JSU- Mississippi Delta Research Center of Excellence for Maternal Health

项目概要：研究项目2 -增强妇女产后护理和生殖能力 密西西比三角洲的健康状况 在美国，孕产妇死亡率和发病率仍然高得令人无法接受，特别是在 在密西西比三角洲，黑人妇女面临着生命和健康损失的更高和不公正的风险。 有证据表明，在产前和产后连续体中参与医疗保健可以减少 对产妇的不良影响。然而，参与孕产妇保健的障碍仍然存在， 密西西比三角洲，尽管多次试图干预。结构性改革的遗留问题和现行做法 人际间的种族主义导致了黑人妇女对健康倡导者和医疗保健提供者的不信任 和他们的家人贫困、交通、缺乏健康保险、健康知识普及率低和可用性有限 医疗保健的不平等也会导致健康不平等。改善获得护理的机会和医疗保健质量 服务，这些结构性和人际关系的障碍必须得到承认和解决， 全面的方式。在这个研究项目中，我们提出了一个多部门的病人-临床联系 干预措施，以增加父母对产后保健的理解、信任和参与， 密西西比三角洲，特别关注黑人妇女、她们的家庭和她们的社区。的 干预措施将直接解决参与产后保健的结构性和人际障碍 通过（a）提高社区卫生工作者和持照人员的卫生知识和沟通技能， 临床医生（侧重于技能，书面文字和口头沟通，任务和活动的服务利用， 和提供保健服务的环境）;（B）社区保健工作者的保健协调， 促进产前和产后访视;以及（c）采取策略，提高产后保险的使用率 并支付护理费用。这些相互关联的研究活动旨在减少结构性和 人际关系障碍，从而使产后妇女能够寻求，倡导 并获得他们应得的医疗保健。本研究项目将实施和评估拟议的 通过以下目标进行干预：（1）完善和实施以社区为基础的病人-临床联系 干预措施，并评估其在增加孕产妇保健参与医疗保健方面的有效性;（2） 评价以社区为基础的病人-临床联动干预在改善健康方面的效果 识字和增加信任;（3）评估以社区为基础的病人-临床联系的有效性 在密西西比三角洲，对改善产后父母生育自主权的干预。通过 提供具体的支持，以获得信息和照顾，我们将连接父母在高风险的不利 孕产妇成果与高质量预防服务之间的关系。最终，该研究项目将支持整体 JSU-密西西比三角洲卓越研究中心的使命是增强 通过增加信任和卫生知识普及，同时降低孕产妇发病率和死亡率， 与密西西比三角洲社区的伙伴关系。

PROJECT SUMMARY: Research Project 2 - Empowering Women for Postpartum Care and Reproductive Health in the Mississippi Delta Maternal mortality and morbidity remain unacceptably high across the United States, and particularly in the Mississippi Delta, with Black women experiencing an elevated and unjust risk of loss of life and health. Evidence supports that engagement in healthcare across the pre- and postpartum continuum can reduce adverse maternal outcomes. However, barriers to engagement in maternal healthcare persist in the Mississippi Delta, despite many attempts to intervene. Legacies and current practices of structural and interpersonal racism have led to distrust of health advocates and healthcare providers among Black women and their families. Poverty, transportation, lack of health insurance, poor health literacy, and limited availability of healthcare also contribute to health inequities. To improve access to care and quality of healthcare services, these structural and interpersonal barriers must be acknowledged and addressed in a comprehensive manner. In this research project, we propose a multisectoral patient-clinical linkage intervention to increase comprehension, trust, and engagement in postpartum healthcare among parents in the Mississippi Delta, with a specific focus on Black women, their families, and their communities. The intervention will directly address structural and interpersonal barriers to engagement in postpartum healthcare through (a) improving health literacy and communication skills among community health workers and licensed clinicians (focusing on skills, written text and oral communication, tasks and activities for services utilization, and the environment for provision of health services); (b) community health worker care coordination to facilitate pre- and postpartum visits; and (c) employing strategies to increase insurance utilization postpartum and defray the costs of attending care. These interconnected research activities aim to reduce structural and interpersonal barriers to healthcare engagement, thereby empowering postpartum women to seek, advocate for, and receive the healthcare they deserve. This research project will implement and evaluate the proposed intervention through the following aims: (1) refine and implement the community-based patient-clinical linkage intervention and evaluate its effectiveness in increasing maternal health engagement in medical care; (2) evaluate the effectiveness of the community-based patient-clinical linkage intervention in improving health literacy and increasing trust; and (3) evaluate the effectiveness of the community-based patient-clinical linkage intervention in improving reproductive autonomy among postpartum parents in the Mississippi Delta. By providing concrete support to access information and care, we will connect parents at high risk for adverse maternal outcomes to quality preventive services. Ultimately, this research project will support the overall mission of the JSU- Mississippi Delta Research Center of Excellence for Maternal Health to empower women through increased trust and health literacy while reducing maternal morbidity and mortality in partnership with the Mississippi Delta community.