Sacramento Drop In Black Child Deaths Holds Lessons for LA

The United States has the highest mother mortality rates of any developed country. Through a clinic on wheels, Merck for Mothers is giving prenatal check-ups to low-income pregnant women in Philadelphia and curbing deaths related to childbirth.

In South Carolina, a Medicaid program is offering long-acting contraceptives during a new mother’s hospital stay, while she is still eligible for the benefit. Other states are following suit.

Project Baby Bear is a grant-funded pilot program that uses genome sequencing to to diagnose sick infants. The doctors hope to save lives and save the system money on unnecessary treatments. Since very few sick infants show symptoms that correlate to their genetic diagnosis, these tests are instrumental in positive health outcomes.

The simple addition of adding handles to bathroom stalls in the Rohingya refugee camps in Bangladesh has helped the camps' pregnant women regain a sense of empowerment and dignity. Providing support and balance, the design of these latrines have benefited the elderly in the camps as well.

Mozambique has a shortage of practicing surgeons, so medical technicians are being trained to fill their roles in various situations, especially in rural locations. Although there are challenges to using this tactic, the technicians-turned-surgeons have similar complication rates as those who are practicing surgeons.

The Maternal and Neonatal Emergency Transport Scheme helps to increase access to healthcare services for women and newborns in rural areas through its informal transport/ambulance service. There are currently 2,500 registered drivers with the program willing to transport those in need of care and they serve about 70-90 women in labor each month.

To address gaps in healthcare access, the local government partnered with organizations like Plan International, German Cooperation and the World Bank’s Saving One Million Lives Project to build, refurbish and equip primary healthcare centers across the state to provide better care. As of May 2023, 138 centers have been built or upgraded, offering maternity care services, child healthcare, vaccinations and family planning among other services.

Mexico's Pilot Program for Licensed Physicians brings Mexican doctors to the states to address the lack of culturally relevant healthcare and Spanish-speaking healthcare providers, particularly in rural areas with large immigrant populations. Currently, the program has 30 Mexican doctors working in various counties throughout the state.

Birth in Color's doulas are filling the maternity care gap as rural labor and delivery rooms close, disproportionately impacting people of color. Doulas provide physical, emotional and informational support before, during and after childbirth, and advocate on the mother’s behalf. Doula care leads to improved birth outcomes and lower rates of C-sections, and in April 2022 doula services were added under the state’s Medicaid program.

The Kids with a Vision Foundation (K-WAVF) provides care and shelter, particularly to vulnerable youth displaced by conflicts. K-WAVF’s team of community representatives also partners with local schools to take youth on educational field trips and provide vocational training. Since its inception in 2013, K-WAVF has extended its reach across five local government areas in the state.