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

描述（由申请人提供）：夏威夷大学马诺阿护理和口腔卫生学院（UH）将实施一个项目，该项目将在美国附属太平洋岛屿（USAPI）（美属萨摩亚、关岛、马绍尔群岛、密克罗尼西亚联邦、帕劳和北马里亚纳群岛联邦）建立一个基于社区的参与性研究（CBPR）结构。总体目标是改善卫生条件，缩小卫生差距，并确保为该区域的儿童提供初级保健、卫生教育、健康促进和疾病预防服务。该提案采用“培训-培训师”类型的方法，旨在加强UH与关岛大学护理学系（UOG）之间的合作伙伴关系（作为最初的培训师），以及USAPI内选定的美国太平洋护理领导委员会（APNLC）管辖区之间的合作伙伴关系-作为社区参与者-在该地区实施持续的CBPR可持续系统，以促进可持续机制，以解决社区健康差距。UH和UOG将作为学术合作伙伴。UH/UOG将作为一个团队来发展、支持和指导APNLC的护士领导成员，这些成员反过来将在各自的管辖范围内担任CBPR护士领导（CBPR NL）。将通过一系列会议、讲习班和社区论坛进行沟通和合作。CBPR进程将用于组织和组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，并制定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、肥胖和其他营养失调；以及外联和信息传播的技术。将利用面对面技术和远距离技术（例如，基于网络的会议系统，如illuminate或Skype，以及PEACESAT视像会议）进行区域协作和通讯；由于USAPI地区强大的口头传统，在地方管辖层面上，沟通将主要通过会议、社区论坛和当地电话会议进行。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。在美国，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，以维持“惯常居住地”，并寻求医疗保健、教育和就业。美国api发生的事情会影响美国大陆。建立CBPR卫生倡议的能力将有助于减轻现有的卫生差距，并防止出现更大的问题。

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.