Community-Based Capacity Building: Academic-Community Partnerships Using Partici

描述（由申请人提供）：在护理和牙科卫生（UH）马诺阿学院的夏威夷大学将实施一个项目，将建立一个结构，以社区为基础的参与性研究（CBPR）在美国附属太平洋岛屿（USAPI）（美属萨摩亚，关岛，马歇尔群岛，密克罗尼西亚联邦，帕劳，和联邦的北方马里亚纳群岛）。总的目标是改善卫生条件，减少健康差距，确保为该地区儿童提供初级保健、卫生教育、健康宣传和疾病预防服务。采用“培训培训员”式的方法，该提案旨在加强UH和关岛大学护理系之间的合作伙伴关系（作为初始培训师）和来自USAPI的美国太平洋护理领导理事会（APNLC）管辖区-作为社区参与者-在该地区实施可持续的CBPR系统，以促进可持续的机制来解决社区健康差距。UH和UOG将作为学术合作伙伴。UH/UOG将作为一个团队来开发，支持和指导APNLC的护士长成员，他们反过来将在各自的管辖范围内担任CBPR护士长（CBPR NL）。沟通和合作将通过一系列会议、研讨会和社区论坛进行。CBPR过程将用于组织和形成区域和地方咨询委员会;收集数据以确定社区关注的关键儿科医疗保健问题，并开发赠款以支持正在进行的CBPR活动。CBPR重点关注的关键领域可能包括：婴儿死亡率、肥胖症和其他营养失调症;以及推广和信息传播技术。面对面和基于距离的技术（例如，将利用基于网络的会议系统（如Elluminate或Skype以及PEACESAT视频会议）进行区域合作和交流;由于USAPI区域有着很强的口头传统，在地方管辖一级，交流将主要通过会议、社区论坛和地方电话会议亲自进行。相关性：USAPI是美国通往太平洋和亚洲的门户，在军事，卫生和商业事务方面具有重要的战略意义。儿童的健康状况存在严重差异，这些公民有权在没有签证的情况下前往美国，以保持“惯常居住地”，并寻求医疗保健，教育和就业。USAPI发生的事情会影响美国大陆。为CBPR卫生举措进行能力建设将有助于减轻现有的卫生差距，并防止出现更大的问题。 公共卫生相关性：UH SONDH将与美国太平洋护理领导理事会合作，实施一个项目，其总体目标是发展USAPI基于社区的参与性研究能力。项目工作将通过在USAPI管辖区内进行的培训计划和会议来完成，并最终为USAPI提供CBPR赠款提案。

DESCRIPTION (provided by applicant): The University of Hawaii at Manoa School of Nursing and Dental Hygiene (UH) will implement a project that will build a structure for community based participatory research (CBPR) across the US Affiliated Pacific Islands (USAPI) (American Samoa, Guam, Marshall Islands, Federated States of Micronesia, Palau, & Commonwealth of the Northern Mariana Islands). The overall aim is to improve health conditions, reduce health disparities and assure the provision of primary health care, health education, health promotion, and disease prevention services for children in the region. Using a "train-the trainer" type approach, this proposal seeks to strengthen the collaborative partnership between UH and the University of Guam Department of Nursing (UOG) (as the initial trainers) and selected American Pacific Nursing Leadership Council (APNLC) jurisdictions from within the USAPI -as the community-based participants - to implement a sustainable system for ongoing CBPR in the region in order to foster sustainable mechanisms to address community-health disparities. UH and UOG will function as Academic Partners. UH/UOG will work as a team to develop, support and mentor nurse leader members of the APNLC, who in turn, will serve as CBPR nurse leaders (CBPR NL) in their respective jurisdictions. Communication and partnering will occur through a series of meetings, workshops and community forums. The CBPR process will be used to organize and form a regional and local advisory boards; collect data to identify key pediatric healthcare issues of concern for the community, and develop grant(s) to support ongoing CBPR activities. Key areas of CBPR focus will likely include: infant mortality, obesity other nutritional disorders; and techniques for outreach and information dissemination. Both in-person and distance-based technologies (e.g., web-based conferencing systems such as Elluminate or Skype, and PEACESAT videoconferencing) will be utilized for regional collaboration and communication; and because of the strong oral tradition of the USAPI region, on the local jurisdictional level, communication will be conducted primarily in person through meetings, community forums and local telephone conferences. Relevance: The USAPI are the gateway to the Pacific and Asia for the US, and are strategically important in terms of military, health and commerce affairs. Serious health disparities for children are in the USAPI, and these citizens have the right to travel to the US without visas to maintain "habitual residence" and to pursue health care, education and employment. What occurs in the USAPI affects the mainland US. Building capacity for CBPR health initiatives will serve to mitigate existing health disparities, and prevent larger problems. PUBLIC HEALTH RELEVANCE: The UH SONDH will collaborate with the American Pacific Nursing Leadership Council to implement a project with the overall aim of developing capacity for community based participatory research in the USAPI. The project work will be accomplished through training programs & meetings to be conducted in the USAPI jurisdictions, and culminate in a CBPR grant proposal for the USAPI.