Virtual Meeting Q&A: Growing, Sustaining, and Supporting the Birth Doula Workforce

There has been growing interest in recent years about doula care and its role in addressing racial disparities in maternal health. Over half of the states in the US are currently exploring or in the process of implementing Medicaid coverage for doula care. During this virtual meeting our panel of experts answered audience questions about…

Birth Doulas Addressing Systemic Racism in Underserved Communities Webinar

Evidence of birth doulas’ positive impacts on pregnancy and birth outcomes continues to grow, particularly among underserved populations. Policymakers have significant interest in expanding birth doula services, however little is known about the role of this workforce and how to expand their services. This webinar discusses 2 studies focused on addressing this gap, including organizational…

“This Work That We’re Doing Is Bigger Than Ourselves”: A Qualitative Study With Community-Based Doulas in the United States

Community-based doulas provide essential services and expertise which address inequities and systemic gaps in perinatal care. However, as they work to improve perinatal health, doulas themselves are providing equity work amidst an inequitable system and with insufficient political or financial support. Increased compensation and systemic support which acknowledges the breadth of services provided are needed…

Financial Instability of Federal Navigator Program Challenges Organizations to Help Uninsured Enroll in Health Insurance Coverage

Under the Affordable Care Act (ACA), the Obama Administration created the federal Health Insurance Navigator Program, which seeks to reduce the rate of uninsured in the United States. Under this program, navigators help people procure insurance coverage through federally facilitated Marketplaces (or Exchanges). During COVID-19, financial insecurity and substantial budget cuts created increased shortages and…

Addressing Systemic Racism in Birth Doula Services to Reduce Health Inequities in the United States

Birth doulas, who support pregnant women during the perinatal period, have positive impacts on pregnancy and birth outcomes, particularly among underserved populations. However, health workforce-related barriers challenge the development of robust doula services in the United States. This article examines various approaches to train, recruit, and employ doulas, as well as what system-level changes are…

Lack of Consistent Investment in Federal Insurance Navigator Program Undermines Navigators’ Equity Work in Vulnerable Communities

Navigators in the federal Insurance Navigator Program provide enrollment assistance, outreach, and education to individuals who are eligible for health insurance coverage. Their work is key to public health efforts to address inequities but continues to be poorly understood and undervalued. This article examines the navigator profession to better understand the equity work they do,…

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