The Public Good Projects, San Diego, USA.
Humana Healthy Horizons in Florida, Tampa, US.
Matern Child Health J. 2024 Aug;28(8):1265-1271. doi: 10.1007/s10995-024-03937-z. Epub 2024 Jun 7.
This commentary advocates for a comprehensive approach to addressing the Black maternal and infant health crisis, utilizing the collective impact model with health equity at its center. Black women in the United States face alarmingly high rates of maternal morbidity and mortality compared to white women. Black women are twice as likely to have premature and low birthweight babies than white women, exposing both the expectant woman and child to various health risks. This crisis stems from systemic racism, implicit bias in healthcare, and a lack of targeted health communications for pregnant Black women. The urgency of this situation requires a bold and unified response through collaboration and coordination among healthcare providers, local and grassroots community-based organizations (CBOs), and digital health communicators. A comprehensive Black maternal and infant health campaign embedded within the collective impact model and led by a dedicated backbone organization would facilitate the coordination and involvement of diverse stakeholders. Central to these efforts should be the acknowledgment that systemic racism perpetuates health inequities. Consequently, any initiatives to improve health outcomes should prioritize health equity by valuing and incorporating Black women's perspectives. This involves crafting a responsive strategy and placing Black women at the forefront of content creation, program strategy, and evaluation. Through a collaborative effort involving healthcare partners, CBOs, and health communicators, we can have an impact far more significant than any single initiative. Immediate action is needed to dismantle systemic barriers and ensure every Black woman and infant receives the care and support they deserve. Black maternal health disparities in the United States have been widely acknowledged and studied. It is well-established that Black women face significantly higher rates of maternal morbidity and mortality compared to their white counterparts, indicative of a severe healthcare crisis. This opinion piece contributes to the discourse by proposing a comprehensive solution grounded in the collective impact model, which emphasizes collaboration and coordination across various stakeholders. This approach represents a shift from past siloed efforts, aiming to tackle the urgent issue of Black maternal and infant health with a multidisciplinary approach centered on health equity.
这篇评论倡导采取综合方法解决黑人母婴健康危机，利用以健康公平为中心的集体影响模式。与白人女性相比，美国黑人女性的产妇发病率和死亡率高得惊人。黑人女性早产和低出生体重婴儿的比例是白人女性的两倍，这使孕妇和儿童面临各种健康风险。这种危机源于系统性种族主义、医疗保健中的隐性偏见，以及针对怀孕黑人女性的针对性健康传播的缺乏。这种情况的紧迫性需要通过医疗保健提供者、当地和基层社区组织 (CBO) 以及数字健康传播者之间的合作与协调来做出大胆而统一的回应。一个嵌入集体影响模式并由专门的骨干组织领导的全面黑人母婴健康运动将促进不同利益相关者的协调和参与。这些努力的核心应该是承认系统性种族主义加剧了健康不平等。因此，任何改善健康结果的举措都应通过重视和纳入黑人女性的观点来优先考虑健康公平。这涉及制定一个响应式战略，并将黑人女性置于内容创作、项目战略和评估的前沿。通过医疗保健合作伙伴、CBO 和健康传播者的协作努力，我们可以产生比任何单一举措都更重大的影响。需要立即采取行动，拆除系统性障碍，确保每一位黑人女性和婴儿都能得到他们应得的护理和支持。美国黑人母婴健康差距已经得到广泛承认和研究。事实已经证明，与白人女性相比，黑人女性面临更高的产妇发病率和死亡率，这表明存在严重的医疗保健危机。这篇观点文章通过提出一个基于集体影响模式的综合解决方案为讨论做出了贡献，该模式强调跨各种利益相关者的合作与协调。这种方法代表了从过去孤立努力的转变，旨在以健康公平为中心，采取多学科方法解决黑人母婴健康的紧迫问题。
