Black Mothers Face Dangerous Health-Care Disparities. Can Midwives Bridge the Gap?

Baltimore's infant mortality rate has dropped by 24 percent, and health officials there as well as independent research groups have credited the city's B'More for Healthy Babies initiative, launched in 2009.

MenCare is a health education program for rural Rwandan fathers, which teaches tactic for parenting, couples communication, and understanding prenatal care. Families whose patriarch participated in the program reported less domestic violence than those in a control group. Educational groups for men are part of a movement for women’s empowerment.

The simple addition of adding handles to bathroom stalls in the Rohingya refugee camps in Bangladesh has helped the camps' pregnant women regain a sense of empowerment and dignity. Providing support and balance, the design of these latrines have benefited the elderly in the camps as well.

Vermont has opened its first donor milk center which acts as a breast milk bank for mothers that are in need of milk for their newborn babies. The Vermont Donor Milk Center aims to be a "one-stop shop," and also offers lactation consultation, maternal education, and supports for non-lactating partners.

In an effort to help get accurate information to the communities who are being disproportionately impacted by the coronavirus pandemic, a program called Live Chair Health has started to train barbers "on chronic issues that disproportionately affect Black communities" and teach them "how to have conversations with their clients about the diseases." Aside from providing COVID-19 information, the initiative has helped patrons access primary care and address other medical issues such as high blood pressure.

To mark the 100th anniversary of the Tulsa Race Massacre, in which a white mob killed hundreds of Black residents and destroyed the thriving neighborhood of Greenwood, the Centennial Commission supported a number of initiatives to learn from the past and build a better future. At the base of an ancient elm tree that witnessed the massacre, Up With Trees distributed 100 elm seedlings to children to plant around Tulsa. The commission convinced state education officials to develop a new curriculum on the massacre for K-12 students.

Better Reproductive Health, Better Communities Project is a partnership between nonprofits and medical providers working to increase awareness about unintended pregnancies and unsafe abortions, while also ensuring women have better access to high-quality post-abortion care. The project has focused on providing family planning and emergency contraception to women in low-income urban areas. Volunteer peer educators and social media has helped reach over 4,000 women, spreading information about sexual and reproductive health services and connecting women to quality abortion care.

The Golden Girls shelter has been providing meals, medical aid, and other support services for women with children who are experiencing homelessness. Since the Golden Girls living space opened, the program has served a total of 50 women ranging in age from the early 50s to late 70s. While at the shelter, staff members help them complete paperwork so they can receive Social Security payments, pensions, or alimony, and apply for affordable housing. They’re also provided medical care, counseling, and assistance finding jobs.

Mexico's Pilot Program for Licensed Physicians brings Mexican doctors to the states to address the lack of culturally relevant healthcare and Spanish-speaking healthcare providers, particularly in rural areas with large immigrant populations. Currently, the program has 30 Mexican doctors working in various counties throughout the state.

Birth in Color's doulas are filling the maternity care gap as rural labor and delivery rooms close, disproportionately impacting people of color. Doulas provide physical, emotional and informational support before, during and after childbirth, and advocate on the mother’s behalf. Doula care leads to improved birth outcomes and lower rates of C-sections, and in April 2022 doula services were added under the state’s Medicaid program.