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Community-Led Solutions to Address Black Maternal and Infant Mortality Through the TNT-PISP Model: A Qualitative
Morgan S White1, Deejay Zwaga2, Laura E T Swan3
1Department of Family Medicine and Community Health, School of Medicine and Public Health, University of Wisconsin- Madison, Madison, USA. morgan.white@fammed.wisc.edu.
Maternal and Child Health Journal
|May 2, 2026
Summary
A community-based perinatal support program improved trust and connection for Black mothers by leveraging shared identity and culture. This culturally informed model shows promise for addressing health inequities in Black communities.
Area of Science:
- Perinatal Health
- Health Equity
- Community-Based Interventions
Background:
- Black women and infants face disproportionately high morbidity and mortality rates in the U.S. and Wisconsin.
- Existing healthcare models may not adequately address the unique needs of Black mothers and families.
- Culturally informed approaches are crucial for improving perinatal outcomes.
Purpose of the Study:
- To explore the effectiveness of a community-based, culturally informed perinatal support model for Black mothers.
- To address the specific needs and challenges faced by Black women during the perinatal period.
- To promote health equity and reduce disparities in maternal and infant health outcomes.
Main Methods:
- Implementation of the Today Not Tomorrow Pregnancy and Infant Support Program (TNT-PISP).
- Monthly support group sessions facilitated by Black doulas, physicians, and community partners.
- Data collection via semi-structured interviews and focus groups, analyzed using the Daughtering Method and reflexive thematic analysis.
Main Results:
- Participants highlighted the value of shared Black identity and culture in building trust and connection.
- An open, non-judgmental environment facilitated meaningful discussions and emotional support.
- Valuable exchange of parenting knowledge and community resources occurred, supported by a flexible, child-friendly program structure.
Conclusions:
- Community-based, culturally informed perinatal support programs hold significant potential for advancing health equity for Black women and infants.
- Integration of culturally relevant care models into traditional healthcare systems can help mitigate health inequities.
- Further research is needed to assess the long-term impacts and scalability of such programs in diverse settings.
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