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Strengthen the Evidence for Maternal and Child Health Programs

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Below are articles that support specific interventions to advance MCH National Performance Measures (NPMs) and Standardized Measures (SMs). Most interventions contain multiple components as part of a coordinated strategy/approach.

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Displaying records 1 through 2 (2 total).

Hardeman RR, Karbeah J, Almanza J, Kozhimannil KB. Roots Community Birth Center: A culturally-centered care model for improving value and equity in childbirth. Healthc (Amst). 2020 Mar;8(1):100367. doi: 10.1016/j.hjdsi.2019.100367. Epub 2019 Jul 29. PMID: 31371235.

Evidence Rating: Emerging

Intervention Components (click on component to see a list of all articles that use that intervention): Professional Support, Community Birth Centers

Intervention Description: The intervention described in the document pertains to the culturally-centered care model implemented at Roots Community Birth Center. This model focuses on addressing racial disparities in birth outcomes by providing culturally-centered and relationship-centered care to pregnant individuals.

Intervention Results: Overall, the document suggests that culturally-centered care models have the potential to improve equity in childbirth outcomes and reduce disparities in birth outcomes among different racial and ethnic groups. However, the financial challenges faced by birth centers like Roots Community Birth Center highlight the need for policy and payment innovations to support the implementation of such models in maternity care

Conclusion: Roots Community Birth Center is one model of care that grew out of a desire to address persistent racial inequities in childbirth, using a systems-level approach. Such a model may serve as an instructive example for innovation in other clinical areas where health inequities are prevalent.

Study Design: Qualitative

Setting: Community-based

Population of Focus: African American women

Sample Size: 284 families

Age Range: Not disclosed

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Welch, Leseliey MPH, MBA; Branch Canady, Renee PhD, MPA; Harmell, Chelsea MPH; White, Nicole BS, CPM; Snow, Char'ly MSN, CNM; Kane Low, Lisa PhD, CNM, FACNM, FAAN. We Are Not Asking Permission to Save Our Own Lives: Black-Led Birth Centers to Address Health Inequities. The Journal of Perinatal & Neonatal Nursing 36(2):p 138-149, April/June 2022. | DOI: 10.1097/JPN.0000000000000649

Evidence Rating: Emerging

Intervention Components (click on component to see a list of all articles that use that intervention): Professional Support, Community Birth Centers

Intervention Description: This article describes a departure from traditional White supremacist research models that privilege quantitative outcomes to the exclusion of iterative processes, lived experiences, and consciousness-raising. A community organizing approach to birth center development led by Black women and rooted in equity values of safety, love, trust, and justice is outlined.

Intervention Results: Birth Detroit is a Black-led, community-informed model that includes integration of evidence-based approaches to improving health outcomes and that embraces community midwifery prenatal care and a strategic trajectory to open a birth center in the city of Detroit.

Conclusion: Birth Detroit demonstrates the operationalization of a Black feminist standpoint, lifts up the power of communities to lead in their own care, and offers a blueprint for action to improve inequities and maternal-infant health in Black communities.

Study Design: Qualitative

Setting: Community-based

Population of Focus: African American women

Sample Size: 391

Age Range: Not disclosed

Access Abstract

The MCH Digital Library is one of six special collections at Geogetown University, the nation's oldest Jesuit institution of higher education. It is supported in part by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under award number U02MC31613, MCH Advanced Education Policy with an award of $700,000/year. The library is also supported through foundation and univerity funding. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.