该计划的目的是促进针对产妇健康差距的文化响应研究。我们将实现 这一目标通过(1)增加博士后实习生、初级教员和其他早期阶段的人数来实现 从事与生物、行为、环境、社会文化和/或 影响妊娠相关和妊娠相关发病率和死亡率的结构性因素 密西西比三角洲的产妇发病率；(2)为博士前研究员提供应用研究经验 作为下一代孕产妇健康研究专业人员；及。(3)提供外展机会 接触到更广泛的受众。我们广泛的研究培训计划将支持该中心的目标 研究项目，解决影响产妇健康结果的人际和结构性因素；以及 培养专注于孕产妇健康结果和公平的下一代临床研究人员。 1

PROJECT SUMMARY: Training Program Despite the urgent need to address maternal mortality, severe morbidity, and disparities, previous efforts have failed to improve maternal health outcomes. Notably, most research efforts to reduce maternal mortality and severe maternal morbidity have focused on clinical care and have not addressed the role of the maternal health workforce in the community. To effectively reduce maternal health inequities and improve outcomes, more research focused on structural and social determinants maternal health is needed, especially research conducted in underserved areas by researchers from those communities. To this end, our proposed Mississippi Delta Research Center of Excellence for Maternal Health will include a training program for early-stage investigators focused on addressing the interpersonal and structural factors that affect maternal health outcomes in at-risk communities. In meeting the challenges posed by the social determinants of health, there is increasing recognition of the importance of research conducted with people and in places with the greatest vulnerability. This includes valuing the potential of scientists working in historically under-resourced institutions and with underserved communities, such as researchers at institutions located in limited-resource regions of the Southern United States and at Historically Black Colleges and Universities (HBCUs) across the rural–urban continuum. Our proposed training program will focus on early-stage investigators at two Mississippi HBCUs, Jackson State University and Alcorn State University, and will leverage existing resources in maternal health training within these universities, at the Southern Rural Development Center based at Mississippi State University, and at Harvard University. Our collaborative approach will capitalize on the expertise of our program leads and community partners in maternal health systems and the strong existing relationships among the various participating institutions. The overarching goal of our research training program is to foster culturally responsive research that addresses maternal health disparities. We will achieve this goal through (1) increasing the number of postdoctoral trainees, junior faculty, and other early-stage investigators engaging in research related to biological, behavioral, environmental, sociocultural, and/or structural factors that affect pregnancy-related and pregnancy-associated morbidity and mortality and severe maternal morbidity in the Mississippi Delta; (2) providing applied research experiences to predoctoral fellows as the next generation of maternal health research professionals; and (3) providing outreach opportunities to reach a broader audience. Our extensive research training program will support the goals of the center’s research projects, address the interpersonal and structural factors that affect maternal health outcomes, and prepare the next generation of clinical researchers focused on maternal health outcomes and equity. 1