Undoing Racism to Improve Birth Outcomes in Rochester

Last week, HealthConnect One joined Finger Lakes Performing Provider System, Finger Lakes Community Health, and the Healthy Baby Network launched the Rochester Doula Hub. This timely collaboration will provide culturally reflective community-based doula support to improve Black birth outcomes in Rochester.

Health inequities have long been tied to racism, poverty, physical environment, and stress, all outcomes linked to racism. Recently published data links racism, specifically redlining practices, to higher preterm births in Rochester, NY. These policies, which were in effect until the 1960s, resulted in decades of community disinvestment and high poverty in inner-city neighborhoods while denying Rochester residents the ability to build intergenerational wealth through homeownership.

Researchers identified preterm births (less than 37 weeks) by zip code, demographic characteristics of individuals, including race, and community survey data from the U.S. Census Bureau on income, poverty, and educational attainment. 

Nearly 13% of preterm births occurred in zip-codes labeled “hazardous” compared to 7.55% in areas marked “best” or “still desirable.” Birthing people who resided in “hazardous” areas also had a higher risk for other maternal complications, such as pregnancy-related hypertension, neonatal complications, and neonatal intensive care unit admission.

HealthConnect One’s partnership to co-develop the Black Doula Collaborative comes off the heals of our community-based doula model’s astounding results for nearly three decades. The culturally reflective, community-rooted support provided by doulas trained through our model will improve birth outcomes in Rochester, especially for Black babies and birthing people experiencing racism and adverse effects. 

This week, HealthConnect One team members will engage with doulas from Rochester utilizing HealthConnect One’s proven “train the trainer” model. The program, which will be based at Healthy Baby Network and Finger Lakes Community Health, will hire, onboard, and train doulas, including 16 community-based training sessions. FLPPS will fund six full-time equivalent doulas, which will serve 250 Black and Brown women. The program will develop referral pathways with healthcare systems and federally qualified health centers to facilitate care.

Download the full one-pager here. For questions, please reach out to info@healthconnectone.org