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The Partners for Advancing Health Equity (P4HE) Resource Library is a virtual portal containing action-oriented health equity research, practice, and policies. The library aims to increase equity in health by offering free access to field-tested, evidence-informed and evidence-based programs strategies and high-quality research.
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- Over the last decade, progress on achieving the Sustainable Development Goals (SDGs) to reduce maternal deaths, stillbirths, and newborn deaths has stagnated. Recent global estimates indicate a combined 4.5 million deaths in 2020, including 0.29 million maternal deaths, 1.9 million stillbirths, and 2.3 million newborn deaths, with a majority occurring in sub-Saharan Africa, Central Asia, and…June 2023Maternal/Child Health, Global Health
- A source of support during birth could be the solution to negative outcomes for the mother and her baby. To improve the birthing experience and increase positive birthing outcomes, sources of support during pregnancy should be evaluated and understood. The goal of this review was to synthesize the existing literature on how doulas might improve birth outcomes. This scoping review also aimed to…May 2023Maternal/Child Health, Policy and Practice
- How expanding the role of midwives in U.S. health care could help address the maternal health crisisHighlights:Midwives, incorporated fully into U.S. maternity care systems, could reduce perinatal health disparities and help address provider workforce shortages.The integration of midwifery care as a standard feature of maternity care services varies dramatically across states; outcomes for mothers and infants tend to be better in states with high levels of integration.Although the demand for…May 2023Maternal/Child Health, Policy and Practice
- In the United States, recreational drugs continue to play a prominent role in drug use disorders and fatalities. Included in this category are psychostimulant drugs such as cocaine, which is well-known for its euphoric effects and abuse potential. Cocaine produces euphoria by blocking the reuptake of neurotransmitters, that is, dopamine, norepinephrine, and serotonin. Although cocaine produces…May 2023Substance Use and Misuse
- Purpose: Perceived Social Support (PSS) can impact breastfeeding behaviors, and a lack of PSS potentially contributes to disparities in breastfeeding rates for African American women (AA). Objectives were to describe PSS at two timepoints and test associations between PSS and breastfeeding intensity for AA.Methods: Data are from a feasibility trial of breastfeeding support among AA. The Hughes…May 2023Maternal/Child Health
- As abortion rights become more restricted in the United States, a new study shows that it’s become harder for women to access reproductive health care services more broadly – such as routine screenings and birth control – in recent years.April 2023Abortion Access
- For more than a decade, the Network for Public Health Law has worked with key stakeholders across the United States to advance law and policy that supports safer, healthier, stronger and more equitable communities. The Network provides technical assistance, trainings, evidence-based tools and resources, and connects public health policymakers, officials, lawyers, and practitioners as well as…April 2023Reproductive/Sexual Health
- Desegregation-focused housing policies aimed at reducing disparities in neighborhood conditions may also reduce disparities in health outcomes. This paper examines the effects of one such policy on the health of pregnant people and their newborn infants. Specifically, it studies the impact of Massachusetts Chapter 40B, a major civil rights-era housing policy that increases the supply of…April 2023Maternal/Child Health, Healthy Housing
- Background Although preventable through screening, cervical cancer incidence and mortality are higher among American Indian and Alaska Native women (AIAN) than White women. The Patient Protection and Affordable Care Act's (ACA) Medicaid expansions may uniquely impact access and use of cervical cancer screening among AIAN women and ultimately alleviate this disparity. Methods Using Medicaid…January 2023Cancer, Medicaid
- The World Health Organization (WHO) estimates global spending on healthcare at $6.5 trillion, approximately 10.5% of the world’s gross domestic product. The United States’ (US) share of that spending is $2.6 trillion, essentially quadrupling since 1980. The 2010 United States Patient Medicaid is the nation’s primary health insurance program for people with disabilities, but it is so much more…January 2023Medicaid
- Maternal health disparities have many causes, but disparate social conditions and a lack of prenatal care or substandard maternal care are often key factors. Community-based maternal care models can help to narrow the disparities in maternal health outcomes by providing expanded prenatal, childbirth and postpartum support that is respectful and culturally relevant to at-risk women. These models…January 2023Maternal/Child Health, Policy and Practice
- DPC performs work in healthcare advocacy, expert policy analysis, and participatory research to help support the community. They strive to share the perspectives of people with disabilities and make Massachusetts more accessible and inclusive. This booklet shares DPC's top legislative priorities, budget priorities, and other bills that they support.January 2023Policy and Practice
- SisterSong is a Southern based, national membership organization; our purpose is to build an effective network of individuals and organizations to improve institutional policies and systems that impact the reproductive lives of marginalized communities. SisterSong defines Reproductive Justice as the human right to maintain personal bodily autonomy, have children, not have children, and parent the…January 2023Reproductive Justice, Racism
- Self-care is a broad-based concept and can encompass numerous actions that are intended to empower the individual to enhance their own health. Self-management approaches are one component of self-care. Given the nature of the medical abortion process, it is possible for women to manage the process by themselves in whole or part. While individuals may conduct some or all elements related to the…January 2023Illness/Disease/Injury/Wellbeing, Reproductive Justice
- The Affordable Care Act (ACA) Medicaid expansions increased preconception and postpartum insurance coverage among low-income birthing people, leading to greater use of outpatient care. In this study we evaluated whether the expansions affected rates of postpartum hospitalization. Our analyses took advantage of underused longitudinal hospital data from the period 2010–17 to examine…January 2023Adverse Birth Outcomes, Medicaid
- An intellectual-developmental disorder shouldn’t be a barrier to receiving personalized and effective support. In addition to our e-learning courses, webinars, and materials, we are the sole developer and distributor of the Health Risk Screening Tool (HRST), the most widely used and validated health risk screening tool for those with intellectual and developmental disabilities. (author…January 2023Policy and Practice
- Practicing clinicians are calling for it to be “mandatory for all medical students.” The Curriculum in IDD Healthcare (CIDDH) teaches the fundamentals of IDD healthcare, providing learners with pertinent, practical information that can be used immediately in their practices to improve outcomes, reduce suffering, and prevent unnecessary death in their patients with intellectual and developmental…January 2023Services & Programs
- The way a society treats people who give birth says a lot about that society. Tragically, the gender- and race-based biases in American society are evident in health outcomes surrounding pregnancy, childbirth, and postpartum recovery.Our country is in the midst of a maternal health crisis. The United States has the highest maternal mortality rate in the developed world and 60 percent of those…December 2022Maternal/Child Health, Policy and Practice
- Preterm births in the U.S. have reached the highest level in 15 years, and disproportionately are experienced by Black and Native American mothers and infants, according to a new report from WKKF grantee March of Dimes. “Our country, unfortunately … is one of the least safe places to give birth and be born,” said Dr. Zsakeba Henderson, March of Dimes’ senior vice president and interim chief…November 2022Maternal/Child Health
- Importance: The number of people living in unaffordable housing (relative to income) is projected to continue increasing as housing cost inflation outpaces incomes in the US. Although reproductive-aged women have disproportionately high housing costs, particularly around the time of childbirth, data on associations between housing costs and maternal health and the role of publicly supported…November 2022Maternal Morbidity and Mortality, Healthy Housing
- People with disabilities represent a large and often under-recognized minority population in the United States. Historically, negative healthcare provider perceptions and limited critical social determinants of health (including community living and education) have resulted in inequitable healthcare and access for this vulnerable group. Within the last 40 years, there have been some advances in…November 2022Social/Structural Determinants
- As of April 2021, nine states and the District of Columbia had enacted state-specific paid family leave (PFL) programs, offering partial wage replacement to parents after the birth of a child. The Biden Administration also proposed the development of a national solution through the American Families Plan. Despite these advances, concerns with workforce disruptions and economic costs have hindered…November 2022Mental/Behavioral Health, Paid Family Leave
- There are numerous health inequities for people with intellectual and developmental disabilities (IDD). They experience lower rates of preventive screening; higher rates of obesity, diabetes, and cardiovascular disease; lower life expectancy; and higher rates of pregnancy complications. If that’s not enough, they have been at nearly six times greater risk of dying from COVID-19.What is driving…October 2022Illness/Disease/Injury/Wellbeing, Social/Structural Determinants
- This year’s National Disability Employment Awareness Month (NDEAM) theme, Disability: Part of the Equity Equation, led us to reflect on our own workplace and how Mathematica incorporates diverse voices from people with disabilities throughout our organization. We approached this from two different perspectives. Naomi is an employee with a disability who chose to work at Mathematica in part…October 2022Environment/Context
- Background: One in four American adults reports having at least one disability. The COVID-19 pandemic has disproportionately impacted people with disabilities and widened already-existing health disparities and inequities. For many people with intellectual and developmental disabilities (IDD), these disparities are compounded by literacy limitations that make it challenging to access, understand…October 2022Policy and Practice
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