University of Hawaiii2026-02-03T23:15:42+00:00

Building on Our Strengths: Redesigning Perinatal Care to Reduce Maternal Morbidity and Mortality among Native Hawaiians Throughout Hawai’i

Building on Our Strengths: Redesigning Perinatal Care to Reduce Maternal Morbidity and Mortality among Native Hawaiians Throughout Hawai’i

Researchers at the University of Hawai’i Department of OBGYN, Department of Native Hawaiian Health, and Department of Public Health Sciences have partnered with community organizations in this project that aims to leverage community strengths to reduce the disproportionately higher rates of maternal morbidity and mortality among Native Hawaiians and Pacific Islanders (NHPI). Using the socioecological model and Pilinahā, which is an indigenous health framework, the aims of this project include: 1) developing a comprehensive and sustainable model for synthesizing and analyzing disparate statewide datasets to better identify and respond to predictors of maternal mortality and morbidity among NHPI in Hawaiʻi; 2) conduct in-depth qualitative analysis with Hawaiiʻs perinatal stakeholders and providers to understand the experience of perinatal care provision in the community and develop a perinatal medical home model; 3) design and launch a pilot perinatal medical home model in one or two high-priority communities to be tested and evaluated for its potential to become a model for statewide expansion.

Reni A. Soon, MD, MPH

Principal Investigator

Center Goals

  • We will develop a comprehensive and sustainable model for synthesizing and analyzing disparate statewide datasets to better identify and respond to predictors of maternal mortality and severe maternal morbidity in Hawaii and incorporate these into the design of the perinatal medical home model. We will use principles of data justice outlined by Native Hawaiian leaders.

  • Conduct in-depth qualitative analysis with the community’s perinatal stakeholders to understand the experience of perinatal care provision in the community and identify strengths to be further leveraged in the development of a perinatal medical home model.

  • Design and launch a pilot perinatal medical home model in two high-priority communities, to be tested and evaluated for its potential to become a model for statewide expansion.

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