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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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- Medicaid has a long history of serving pregnant women, but many women are not eligible for Medicaid before pregnancy or after sixty days postpartum. We used data for new mothers with Medicaid-covered prenatal care in 2015–18 from forty-three states participating in the Pregnancy Risk Assessment Monitoring System (PRAMS) to describe patterns of perinatal uninsurance and health outcomes of women…April 2021Illness/Disease/Injury/Wellbeing, Maternal/Child Health, Depression, Medicaid
- Objective: To synthesize the literature on associations between social determinants of health and pregnancy-related mortality and morbidity in the US and to highlight opportunities for intervention and future research.Data Sources: We performed a systematic search using Medline Ovid, CINAHL, Popline, Scopus and ClinicalTrials.gov (1990–2018) using MeSH terms related to maternal…April 2021Maternal Morbidity and Mortality, Social/Structural Determinants
- Issue: In the United States, high spending on maternity care does not translate to better maternal health outcomes. People of color, particularly Black and Indigenous women, are at heightened risk for negative outcomes.Goal: To examine models for delivering maternity care that could improve outcomes and reduce racial inequities in maternal morbidity and mortality.Methods: Review of research…March 2021Maternal/Child Health, Policy and Practice
- In the United States, despite significant investment and the efforts of multiple maternal health stakeholders, maternal mortality (MM) has reemerged since 1987 and MM disparity has persisted since 1935. This article provides a review of the U.S. MM trajectory throughout its history up to its current state. From this longitudinal perspective, MM trends and themes are evaluated within a global…February 2021Maternal Morbidity and Mortality
- Since the World Health Organization launched its commission on the social determinants of health (SDOH) over a decade ago, a large body of research has proven that social determinants—defined as the conditions in which people are born, grow, live, work, and age—are significant drivers of disease risk and susceptibility within clinical care and public health systems. Unfortunately, the term has…February 2021Maternal/Child Health, Social/Structural Determinants
- Black women in the United States have experienced substantial improvements in health during the last century, yet health disparities persist. These health disparities are in large part a reflection of the inequalities experienced by Black women on a host of social and economic measures. In this paper, we examine the structural contributors to social and economic conditions that create the…February 2021Illness/Disease/Injury/Wellbeing, Social/Structural Determinants
- In partnership with the Blue Cross Blue Shield Association, the National Academy for State Health Policy (NASHP) recently held a virtual roundtable discussion of state officials to discuss maternal health initiatives in Illinois and Georgia and explore strategies to improve maternal health outcomes for Medicaid enrollees. Despite spending more than other developed nations on hospital-provided…November 2020Adverse Birth Outcomes, Maternal Morbidity and Mortality
- A Centers for Disease Control and Prevention (CDC) study published in September found that pregnant women, especially Black and Latinx, are at increased risk of severe illness from COVID-19 compared to non-pregnant individuals. They are more likely to be admitted to intensive care units (ICU), receive invasive ventilation, and are at increased risk of death.In response to COVID-19, several states…November 2020COVID-19/Coronavirus, Maternal Morbidity and Mortality
- The inequities laid bare by COVID-19 underscore the importance of states’ efforts to develop policies and interventions to address all health disparities. Systemic racism, a driver of these inequities, also fuels disparities in maternal morbidity and mortality – Black women are four-times more likely to die from pregnancy-related causes than White women. States are on the frontlines, working…October 2020Adverse Birth Outcomes, Maternal Morbidity and Mortality
- The research team is evaluating how different prenatal substance use policies (PSUPs) impact (1) how systems, such as child welfare, criminal justice and healthcare providers, respond; (2) maternal substance use and healthcare behaviors; and (3) maternal and newborn health. The researchers are also examining whether the policies have differential impact based on the mother’s race and ethnicity. (…October 2020Adverse Birth Outcomes, Substance Use and Misuse
- The United States is the only developed nation that fails to guarantee any kind of paid leave to workers. We lack a national paid family and medical leave (PFML) policy that encompasses: (1) paid parental leave, which would apply to both mothers and fathers after the birth of a child, adoption of a child, or fostering a child; (2) paid family leave (PFL), which would apply to caregivers of a…September 2020Maternal/Child Health, Paid Family Leave
- The coronavirus 2019 (COVID-19) pandemic and related policies have led to an unequal distribution of morbidity and mortality in the U.S. For Black women and birthing people, endemic vulnerabilities and disparities may exacerbate deleterious COVID-19 impacts. Historical and ongoing macro-level policies and forces over time have induced disproportionately higher rates of maternal morbidity and…July 2020COVID-19/Coronavirus, Maternal/Child Health, Social/Structural Determinants, Isms and Phobias
- Background: Continuing education is essential for healthcare workers. Education interventions can help to maintain and improve competency and confidence in the technical skills necessary to address adverse events. However, characteristics of the health provider such as age (related to more critical and reflexive attitude); sex (relationship with gender socialization), profession and work…March 2020School-Based Health Care
- Review question: The aim of this review was to compare whether women taking abortion drugs on their own without healthcare provider supervision can do so as successfully and safely as women who take the drugs in the presence of trained healthcare providers. Background: Medical abortion used to end pregnancies has been successful and safe when women have access to appropriate information and…March 2020Abortion, Contraceptive Use/Access, Reproductive Justice
- One in five Americans lives in a rural area, including about 18 million women of reproductive age, but key indicators, including mortality figures, show that the health of mothers and children in these communities lags behind that of their urban peers and is worsening. Nationwide, child mortality rates have declined over the past decade, but recent research shows that improvement among infants…February 2020Maternal/Child Health
- Pregnancy-related deaths among American women have risen markedly over the past 30 years, despite an overall downward trend worldwide. Many of these deaths are preventable, and the risk remains three to four times higher for black women than white women at all levels of income or education. Maternal mortality—a key measure of health care quality—is typically defined as the death of a woman…January 2020Maternal Morbidity and Mortality
- Social determinants of health—the conditions in which people are born, grow, work, live, and age that affect health and quality of life—are strongly associated with disparities in health status and life expectancy. Nurses require a comprehensive understanding of social determinants and their associations with health outcomes to provide patient-centered care. Nurses can be leaders and change…January 2020Services & Programs, Social Environment
- Last month, I had the opportunity to join a passionate panel of advocates and experts at the inaugural TIME 100 Health Summit, to discuss both the strategy and urgency needed to transform women’s health. I walked away with the overarching feeling that our ability to improve women’s health outcomes depends on our will to do so, as much as it depends on the health tools and services that we must…November 2019Maternal/Child Health
- In Washington, DC, and in state capitols across the nation, policy debates over the future of access to reproductive and sexual health services are shaping the range of services and providers available to low-income women. Access to these services, including contraceptive care, sexually transmitted infection (STI) prevention and treatment, obstetrical care, and abortion services, have a profound…November 2019Reproductive/Sexual Health, Social/Structural Determinants
- The rising trend in pregnancy-related deaths during the past 2 decades in the United States stands out among other high-income countries where pregnancy-related deaths are declining. Cardiomyopathy and other cardiovascular conditions, hemorrhage, and other chronic medical conditions are all important causes of death. Unintentional death from violence, overdose, and self-harm are emerging causes…October 2019Maternal Morbidity and Mortality
- Practitioners in maternal and child health (MCH) make it a priority to solve complex public health problems facing women, children, adolescents, and their families across the life course. The field of MCH has made significant advances in the past century, including the expansion of family planning methods and services, the eradication of once-common deadly diseases such as polio, and innovations…May 2019Maternal/Child Health
- On Jan. 10, 2019, Taté Walker (they/them) presented on the violence and marginalization faced by Indigenous womxn*, primarily due to the ongoing, chronic impacts of settler colonialism. Walker, who is Lakota and a citizen of the Cheyenne River Sioux Tribe of South Dakota, is an Indigenous rights activist and award-winning multimedia storyteller. Walker observed that the U.S. murder rate for…January 2019Community Violence, Structural Violence
- Objective: Guided by critical theory, this study illustrates the value of interpretative mapping to deconstruct bus travel to publicly funded prenatal care in a city marked by health and social inequities.Design: Using geographical information systems (GIS) approach, this mixed methods study delves deeper into the known barrier of transportation to prenatal care among urban mothers most at risk…July 2018Maternal/Child Health, Transportation
- The Best Babies Zone (BBZ) Initiative, launched in 2012 with funding from the W.K. Kellogg Foundation, is a place-based, multi-site, multi-sector approach to reducing disparities in infant mortality and birth outcomes. Through community mobilization and local partnerships, the Initiative aims to increase health equity by supporting solutions driven by resident needs in neighborhoods most impacted…February 2018Maternal/Child Health
- There is a common assumption that programs aiming to increase coverage of health services and reduce morbidity and mortality among the poor are, by virtue, equitable. However, without careful attention to equity in the design, implementation, monitoring, evaluation, and adjustment of the strategy, these programs may result in narrow impacts that only improve the situation of those who are…September 2016Maternal/Child Health, Reproductive/Sexual Health, Policy and Practice
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