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The Power of Community in Addressing Infant Mortality Inequities
Grace Gorenflo1, Naomi Rich, Maggie Adams-McBride
1Center for Sharing Public Health Services, Kansas Health Institute, Topeka, and Gorenflo Consulting, State College, Pennsylvania (Ms Gorenflo); Public Health Accreditation Board, Alexandria, and Public Health National Center for Innovations, Alexandria, Virginia (Ms Rich); Mountain Area Health Education Council, Asheville, North Carolina (Ms Adams-McBride); and Chatham County Public Health, Pittsboro, North Carolina (Ms Hilliard).
Innovative North Carolina collaborations address infant mortality disparities by empowering community voices and dismantling structural racism. These initiatives highlight the importance of trust, lived experience, and organizational change for advancing health equity.
Area of Science:
- Public Health
- Health Equity
- Community-Based Participatory Research
Background:
- Infant mortality inequities persist, disproportionately affecting marginalized communities.
- Structural racism is a significant driver of these health disparities.
- Community-led initiatives are crucial for effective intervention.
Purpose of the Study:
- To highlight innovative strategies addressing infant mortality inequities in North Carolina.
- To examine the role of community voice and dismantling structural racism in improving birth outcomes.
- To identify key implications for advancing health equity through community-based approaches.
Main Methods:
- Community-driven collaborations in Buncombe and Chatham counties were examined.
- Strategies involved transitioning leadership to community groups (SistasCaring4Sistas) and incorporating lived experience into policy revision (Chatham County Health Department).
- Focus on authentic community engagement and addressing systemic issues.
Main Results:
- Successful community partnerships are emerging to tackle infant mortality.
- Empowering Black doulas and involving individuals with lived experience are key components.
- Initiatives are actively dismantling structural racism to improve birth experiences and outcomes.
Conclusions:
- Building and maintaining community trust is essential for health equity.
- Including individuals with lived experience in decision-making is vital for guiding strategies.
- Organizational culture change and risk-taking are necessary to advance health equity.
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