Marshall Cassondra, Nguyen Ashley, Cuentos Alli, Almenar Alyana, Mace Gabriella, Arcara Jennet, Jackson Andrea V, Gómez Anu Manchikanti
School of Public Health, University of California, Berkeley, California.
SisterWeb San Francisco Community Doula Network, San Francisco, California.
J Midwifery Womens Health. 2025 May-Jun;70(3):502-509. doi: 10.1111/jmwh.13730. Epub 2025 Jan 18.
As access to doula services expands through state Medicaid coverage and specific initiatives aimed at improving maternal health equity, there is a need to build and improve upon relationships between the doula community, hospital leaders, and clinical staff. Previous research and reports suggest rapport-building, provider education, and forming partnerships between community-based organizations and hospitals can improve such relationships. However, few interventions or programs incorporating such approaches are described in the literature. This article describes the development and 5 core components of the Champion Dyad Initiative (CDI), a novel program that uses bidirectional feedback between SisterWeb, a community-based doula organization, and 5 clinical sites (4 hospitals and one birthing center) to ensure pregnant and birthing people receive fair and equitable treatment. We also describe implementation challenges related to documentation, funding, and institutional support. The CDI is a promising model for community-based doula organizations and health care institutions to develop collaborative partnerships, build respectful doula-provider relationships, and work toward improving the pregnancy-related care that Black, Indigenous, and people of color receive in hospital and birth center settings. It is our hope that this innovative initiative can serve as a model that can be adapted for other locales, organizations, and hospitals.
随着通过州医疗补助覆盖范围以及旨在改善孕产妇健康公平性的特定举措，导乐服务的可及性不断扩大，有必要建立并改善导乐群体、医院领导和临床工作人员之间的关系。先前的研究和报告表明，建立融洽关系、对提供者进行教育以及在社区组织和医院之间建立伙伴关系可以改善此类关系。然而，文献中很少描述纳入此类方法的干预措施或项目。本文介绍了“冠军二元组倡议”（CDI）的发展情况及其5个核心组成部分，这是一个新颖的项目，利用社区导乐组织SisterWeb与5个临床机构（4家医院和1个分娩中心）之间的双向反馈，以确保孕妇和产妇得到公平公正的待遇。我们还描述了与记录、资金和机构支持相关的实施挑战。CDI是一个很有前景的模式，可供社区导乐组织和医疗机构建立合作关系，建立相互尊重的导乐与提供者关系，并努力改善黑人、原住民和有色人种在医院和分娩中心环境中接受的与妊娠相关的护理。我们希望这一创新举措能够成为一个可适用于其他地区、组织和医院的模式。
