Workshop 204 – The Role of Home Visiting In Achieving Birth Equity

The death of an infant or a mother serves as a measure of how well a society ensures the health of its people, particularly its women and children. Disparities in infant and maternal mortality are indicators of inequities that go much deeper than health status, pointing to social, institutional, and structural inequities. This presentation will present findings of a comprehensive literature review on racial inequities in birth outcomes for Black and Native American populations. The literature review identified two themes concerning racism as a root cause of birth inequity: Racism and Access to Quality Health Care and Racism, Adverse Childhood Experiences, and Psychosocial Stress. To support greater understanding of root causes and where they are located within systems, these two themes will be presented within the social-ecological model. The social-ecological model is a five-level model that takes into consideration complex interactions across the societal, community, institutional, interpersonal, and individual levels. After presenting the findings of the literature review, two communities will share their experiences in applying the social-ecological model to their local work in home visiting and in addressing maternal and infant health at home. Participants will then have a chance to relate the findings to their own program using the social-ecological model as a guide. Through an interactive activity, participants will first consider how the themes of the literature review show up for the families they serve. They will then brainstorm actions they can take to address racial inequities through their work