Black Churches in California Lead the Way to Quality End-of-Life Care

Black parents are at greater risk of experiencing serious complications during pregnancy and childbirth, which is why preserving Black birth care, like doulas, is so important to preventing unnecessary deaths and medical interventions. The doula community is growing and there’s currently a push among local doulas and providers to grow the network of doulas of color to increase the accessibility of relevant and representative birth care.

Doulas are becoming a more widely used resource among pregnant people, particularly Black women who historically face racial inequities during pregnancy and childbirth. Groups like The Doula Network and the Southern Birth Justice Network are working to expand doula services by training and connecting pregnant women with certified doulas. Doula care is more holistic and studies show that women using doulas have about a 65% reduction in their odds of developing postpartum depression or anxiety when a doula is present during labor and delivery.

In an effort to combat high rates of maternal mortality and healthcare disparities among pregnant Black women, MLK Community Hospital offers combined care from certified nurse midwives and obstetricians to ensure a safe, healthy birth. Midwifery offers more sensitive and individualized care and is also linked to fewer C-sections and preterm births. At MLK Community Hospital, 14% of its first-time, low-risk births involved a C-section, compared to 23% of such births across the state.

Latin Americans for Social and Economic Development (LA SED) provides culturally relevant programming and services for the area’s predominantly Latino senior community. The Center offers a safe space for seniors to converse in their native language, take English classes, connect with the community, exercise classes, and receive necessary care like vaccinations, food distribution and other social programming and wellness-focused care.

Care Ring, in collaboration with other organizations like the University of North Carolina School of Nursing, launched The Bridge, a community-based healthcare initiative that aims to make preventive care easier to access. The Bridge features a mobile care unit that provides free health screenings, counseling support and connections to community resources. Since December 2022, The Bridge has provided care to more than 100 people, 39% of which didn’t have a regular doctor.

Several groups in the Appalachian region are turning toward harm-reduction strategies to help those struggling with drug abuse. Research shows that those who participate in syringe exchange programs are five times more likely to enter treatment than those who didn’t participate. Groups like Holler Harm Reduction and Choice Health Network host scheduled drop-ins where they deliver supplies, provide naloxone training and education, and administer disease testing wound care to those in need.

The National Health Insurance Scheme (NHIS) is a social health insurance program that provides access to free, quality healthcare services to corps members and civil servants and protects families from the financial hardship of medical bills. The NHIS covers out-patient care, medicine, diagnostic tests, maternity care, eye examinations and dental care, among other services. Since it was launched in February 2022, more than 2,000 corps members have benefited from the NHIS benefits.

The Umthombo Youth Development Foundation funds health education for students from poor, rural backgrounds. Upon graduation, these students are then more likely to practice medicine in the rural communities they call home, thus increasing access to care in those areas where it’s often scarce.

Worker-owned home-care cooperatives are emerging as an alternative to the for-profit agencies that dominate America's direct-care sector. In these cooperatives, professional caregivers earn an average of $2 more per hour than the industry standard, share in business decision-making, and stay on the job at nearly double the rate of workers at traditional agencies. Patients also stay with co-op agencies twice as long, suggesting higher satisfaction and quality of care.

Komfot Health operates a technology-driven network providing post-abortion care and sexual reproductive health services across Nigeria. The organization trains healthcare providers to address biases, uses a chatbot system for patient triage and connects women to verified medical facilities in six states, acting as intermediaries between women seeking care and trusted healthcare providers. Since launching in 2024, Komfot Health has served over 1,790 women.