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These reports measure trends in effectiveness of care, patient safety, timeliness of care, patient centeredness, and efficiency of care.

The National Institute on Minority Health and Health Disparities NIMHD released The Health Disparities Pulse , a quarterly newsletter for the health disparities community that covers a wide array of topics, issues, and information pertaining to minority health and health disparities research and activities.

Through four key strategies—grantmaking, educating, convening, and advocating—foundations can address health disparities and achieve greater access to health care, improved quality of service delivery, and better health outcomes. The Blueprint is an implementation guide for advancing and sustaining culturally and linguistically appropriate services within health and health care organizations. This report underscores the increased risk for clinical and subthreshold psychotic symptoms and disorders among racial and ethnic minorities and describes the development of an integrated model of risk for subthreshold psychotic experiences and symptoms that take into account culturally relevant factors.

People with psychiatric diseases have a severely increased risk for physical morbidity and premature death from physical diseases.

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Formed with support from SAMHSA in partnership with the National Alliance of Multi-ethnic Behavioral Health Associations, NNED supports information sharing, training, and technical assistance among organizations and communities dedicated to the behavioral health and wellbeing of diverse communities. It also calls for future efforts to establish sustainable mechanisms for ongoing training, education, and support for the core workforce in rural areas and for de facto rural systems of care in general.

Resolving Differences Between Behavioral Health and Primary Care Cultures , a presentation by Beth Wrobel and Bob Franko at the National Council's Conference, communicates the importance of collaboration between primary care and behavioral health providers and how to achieve partnership.

It is based on research conducted by the Hogg Foundation for Mental Health and proceedings from the national consensus meeting held in , funded by the U. African American Communities and Mental Health , a webpage designed by Mental Health America provides statistics and educational materials that focus on African American mental health.

The consensus statements and recommendations originated from an Office of Minority Health meeting of nearly 50 key leaders in health, medicine, mental health, substance use, religion, education, research, advocacy, public policy, and clinical practice.


Office of Minority Health, is based on research conducted by the National Asian American Pacific Islander Mental Health Association and proceedings from a national consensus meeting of the same title. The document provides a blueprint for addressing the health and behavioral health needs of these populations through integrated care. The card covers regional differences; cultural customs; spirituality; communications styles; the role of veterans and the elderly, and health disparities, such as suicide.

Judith Salmon Kaur for medical accuracy, modified if necessary, and made available for distribution to health care and community settings. FamiliesUSA: New infographic. This resource shows some of the more prevalent health disparities that afflict Latinos in the United States. It urges those who answered "yes" to any of the questions to seek help and lists resources for more information. In addition, in states that did expand Medicaid, infant mortality for African American infants fell by more than twice the rate that it did in non-Medicaid expansion states.

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The authors of the study suggest that increased access to health care services and contraception may have been factors in the decrease in infant mortality in Medicaid expansion states, allowing women to both access services before and after their pregnancy as well as better plan their pregnancies. Even with health insurance, accessing timely, culturally appropriate, quality care can often be difficult.

Disparities | Healthy People

Many women, especially those in rural or underserved areas, lack physical proximity to doctors or hospital maternity wards to receive pregnancy care or deliver a baby. Access to additional services, such as specialists, reproductive health care, and mental health care, can also be of concern. Even when physical access to needed providers and facilities is available, cost can often stand in the way for many women to receive necessary care. In many areas, access to hospital maternity wards, OB-GYNs, and other medical professionals is scarce, making it much harder for women to access timely prenatal care and find a quality facility to deliver their child.

For example, Washington, D. It also jeopardizes the continuity of care that is often critical to having a healthy pregnancy. Seeing the same provider throughout a pregnancy allows doctors to better manage any health conditions and creates a relationship between a doctor and patient that is critical to receiving the highest-quality care.

Similar hospital closures across the country, or general lack of options and facilities, are leaving many women with few or no good options. Mamatoto Village is a nonprofit organization in Washington, D. Mamatoto Village offers a number of trainings to those interested in community health work, including courses in perinatal health work, perinatal family support, community birth work, and lactation support. Through its family-centered approach, Mamatoto Village works to improve the experiences of women, families, and babies.

Achieving Health Equity in the United States

In , 74 percent of women working with Mamatoto Village gave birth vaginally, and there were zero infant or maternal losses. Ninety-two percent of women with labor support attended their 6-week postpartum follow-up appointment, and 89 percent of women were able to initiate breastfeeding. Mamatoto Village works to honor and support women and communities of color and offers a valuable alternative to the traditional care model.

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  6. Access to reproductive health care is also an important factor in addressing maternal health disparities. While the ACA and Medicaid expansion increased access to reproductive health services, too many women, especially low-income women and women of color, do not have access to necessary reproductive health care—including contraception, abortion, STI screenings, and reproductive cancer screenings—due to a variety of restrictions and funding shortfalls.

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    This leaves them vulnerable to many risk factors around pregnancy. Recent improvements in maternal and infant health across the 20th century are due, in part, to expanded contraceptive access and use. Research shows that planned pregnancies are associated with better health outcomes than unplanned pregnancies, which are associated with low birth weight and a smaller likelihood of receiving early prenatal care.

    Racial and Ethnic Disparities in the Quality of Health Care

    Long-acting reversible contraception LARC is one option a trained medical provider can recommend during counseling to women seeking immediate postpartum contraception. A variety of health care workforce and training issues underlie disparities in maternal mortality. Two potential themes emerge from these stories as well as the programs that are already working to counteract these disparities: First, availability of OB-GYNs and other professionals who are demographically similar to the women served is of critical importance, and, second, all medical professionals must consistently provide care that listens to women and is culturally sensitive and patient-centered. While diversity and training in the medical profession has increased, many patients still find that cultural barriers can hinder access to high-quality medical care.

    One way to counteract these barriers, especially for African American women and other women of color, can be the use of doulas and midwives throughout pregnancy and birth.

    2. Evidence of Disparities among Ethnicity Groups

    Several organizations—such as Mamatoto Village in Washington, D. These organizations have also seen very promising outcomes for both women and infants. Along with classes and other services, these organizations work to provide women with tools throughout pregnancy, particularly regarding their interactions with the health care system, and often act as both a support and an advocate for women throughout the process. Ancient Song Doula Services is a community-based full spectrum doula organization that offers trainings, workshops, and maternal care to women and communities of color in New York City.