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Barriers and Facilitators to the Implementation of a Community Doula Program for Black and Pacific Islander Pregnant People in San Francisco: Findings from a Partnered Process Evaluation.
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In: Maternal and child health journal, vol 26, iss 4 (2022)
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Abstract:
IntroductionIncreasingly, community-based models of doula care are receiving attention as possible interventions to address racial inequities in maternal health care experiences and outcomes. In 2018, community-based organization SisterWeb launched to provide free culturally congruent community doula care to advance birth equity for Black and Pacific Islander pregnant people, with funding from the San Francisco Department of Public Health. We conducted a process evaluation of SisterWeb's first 1.5years of existence to identify multilevel barriers and facilitators to implementation of their programs.MethodsGuided by the Equitable Evaluation Framework™, we conducted 46 in-depth interviews with individuals from 5 groups: SisterWeb leadership, doulas, doula mentors, and clients, and external stakeholders.ResultsBarriers included having diverse clientele groups with unique needs, an ineffective payment model, and simultaneously building an organization and developing and implementing programs. Facilitators included the presence of established strategic partnerships, positive reception of services due to an unmet need for culturally and linguistically congruent pregnancy and birth support among SisterWeb's clients, a clear organizational vision and mission, and a unique doula cohort model.DiscussionOur findings suggest developing community doula programs pay close attention to the difference between launching a program versus an organization, including the required resources of each, the sustainability of payment models for community doulas, and the provision of culturally relevant, needed services within priority communities. Furthermore, strategic partnerships with maternal health stakeholders in birthing sites, particularly hospitals, are vital to the success of a community doula program.
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Keyword:
8.1 Organisation and delivery of services; Black birthing people; Clinical Research; Community health worker; Doulas; Female; Health Services; Humans; Maternal Health Services; Medical and Health Sciences; Native Hawaiian or Other Pacific Islander; Pacific Islander birthing people; Parturition; Pediatric; Pregnancy; Process evaluation; Public Health; San Francisco; Studies in Human Society
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URL: https://escholarship.org/uc/item/1sn6v772
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Language politics in international organisations ; Políticas lingüísticas en las organizaciones internacionales ; Politiques des langues dans les organisations internationales
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In: ISSN: 0243-6450 ; EISSN: 1960-6001 ; Mots: les langages du politique ; https://halshs.archives-ouvertes.fr/halshs-03639374 ; Mots: les langages du politique, ENS Éditions (Lyon), 2022, 2022 (128), pp.9-25. ⟨10.4000/mots.29160⟩ (2022)
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Pragmatisches Forschungsdatenmanagement - qualitative und quantitative Analyse der Bedarfslandschaft in den Computational Literary Studies ...
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Pragmatisches Forschungsdatenmanagement - qualitative und quantitative Analyse der Bedarfslandschaft in den Computational Literary Studies ...
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Conceptual issues for the development of an ontological model : the case of the mining domain ; Enjeux conceptuels pour l'élaboration d'un modèle ontologique : le cas du domaine minier
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In: https://hal.archives-ouvertes.fr/tel-03501375 ; Sciences de l'information et de la communication. Université de Lille, 2021. Français (2021)
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Organisation du discours et ‘repackaging’ informationnel dans les interactions en L2 : des pistes pour l’évaluation de la compétence interactionnelle
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In: ISSN: 1974-4382 ; Mediazioni. Rivista online du studi interdisciplinari su lingue e culture ; https://hal.archives-ouvertes.fr/hal-03588528 ; Mediazioni. Rivista online du studi interdisciplinari su lingue e culture, Dipartimento di Interpretazione e Traduzione - Alma Mater Studiorum (Università di Bologna a Forlì), 2021, Monica Masperi, Cristiana Cervini, Yves Bardière (eds.). Évaluation des acquisitions langagières : du formatif au certificatif, pp.A204-A229 ; http://www.mediazioni.sitlec.unibo.it (2021)
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Research Note: A Discursive Analysis of Crisis Response Strategies in CEO Apologies—Drawing on Linguistic Insights from the Appraisal Framework ...
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Research Note: A Discursive Analysis of Crisis Response Strategies in CEO Apologies—Drawing on Linguistic Insights from the Appraisal Framework ...
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La stylistique de Charles Bally, une linguistique dynamique ...
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Semantic (Orbital) Sweep - Knowledge modeling and Semantic technology to clean Earth orbit and make spaceflight safer ...
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Semantic (Orbital) Sweep - Knowledge modeling and Semantic technology to clean Earth orbit and make spaceflight safer ...
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Chinese language learning in the twenty-first century: towards a digital ecosystem? ...
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Chinese language learning in the twenty-first century: towards a digital ecosystem? ...
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Automated text clustering of newspaper and scientific texts in brazilian portuguese: analysis and comparison of methods ...
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Automated text clustering of newspaper and scientific texts in brazilian portuguese: analysis and comparison of methods ...
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Healthcare system maturity for integrated care: results of a Swiss nationwide survey using the SCIROCCO tool.
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In: BMJ open, vol. 11, no. 2, pp. e041956 (2021)
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Organización retórica de la movida conclusión en ensayos de filosofía
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In: Cuadernos de Lingüística Hispánica, ISSN 0121-053X, Nº. 37, 2021 (Ejemplar dedicado a: Publicación continua), pags. 1-18 (2021)
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Implementation of Telemedicine in a Laryngology Practice During the COVID-19 Pandemic: Lessons Learned, Experiences Shared.
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In: Journal of voice : official journal of the Voice Foundation, vol 36, iss 3 (2020)
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Documenting best practices for maintaining access to HIV prevention, care and treatment in an era of shifting immigration policy and discourse.
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In: PloS one, vol 15, iss 2 (2020)
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