Project 3: Building Community Resillience through Disaster Mobile Health

拟议的项目旨在描述大新奥尔良地区的WIC参与者的特征，包括奥尔良、杰斐逊、圣伯纳德、普莱克明斯、拉福什和特雷博内的教区，所有这些教区都在墨西哥湾漏油事件后经历了不利的环境后果。这些地区包括广泛的经济弱势群体和历来健康差距较大的少数群体。拟议项目的总体目标是加强弱势孕妇和非育龄妇女的社区复原力，将社区卫生工作者作为灾害干预者，并将简单的蜂窝和电话技术作为保健系统，特别是妇女保健中心诊所的一个可行和可持续的组成部分。 该CBPR项目明确旨在解决社区复原力问题，并评估将手机的使用纳入WIC社区健康教育计划的有效性，以通过以下具体目标改善服务不足人群的妊娠和产后结局， 1)开发一个社区驱动的灾害移动卫生平台，以提高社区复原力，目标是为孕妇和育龄妇女服务的选定的妇女、婴儿和儿童方案 2)培训附属于妇联的社区卫生工作者担任灾害干预者，课程特别强调妇幼保健、环境卫生、风险沟通、备灾、应对和恢复、文化能力和移动卫生技术 3)确定社区资产驱动型卫生系统的影响，将社区卫生工作者整合为灾难干预者和定制的信息技术(IT)，以实现持续的社区复原力 4)考察灾情移动健康平台互动能力对风险沟通和社区风险感知的影响

The proposed project aims to characterize WIC participants in the Greater New Orleans area, including the Parishes of Orleans, Jefferson, St. Bernard, Plaquemines, Lafourche, and Terrebonne, all of which experienced adverse environmental consequences following the Gulf of Mexico Oil Spill. These areas include a broad spectrum of economically disadvantaged and minority populations with historic health disparities. The overarching goal of the proposed project is to strengthen community resilience of vulnerable pregnant women and non-pregnant women of reproductive age by integrating community health workers as disaster interventionists and simple cellular and telephone technology as a viable and sustainable component of the health system, especially WIC Clinics. This CBPR project is explicitly designed to address community resiliency and assess the effectiveness of integrating the use of cell-phones into a WIC Community Health Education Program to improve pregnancy and post-partum outcomes among an under-served population through the following specific aims, 1) Develop a community-driven disaster mobile health platform to improve community resilience targeting selected Women Infants and Children (WIC) programs serving pregnant women and those of reproductive age 2) Train WIC-affiliated community health workers to serve as disaster interventionists with special curricular emphasis on maternal and child health, environmental health, risk communication, disaster preparedness, response, and recovery, cultural competence , and mobile health technology 3) Determine the impact of a community asset-driven health system integrating community health workers as disaster interventionists and tailored Information Technology (IT) to achieve sustained community resiliency 4) Examine the effect of the interactive capabilities of the disaster mobile health platform on just-in-case and just-in-time risk communication and community risk perception