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Reimagining Perinatal Care in Alabama Through Innovative Partnerships.

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Summary
This summary is machine-generated.

The Women and Children Health Initiative (WACHI) improves rural maternity care by growing the certified nurse-midwife (CNM) workforce and expanding collaborative care models. This initiative enhances access and quality for childbearing families in underserved areas.

Keywords:
certified nurse‐midwifecommunity partnershipsmaternal‐infant outcomesperinatal maternal healthrural healthworkforce development

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Area of Science:

  • Maternal Health
  • Public Health Policy
  • Health Systems Innovation

Background:

  • Childbearing families, particularly in rural US communities, experience significant disparities in access to high-quality maternity care.
  • Existing healthcare systems often present barriers to the full integration and practice of certified nurse-midwives (CNMs).
  • Alabama faced long-standing challenges in maternity care access and quality, necessitating innovative solutions.

Purpose of the Study:

  • To describe the Women and Children Health Initiative (WACHI) model, a coordinated hub designed to address maternity care disparities.
  • To detail WACHI's strategies for advancing midwifery workforce growth, expanding practice partnerships, and catalyzing policy change.
  • To report early outcomes of the WACHI model and inform its adaptation and replication.

Main Methods:

  • WACHI integrates CNMs into healthcare systems by codesigning and implementing evidence-informed interventions with academic, health system, public health, and community partners.
  • Key program pillars include expanding nurse-midwifery education, embedding home visiting with behavioral health, launching a mobile health clinic for rural areas, and fostering CNM-physician collaborations.
  • Focus on team-based care, patient preferences, and cultural safety.

Main Results:

  • Early results show growth in the CNM workforce and the establishment of new rural practice partnerships.
  • Increased health system engagement with respectful, team-based care models.
  • Demonstrated progress in aligning workforce development, healthcare delivery, and policy.

Conclusions:

  • The WACHI model offers a coordinated approach to improving maternity care access and quality in underserved rural areas.
  • Successful integration of CNMs and collaborative care models can reduce disparities and improve outcomes for childbearing families.
  • The WACHI strategies provide a framework for replication by regional coalitions and health systems nationwide.