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Improving Black Maternal Health: Early Implementation Findings from California's Black Infant Health Program
Mary Campa1, Dulce Bustamante-Zamora1, Amish Doshi1
1Maternal, Child and Adolescent Health Division, California Department of Public Health, 1615 Capitol Ave, MS 8300, P.O. Box 997420, Sacramento, CA, 95899-7420, USA.
California's Black Infant Health Program effectively supports Black mothers and birthing persons by addressing racism as a root cause of health disparities. The program shows high participant satisfaction and feasible implementation.
Area of Science:
- Public Health
- Health Disparities Research
- Maternal and Child Health
Background:
- Racism is identified as a primary driver of health disparities for Black birthing individuals.
- California's Black Infant Health (BIH) Program was established to address these disparities.
Purpose of the Study:
- To review the scientific foundation of the BIH Program.
- To report initial implementation results and participant feedback.
Main Methods:
- Descriptive analyses of program evaluation data from 2015-2018.
- Examined participation rates, service delivery, and participant perceptions.
Main Results:
- 3332 Black birthing persons participated.
- High rates of required activities and support services (food, transport, childcare) were met.
- Over 90% of participants reported benefits in stress management, goal achievement, and social connection.
Conclusions:
- The BIH Program is grounded in scientific understanding of racism's impact on health.
- The program's six interwoven strategies are feasible for improving maternal and infant health outcomes.
- BIH aligns with evidence-based models for effective implementation.
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