Project 3: Building Community Resillience through Disaster Mobile Health

拟议项目旨在描述大新奥尔良地区WIC参与者的特征，包括奥尔良、杰斐逊、圣伯纳德、普拉克明、拉福什和特雷博讷教区，所有这些教区在墨西哥湾漏油事件后都经历了不利的环境后果。这些地区包括广泛的经济上处于不利地位的人口和少数民族人口，他们的健康状况历来存在差距。拟议项目的总体目标是，通过将社区保健工作者作为灾害干预人员，并将简单的移动电话和电话技术作为卫生系统，特别是妇女、儿童和社区诊所的一个可行和可持续的组成部分，加强弱势孕妇和育龄非孕妇的社区复原力。 该CBPR项目明确旨在解决社区弹性问题，并评估将手机使用纳入WIC社区健康教育方案的有效性，以通过以下具体目标改善服务不足人群的妊娠和产后结果， 1)开发一个社区驱动的灾害移动的保健平台，以提高社区的复原力，针对为孕妇和育龄妇女服务的选定妇女、婴儿和儿童方案 2)培训妇女国际中心附属的社区卫生工作者，使其成为灾害干预人员，课程特别强调妇幼保健、环境卫生、风险沟通、备灾、救灾和恢复、文化能力和移动的卫生技术 3)确定社区资产驱动的卫生系统的影响，该系统将社区卫生工作者作为灾害干预人员和定制的信息技术（IT）整合在一起，以实现持续的社区复原力 4)检查灾害移动的健康平台的互动功能对应急和及时风险沟通以及社区风险认知的影响

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