Plevock Haase Karen M, Price Candice A, Wei Gina S, Goldberg Ilana G, Ampey Bryan C, Huff Erynn A, Durkin Kimberly R, Blair Ashley E, Fabiyi Camille A, Highsmith Keisher S, Wong Melissa S, Clark David, Mensah George A
Center for Translation Research and Implementation Science, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA.
Division of Cardiovascular Sciences, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA.
Implement Sci Commun. 2024 Sep 30;5(1):105. doi: 10.1186/s43058-024-00634-4.
The United States has seen increasing trends of maternal mortality in recent years. Within this health crisis there are large disparities whereby underserved and minoritized populations are bearing a larger burden of maternal morbidity and mortality. While new interventions to improve maternal health are being developed, there are opportunities for greater integration of existing evidence-based interventions into routine practice, especially for underserved populations, including those residing in maternity care deserts. In fact, over 80 percent of maternal deaths are preventable with currently available interventions. To spur equitable implementation of existing interventions, the National Heart, Lung, and Blood Institute launched the Maternal-Health Community Implementation Program (MH-CIP) in 2021. In 2023, the National Institutes of Health's Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE) initiative partnered with the NHLBI to launch the IMPROVE Community Implementation Program (IMPROVE-CIP). By design, CIPs engage disproportionately impacted communities and partner with academic researchers to conduct implementation research. This commentary overviews the impetus for creating these programs, program goals, structure, and offers a high-level overview of the research currently supported. Lastly, the potential outcomes of these programs are contextualized within the landscape of maternal health initiatives in the United States.
近年来，美国孕产妇死亡率呈上升趋势。在这场健康危机中，存在着巨大的差异，服务不足和少数族裔群体承担着更大的孕产妇发病和死亡负担。虽然改善孕产妇健康的新干预措施正在不断研发，但仍有机会将现有的循证干预措施更好地融入常规实践，特别是针对服务不足的人群，包括那些居住在孕产妇护理荒漠地区的人群。事实上，目前可用的干预措施能够预防超过80%的孕产妇死亡。为推动现有干预措施的公平实施，美国国立心肺血液研究所于2021年启动了孕产妇健康社区实施项目（MH-CIP）。2023年，美国国立卫生研究院的“为每个人实现孕产妇健康和妊娠结局愿景”（IMPROVE）倡议与国立心肺血液研究所合作，启动了IMPROVE社区实施项目（IMPROVE-CIP）。按照设计，社区实施项目（CIPs）让受影响 disproportionately 的社区参与进来，并与学术研究人员合作开展实施研究。本评论概述了创建这些项目的动力、项目目标、结构，并对目前所支持的研究进行了高层次概述。最后，在美国孕产妇健康倡议的背景下，阐述了这些项目可能产生的结果。
