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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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Histoire de peuple Bale
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In: ISSN: 2673-7604 ; EISSN: 2673-7604 ; Revue d’histoire contemporaine de l’Afrique ; https://hal.archives-ouvertes.fr/hal-03609252 ; Revue d’histoire contemporaine de l’Afrique, Université de Genève, 2022 (2022)
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Gestion des finances publiques locales pour le développement des ETD : Cas du Secteur des Walendu Pitsi
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In: ISSN: 0770-4518 ; EISSN: 1782-1495 ; Recherches Economiques de Louvain - Louvain economic review ; https://hal.archives-ouvertes.fr/hal-03607989 ; Recherches Economiques de Louvain - Louvain economic review, De Boeck Université, 2022 (2022)
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Between History and Natural Language Processing: Study, Enrichment and Online Publication of French Parliamentary Debates of the Early Third Republic (1881-1899)
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In: ParlaCLARIN III at LREC2022 - Workshop on Creating, Enriching and Using Parliamentary Corpora ; https://hal.archives-ouvertes.fr/hal-03623351 ; ParlaCLARIN III at LREC2022 - Workshop on Creating, Enriching and Using Parliamentary Corpora, Jun 2022, Marseille, France ; https://www.clarin.eu/ParlaCLARIN-III (2022)
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Analyse des facteurs déterminants des élections législatives du 30 juillet 2006 en Territoire de Djugu
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In: ISSN: 1285-2619 ; Scalpel : Cahiers de sociologie politique de Nanterre ; https://hal.archives-ouvertes.fr/hal-03650365 ; Scalpel : Cahiers de sociologie politique de Nanterre, Université Paris X-Nanterre, Groupe d'analyse politique, 2022 (2022)
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La problématique de la constitution d'épargne par les enseignants mécanisés du SECOPE Antenne Kpandroma
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In: ISSN: 0761-9871 ; Cahiers de sociologie économique et culturelle ; https://hal.archives-ouvertes.fr/hal-03608004 ; Cahiers de sociologie économique et culturelle, Institut de Sociologie économique et Culturelle - Le Havre, 2022 (2022)
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К вопросу о сущности основных конституционных обязанностей человека и гражданина ... : On the question of the essence of the basic constitutional duties of a person and a citizen ...
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Ensemble of Opinion Dynamics Models to Understand the Role of the Undecided in the Vaccination Debate ...
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О ПОВЫШЕНИИ РОЛИ ГОСУДАРСТВЕННОГО ЯЗЫКА ... : ON INCREASING THE ROLE OF THE STATE LANGUAGE ...
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Zum Ungleichgewicht digital vermittelten Sachunterrichts und sprachlich-kommunikativer Anforderungen ...
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Zum Ungleichgewicht digital vermittelten Sachunterrichts und sprachlich-kommunikativer Anforderungen
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In: Sachunterricht in der Informationsgesellschaft. Bad Heilbrunn : Verlag Julius Klinkhardt 2022, S. 114-121. - (Probleme und Perspektiven des Sachunterrichts; 32) (2022)
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«Entrevista al Dr. Darío Villanueva, académico de número de la Real Academia Española. "Sin la creación, no existe literatura, pero solo con la creación de textos tampoco hay literatura"» ...
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Supplementary material for "Sociogeographic correlates of typological variation in northwestern Bantu gender systems" by Annemarie Verkerk and Francesca Di Garbo, published in LDC, 2022 ...
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Supplementary material for "Sociogeographic correlates of typological variation in northwestern Bantu gender systems" by Annemarie Verkerk and Francesca Di Garbo, published in LDC, 2022 ...
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«Entrevista al Dr. Darío Villanueva, académico de número de la Real Academia Española. "Sin la creación, no existe literatura, pero solo con la creación de textos tampoco hay literatura"» ...
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