Training Program

项目概要：培训计划 尽管迫切需要解决孕产妇死亡率、严重发病率和不平等问题，但以往的努力 未能改善产妇保健成果。值得注意的是，大多数降低孕产妇死亡率的研究工作， 严重的产妇发病率集中在临床护理，没有解决产妇的作用， 社区卫生工作者。为有效减少孕产妇保健不公平现象并改善成果， 需要开展更多的研究，重点关注孕产妇健康的结构和社会决定因素， 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 密西西比三角洲卓越研究中心产妇保健将包括一个培训计划， 早期的研究人员集中在解决人际和结构因素，影响产妇 在危险社区的健康结果。在应对健康的社会决定因素所带来的挑战时， 人们越来越认识到与人一起进行研究的重要性， 最大的弱点这包括重视在历史上资源不足的国家工作的科学家的潜力。 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上的黑人学院和大学（HBCU） 城乡结合部我们建议的培训计划将集中在两个早期阶段的调查人员 密西西比HBCUs、杰克逊州立大学和奥尔康州立大学，并将利用现有资源 在这些大学内的产妇保健培训，在南部农村发展中心， 在密西西比州立大学和哈佛大学。我们的合作方式将利用 我们的计划领导和社区合作伙伴在孕产妇保健系统和现有的强大的专业知识 各参与机构之间的关系。我们研究培训的首要目标 该计划旨在促进对文化有敏感认识的研究，以解决孕产妇健康差异问题。我们将实现 这一目标通过（1）增加博士后培训人员，初级教师和其他早期阶段的人数 从事与生物、行为、环境、社会文化和/或 影响与怀孕有关的发病率和死亡率的结构性因素以及严重的 产妇发病率在密西西比三角洲;（2）提供应用研究的经验，博士前研究员 作为下一代产妇健康研究专业人员;（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因素， 培养下一代临床研究人员，重点关注孕产妇健康成果和公平问题。 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