Center 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).
J Public Health Manag Pract. 2022;28(Suppl 1):S70-S73. doi: 10.1097/PHH.0000000000001433.
On opposite ends of North Carolina, collaborations in Buncombe and Chatham counties are tackling infant mortality inequities with innovative strategies. While their strategies differ, both groups use an approach that is driven by authentic community voice and directly contributes to dismantling structural racism. The Mountain Area Health Education Center in Asheville is transitioning their leadership of the Mothering Asheville Coalition to SistasCaring4Sistas, a group of Black doulas with lived experience, and is supporting the doulas' work to become a nonprofit organization that will serve the entire state. Chatham County Health Department leads the Equity for Moms and Babies Realized Across Chatham Coalition, a group that relies on recommendations from birthing individuals with lived experience to continually assess and revise hospital policies and practices to improve birth experiences in addition to birth outcomes. The work of these communities highlights several implications for advancing health equity, including the need to establish and maintain trust with the community served, include those with lived experience and expertise in decision making, guide strategies, take risks, and facilitate organizational culture change.
在北卡罗来纳州的两端，布恩县和查塔姆县的合作正在通过创新策略解决婴儿死亡率的不平等问题。虽然他们的策略不同，但这两个团体都采用了一种由真实社区声音驱动的方法，并直接有助于消除结构性种族主义。阿什维尔的山区健康教育中心正在将他们对 Mothering Asheville 联盟的领导权移交给 SistasCaring4Sistas，这是一个由有经验的黑人助产妇组成的团体，并支持助产妇成为一个为整个州服务的非营利组织。查塔姆县卫生署领导着 Equity for Moms and Babies Realized Across Chatham 联盟，该组织依赖于有经验的生育个体的建议，不断评估和修改医院政策和实践，以改善分娩体验和出生结果。这些社区的工作凸显了推进健康公平的几个意义，包括与所服务的社区建立和保持信任的必要性，包括那些有经验和决策专业知识的人，指导策略，承担风险，并促进组织文化变革。
