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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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- Introduction: States' approaches to addressing prenatal substance use are widely heterogeneous, ranging from supportive policies that enhance access to substance use disorder (SUD) treatment to punitive policies that criminalize prenatal substance use. We studied the effect of these prenatal substance use policies (PSUPs) on medications for opioid use disorder (OUD) treatment, including…September 2022Maternal/Child Health, Substance Use and Misuse
- A strong start in life: How public health policies affect the well-being of pregnancies and familiesThis report takes a holistic view of perinatal health and, as people progress through different stages of development, puts it in context as a developmental precursor to later indicators of wellness, including birth outcomes, postpartum wellness, and subsequent child development. The five domains of social determinants of health and well-being serve as the framework for this report:…July 2022COVID-19/Coronavirus, Maternal/Child Health, Social/Structural Determinants
- While states could not ban abortion while Roe v. Wade was in place, several passed laws that would criminalize the procedure when and if the 1973 court case was ever struck down. The overturning of Roe v. Wade has "triggered" laws in 13 states that severely restrict or ban abortion. Some of these trigger laws are being challenged by lawsuits. Additional states are likely…June 2022
- The Supreme Court of the United States has made their decision in Dobbs v. Jackson Women’s Health Organization, overturning Roe v. Wade and jeopardizing the rights of millions of Americans. This decision allows states to reduce and criminalize access and support for abortion care. In the months and years ahead, it’s very likely that abortion will become entirely unavailable and criminalized in at…June 2022Reproductive/Sexual Health
- From 2014 to 2015, W.K. Kellogg Foundation (WKKF) partnered with the University of New Mexico evaluation team to conduct a study to examine if and how the Foundation's investments in the strategies of folic acid initiative, home visiting, doulas, breastfeeding peer counselors and baby-friendly hospitals were improving maternal-child health in WKKF's priority places in New Mexico. One key finding…June 2022Maternal/Child Health
- The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) is a widely used program. Previous research shows that WIC improves birth outcomes, but evidence about impacts on children and families is limited. We use a regression discontinuity leveraging an age five when children become ineligible for WIC and examine nutritional and laboratory outcomes for adults and children…June 2022Maternal/Child Health
- Person-centered contraceptive access benefits reproductive autonomy, sexual wellbeing, menstrual regulation, and other preventive health. However, contraceptive access varies by social and geographic position, with policies either perpetuating or alleviating health inequities. We describe geographic and time-trend variation in an index from fewer (less expansive) to greater (more expansive)…June 2022Contraceptive Use/Access, Policy and Practice
- Community-based participatory strategies are a promising approach to addressing disparities in community health outcomes. This paper details the efforts of Siteman Cancer Center to achieve breast health equity over the past 15+ years. We begin by describing the activities and successes arising from our breast health community partnerships including identifying priorities, developing…May 2022Cancer
- This Webinar included a discussion of pregnancy-related mortality through the lens of abortion access and other policy decisions like Medicaid expansion. This included discussions of community- and culturally- centered birthing work and the need for cross-sector collaboration in this space.#P4HEwebinarMay2022May 2022Maternal Morbidity and Mortality, Policy and Practice
- As the AAMC Center for Health Justice prepares to host the inaugural Maternal Health Incubator later this month to address the longstanding trends of racial and ethnic health inequities for women and birthing people, hearing directly from those who have given birth is of high importance. In March and April 2022, the AAMC Center for Health Justice polled a nationally representative sample of…May 2022Maternal/Child Health
- This episode of On the Evidence features guests Kara Zivin, Laurie Zephyrin, and Adriana Kohler, who discuss untreated maternal mental health conditions, why it’s important to estimate the economic costs of not treating these conditions, and what further evidence will help us fully understand the negative impacts of untreated maternal mental health conditions and the potential positive effects of…May 2022Maternal/Child Health, Mental/Behavioral Health
- We study the effect of punitive and priority treatment policies relating to illicit substance use during pregnancy on the rate of neonatal drug withdrawal syndrome, low birth weight, low gestational age, and prenatal care use. Punitive policies criminalize prenatal substance use, or define prenatal substance exposure as child maltreatment in child welfare statutes or as grounds for termination of…April 2022Maternal/Child Health, Substance Use and Misuse
- Few studies have illustrated how racism influences Black women’s use of reproductive health care services. This article presents findings of a collaborative study conducted by a research team and a reproductive justice organization to understand Black women’s concerns with sexual and reproductive health services. The qualitative research was conducted with Black women living in Georgia and North…February 2022Reproductive/Sexual Health, Policy and Practice, Racism
- Adequate access to resources such as child care, nutritious foods, and housing can help people of reproductive age and their families lead healthy lives. However, these resources are not sufficiently available across all geographic areas and communities in the United States. People in these underserved communities—who have historically been disproportionately affected by rigid policies, minimal…January 2022Maternal/Child Health, Social/Structural Determinants
- Women’s Health Research at Yale is changing science to address the health needs of women and improve outcomes for everyone. Recent work funded by The Community Foundation is developing heart disease treatment that accurately responds to the biology and experiences of women. (author abstract)December 2021Heart disease
- In this research note, I estimate one component of the mortality impact of denying all wanted induced abortions in the United States. This estimate quantifies the magnitude of an increase in pregnancy-related deaths that would occur solely because of the greater mortality risk of continuing a pregnancy rather than having a legal induced abortion. Using published statistics on pregnancy-related…December 2021Maternal Morbidity and Mortality, Abortion Access
- Importance Severe maternal morbidity (SMM) is a major risk factor for maternal mortality, yet little is known about geographic variation in SMM or factors associated with geographical variation at the local level. Municipal governments incur substantial expenditures providing services that are an essential part of residents’ lives, but associations between municipal expenditures and…November 2021Maternal Morbidity and Mortality
- Maternal safety refers to the safety of a person during pregnancy, childbirth, and the postnatal period. Transitions through pregnancy and birth can pose complex safety challenges, and normal physiologic changes can result in signs and symptoms that make it difficult to recognize and diagnose serious illness. Additionally, patients may not receive timely or adequate information about their health…October 2021Maternal Morbidity and Mortality
- Structural racism causes significant inequities in the diagnosis of perinatal and maternal mental health disorders and access to perinatal and maternal mental health treatment. Black birthing populations are particularly burdened by disjointed systems of care for mental health. To identify strategies to address racism and inequities in maternal and infant mental health care, we interviewed ten…October 2021Maternal/Child Health, Isms and Phobias
- This article introduces the Hewlett Foundation’s refreshed Global Reproductive Equity (GRE) strategy, focusing on improving sexual and reproductive health and rights (SRHR) in East and Francophone West Africa. The strategy, developed with input from grantee partners, funders, and stakeholders, addresses the impact of COVID-19 on health systems and emphasizes the need for equity and power shifting…September 2021Social/Structural Determinants
- The United States has the highest maternal mortality rate among developed countries and experiences substantial disparities in maternal health outcomes, particularly by race and ethnicity. The most recent national report on maternal mortality in the US reveals a significant increase in the national maternal mortality rate in 2019 compared to 2018 (20.1 and 17.4 deaths per 100,000 live births…August 2021Maternal/Child Health, Policy and Practice
- As Congress considers proposals to be included in the upcoming budget reconciliation package, a number of health care measures are on the table. Among these potential reforms are pathways to close the gap in Medicaid coverage that exists in the twelve states that declined to expand Medicaid after the passage of the Affordable Care Act (ACA). A Supreme Court ruling in 2012 made Medicaid expansion…August 2021Maternal/Child Health, Reproductive/Sexual Health, Medicaid
- Intersectionality is a widely adopted theoretical orientation in the field of women and gender studies. Intersectionality comes from the work of black feminist scholars and activists. Intersectionality argues identities such as gender, race, sexuality, and other markers of difference intersect and reflect large social structures of oppression and privilege, such as sexism, racism, and…August 2021Policy and Practice, Isms and Phobias
- Background: Medications for opioid use disorder (MOUD) improve outcomes for pregnant women and infants. Our primary aim was to examine disparities in maternal MOUD receipt by family sociodemographic characteristics. Methods: This retrospective cohort study included mother-infant dyads with Medicaid-covered deliveries in Tennessee from 2009 to 2016. First, we examined family sociodemographic…July 2021Maternal/Child Health, Substance Use and Misuse, Medicaid
- The strong relationship between housing and health has been well-established, a reality that can be critically important for those who are pregnant. Affordable, quality housing—and where it is located—directly affect families’ physical and emotional well-being. Since October 2019, cross-sector “core teams” in nine states and Washington, D.C., have been working to address drivers of maternal and…June 2021COVID-19/Coronavirus, Maternal/Child Health, Social/Structural Determinants
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