Meeting Purpose
This meeting aims to address the harmful effects of implicit bias and structural racism related to maternal health outcomes in the Mississippi River Delta (AR, KY, LA, MO, MS, and TN) by:

  • Identifying community-led prevention strategies and interventions aimed at improving maternal and birthing outcomes.
  • Developing recommendations for how community groups, community leaders, and government organizations can work together to effect change.
  • Promoting the adoption of Cultural and Linguistically Appropriate Services (CLAS) as a critical element to improve maternal healthcare.

Agenda

August 9, 2022

8:30 a.m.Registration
9:00 a.m.Welcome and Opening Remarks
Speakers:
Mehran S. Massoudi, PhD, MPH, CAPT, US Public Health Service, Office of the Assistant Secretary for Health (OASH) Region 6
Sharyl Trail, PsyD, CDR, US Public Health Service, Health Resources & Services Administration (HRSA) Region 6
9:30 a.m.Panel: Our Stories – Experiences in Utilizing Maternal Health Services
Speakers:
Alexis Jackson, CD-L, CD-PIC, Owner, Your Family Tree Doula Services, LLC
Paige Jackson, Vice-President of External Relations, Abide Women’s Health Services
Tiffany Martin, Mother of Four

Facilitator: Simone Taylor, MS, RN, Region 7

Objective: Panel discussion sharing lived experiences and the maternal health system interventions necessary to improve outcomes.

10:30 a.m.Break
10:45 a.m.Status of Maternal Health: Trends in the Delta Region
Speaker:
William “Sam” Greenfield, MD, University of Arkansas for Medical Sciences

Moderator: Derica Mack, MBA, Arkansas Department of Health

Objective: Provide data to understand the scope and examine root causes of maternal health outcomes in the Delta region.

11:45 a.m.Introduce The Communities Improving Maternal Care Alliance
Speaker:
Ella Ewart-Pierce, MPH, OASH Region 6
Essi Havor, MSN, RN, PHNA-BC, HRSA Region 6

Objective: Outline a plan to harness the energy and expertise of conference participants to work together at the community-level to improve maternal health in collaboration with The Alliance.

NoonBox Lunch – Sponsored by Arkansas Minority Health Commission
1:15 p.m.Mindfulness Meditation
Guide:
Kenya Eddings, MPH, CWWS, Arkansas Minority Health Commission

Objective: Practice mindful meditation, both as a tool for caring for ourselves in this challenging work and learning techniques for utilizing mindful meditation in maternal health work with colleagues, patients, and/or clients.

1:30 p.m.Historical Perspectives on Structural Racism and the Impact on Maternal Health
Speaker:
Nakeitra L. Burse, DrPH, CHES®, CEO, Six Dimensions LLC

Moderator: Roshunda Ivory, DrPH, CHES®, OASH Region 4

Objective: Provide root cause insight about history, social determinants of health, structural racism, and implications for maternal health inequities in The Delta.

2:30 p.m.Break
2:45 p.m.

Breakouts:

A: Reaching Birthing People in Rural Areas
Speaker:
Barbara Gleason, MSN, RN, Bootheel Perinatal Network
Rachel Burger, BSN, Bootheel Perinatal Network

Facilitator: Rachel Piotrowski, MPH, CPH, HRSA Region 6

Objective: Consider responses to social determinants of health that may be unique to rural environments and their impact on maternal health.

B: Culturally and Linguistically Appropriate Services in Maternal Health Care
Speaker:
Juliet Bui, Office of Minority Health, US HHS

Facilitator: Corstella Johnson, MPH, CHES®, OASH Region 7

Objective: Discuss the importance of providing culturally and linguistically appropriate services (CLAS) across the continuum of maternal health care, and the use of the National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care (National CLAS Standards) as a framework for implementing CLAS.

C: Substance Use Disorders in the Perinatal Period
Speakers:
Charles Langham, MD, Federal Bureau of Prisons (Ret.)
Thenral D. Mangadu, MD, PhD, MPH, University of Texas El Paso

Facilitator: Monica Geiger, MSN, RN, CCHP, LT, US Public Health Service, OASH Region 6

Objective: Learn about successful strategies for substance use disorder support in the perinatal period and consider ways to expand and replicate the practices.

4:00 p.m.

Breakout Report Back

Facilitator: Essi Havor, MSN, RN, PHNA-BC, HRSA Region 6

Objective: Each group summarizes main topics of discussion from each breakout session. An in-person attendee will be called upon to report out.

4:30 p.m.Closing Thoughts & Evaluations
Speaker:
Kevin M. Greene, PhD, MPH, MA, OASH Region 4

Objective: Provide overview of the Communities Improving Maternal Care Alliance (The Alliance). Summarize next steps.

5:00 p.m.Adjourn

August 10, 2022

9:00 a.m.Welcome and Review of Day 1
Speakers:
Sima Ladjevardian, JD, US Dept of Health and Human Services (US HHS)
Ella Ewart-Pierce, MPH, OASH Region 6
9:15 a.m.Advancing Maternal Health Through the Lens of Health Equity
Speaker:
Ekwutosi M. Okoroh, MD, Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention

Facilitator: Kevin M. Greene, PhD, MPH, MA, OASH Region 4

Objective: Examine root causes of maternal mortality disparities and consider wide-ranging types of policies that affect social determinants of maternal health.

10:15 a.m.Break
10:30 a.m.Centering our Stories for Collective Impact
Speaker:
Honour McDaniel, March of Dimes
Seetha Modi, March of Dimes

Facilitator: Simone Taylor, MS, RN, OASH Region 7

Objective: Clarify root causes of inequity based on lived-experience, identify “what works” in equitable, full-spectrum maternal healthcare, and explore ideas for how partners might implement “what works” in their communities.

12:00 p.m.Box Lunch – Sponsored by Arkansas Minority Health Commission
1:15 p.m.Mindfulness Meditation
Guide:
Kenya Eddings, MPH, CWWS, Arkansas Minority Health Commission

Objective: Practice mindful meditation, both as a tool for caring for ourselves in this challenging work and learning techniques for utilizing mindful meditation in maternal health work with colleagues, patients, and/or clients.

1:30 p.m.Break
1:45 p.m.

Breakouts:

A: Reaching High-Risk Birthing People in Non-Traditional Settings: Telehealth & Innovative Programs
Speaker:
Dawn Brown, BSN, RNC-ONQS, Institute for Digital Health & Innovation, University of Arkansas for Medical Sciences

Facilitator: Derica Mack, MBA, Arkansas Department of Health

Objective: Provide overview of successful strategies to address high-risk pregnancy and positively impact patient care with the use of technology.

B: Addressing the Lack of Representation in Lactation
Speakers:
Tiffany Martin, Mother of Four
Andrea Serano, Reaching Our Sisters Everywhere (ROSE)

Facilitator: Corstella Johnson, MPH, CHES®, OASH Region 7

Objective: Consider the lack of cultural, racial, and ethnic diversity in lactation support services, across different types of providers including peer counselors, IBCLCs, and others.

C: Innovative Strategies for Improved Birthing Outcomes
Speakers:
Paige Jackson, Abide Women’s Health Services
Ebonie Bailey, CD(DONA), Iowa Black Doula Collective, Naturally Ebonie Doula Services
Alexis Jackson, CD-L, CD-PIC, Your Family Tree Doula Services, LLC

Facilitator: Ella Ewart-Pierce, MPH, OASH Region 6

Objective: Discuss benefits of and opportunities for expanding collaborative care, access to doula services, and midwifery support for minority birthing people.

3:00 p.m.

Breakout Report Back

Facilitator: Monica Geiger, MSN, RN, CCHP, LT, US Public Health Service, OASH Region 6

Objective: Each group summarizes main topics of discussion from each breakout session. An in-person attendee will be called upon to report out.

3:30 p.m.Moving Ahead: Evidence-Based Community Action
Speakers:
Veronica Gillispie-Bell, MD, MAS, FACOG, Louisiana Perinatal Quality Collaborative and Pregnancy Associated Mortality Review
Catherine J. Vladutiu PhD, MPH, Office of Epidemiology and Research, Maternal and Child Health Bureau

Facilitator: Essi Havor, MSN, RN, PHNA-BC, HRSA Region 6

Objective: Identify and prioritize evidence-based actions that communities, local government, and federal government can take together to address the maternal health crisis.

4:30 p.m.Closing Remarks
Speaker:
Mehran S. Massoudi, PhD, MPH, CAPT, US Public Health Service, OASH Region 6
5:00 p.m.Adjourn

Special Thanks

A special thanks to our Planning Committee: Regions 4, 6, and 7 Office of the Assistant Secretary for Health (OASH), Office of Regional Health Operations, Health Resources and Services Administration (HRSA), Office of Intergovernmental and External Affairs, and the Arkansas Department of Health.