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Shifting the Paradigm: Addressing Maternal Health Disparities Through Transformational Community Engagement.

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Black women in NYC face a higher risk of maternal mortality and severe maternal morbidity (SMM). A community-academic partnership in Central Brooklyn established a women

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Area of Science:

  • Public Health
  • Health Disparities
  • Community-Based Participatory Research

Background:

  • The US experiences a maternal mortality crisis, with significant racial/ethnic disparities.
  • Black women in New York City (NYC) face disproportionately higher risks of pregnancy-related mortality and severe maternal morbidity (SMM) compared to White women.
  • Adverse perinatal and maternal health outcomes are driven by complex systemic, community, and individual factors.

Purpose of the Study:

  • To implement a community engagement model to address maternal health disparities in Central Brooklyn, NY.
  • To establish an equitable community-academic partnership focused on identifying and mitigating drivers of adverse maternal health outcomes.
  • To create a sustainable model for improving maternal and women's health through community-centered approaches.

Main Methods:

  • Utilized the CDC's principles of community engagement.
  • Employed the National Academy of Medicine's (NAM) Assessing Meaningful Community Engagement (ACE) conceptual model for evaluation.
  • Established a community advisory board (CAB) comprising women from Central Brooklyn.

Main Results:

  • Successfully implemented a transformational model of community engagement.
  • Formed an equitable community-academic partnership to address maternal health disparities.
  • Established a sustainable women's health community advisory board (CAB) in Central Brooklyn.

Conclusions:

  • A community-centered approach, guided by established frameworks, can effectively address maternal health disparities.
  • The established women's health CAB serves as a sustainable model for improving maternal and women's health outcomes.
  • This case study offers a replicable model for other urban settings facing similar challenges in maternal health.