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Additional Public 1990-1995 Malama Na Wahine Hapai (Caring for the Hilo, HI <br />Service Partnerships Chair Pregnant Woman) Advisory Committee <br />The Malama Na Wahine Hapai Community Prenatal Care program was developed as <br />the focus of a National Institutes of Health -funded research demonstration project led <br />by the Dean of Nursing at Emory University and native of the Big Island, Dyanne D. <br />Affonso, Ph.D., F.A.A.N. The research aimed to deliver prenatal care to rural <br />Hawaiian women living in the Hilo -Puna district of the Big Island and was expanded <br />to two additional sites on Oahu in 1995. This program was designed to complement <br />standard obstetrical care already available in each community and targeted Native <br />Hawaiian, Filipino, and Japanese women who were identified as being at higher risk <br />for delivering low-birthweight infants. Program mechanisms included the <br />establishment of a Neighborhood Women's Health Watch involving ethnic and <br />cultural healers or elders; use of "mobile health stations"; organization of prenatal and <br />postpartum services in collaboration with the State of Hawaii, Department of Health <br />Public Health nurses; and multiple community partnerships and local businesses. <br />In 1997,.the Office of Research on Women's Health at the National Institute of Health <br />(NIH) in Washington D.C. invited Mr. Segawa to present public testimony at an NIH <br />conference in Bethesda, Maryland, on the Recruitment and Retention of Women in <br />Clinical Studies and the Malama Na Wahine Hapai Project. <br />Wesley R. Segawa <br />County of Hawaii Administration Appointment Candidate <br />November 29, 2024 <br />Page 3 of 3 <br />