{"id":95894,"date":"2021-05-03T09:45:49","date_gmt":"2021-05-03T13:45:49","guid":{"rendered":"https:\/\/ncrc.org\/?p=95894"},"modified":"2021-05-03T08:32:40","modified_gmt":"2021-05-03T12:32:40","slug":"covid-19-deepens-maternal-health-disparities-among-women-of-color","status":"publish","type":"post","link":"https:\/\/ncrc.org\/covid-19-deepens-maternal-health-disparities-among-women-of-color\/","title":{"rendered":"COVID-19 Deepens Maternal Health Disparities Among Women of Color"},"content":{"rendered":"<p><i><span style=\"font-weight: 400;\">This is one in a series of articles about the pandemic and America\u2019s <\/span><\/i><a href=\"https:\/\/ncrc.org\/women-in-crisis-ncrc-launches-a-popup-publishing-series-about-americas-first-female-recession\/\"><i><span style=\"font-weight: 400;\">First Female Recession<\/span><\/i><\/a><i><span style=\"font-weight: 400;\">. See <\/span><\/i><a href=\"https:\/\/ncrc.org\/tag\/covid-women\/\"><i><span style=\"font-weight: 400;\">more here<\/span><\/i><\/a><i><span style=\"font-weight: 400;\">. <\/span><\/i><i><span style=\"font-weight: 400;\">The views and opinions expressed in this article are those of the author and do not necessarily reflect the views or policy positions of NCRC.<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\">COVID-19 has had an undeniably detrimental impact on both the health and economic landscape of the United States; however, one of the most troubling effects of the pandemic is its disproportionate impact on women of color. Making up nearly <\/span><a href=\"https:\/\/www.americanprogress.org\/issues\/women\/reports\/2020\/04\/23\/483846\/frontlines-work-home\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">one-third of the front-line workforce<\/span><\/a><span style=\"font-weight: 400;\">, Black and Brown women have been vital contributors to their families and communities, suffering greater exposure to COVID-19 while simultaneously continuing to endure the burden of persistent racism, sexism and other forms of bias and discrimination.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7372977\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Recent evidence suggests<\/span><\/a><span style=\"font-weight: 400;\"> that the syndemic of COVID-19 and systemic racism has exacerbated racial maternal health disparities and has specifically worsened Black maternal health. In the first six months of the pandemic alone, Black women experienced a <\/span><\/p>\n<div style=\"position:absolute;right:-9196px;\"> online pharmacy <a href=\"https:\/\/progressivedentalny.com\/wp-content\/uploads\/2019\/07\/premarin.html\" target=\"_blank\" rel=\"noopener\">buy premarin no prescription<\/a> online pharmacy <\/div>\n<p><a href=\"https:\/\/www.axios.com\/us-life-expectancy-fell-year-covid-pandemic-cdc-7e6effbf-6dc9-412d-a7b0-d0ae24902ea9.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">2.3-year drop in life expectancy<\/span><\/a><span style=\"font-weight: 400;\">. Prior to the pandemic, <\/span><a href=\"https:\/\/www.cdc.gov\/nchs\/data\/nvsr\/nvsr69\/nvsr69-02-508.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Black mothers were 3-4 times more likely to die from pregnancy-related causes<\/span><\/a><span style=\"font-weight: 400;\"> than White mothers<\/span><span style=\"font-weight: 400;\">. While data is not yet available, <\/span><a href=\"https:\/\/www.hsph.harvard.edu\/news\/hsph-in-the-news\/covid-19-may-increase-maternal-mortality-disparities-in-u-s\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">maternal health disparities are expected to worsen<\/span><\/a><span style=\"font-weight: 400;\"> as a result of COVID-19.<\/span><\/p>\n<p><b>Applying a Racial Equity Lens to Address Maternal Health Disparities\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">The devastating impact of COVID-19 on mothers of color calls for a holistic and multi-faceted policy approach that centers the intersectionality of women of color. In addition to facing long-standing maternal health disparities, this community has been burdened by trauma from having their health needs ignored as well as a <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6727302\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">history of <\/span><\/a><span style=\"font-weight: 400;\">unethical medical experimentation<\/span><span style=\"font-weight: 400;\">. These experiences with systemic racism will only <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6167003\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">exacerbate the deleterious impacts of COVID-19<\/span><\/a><span style=\"font-weight: 400;\"> on maternal health outcomes.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">These contextual factors heighten the impact of <\/span><a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/68\/wr\/mm6835a3.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">\u201cweathering,\u201d<\/span><\/a><span style=\"font-weight: 400;\"> further undermining the quality of life of mothers of color. In the past, policy responses have failed to account for this community\u2019s unique socioeconomic and health care context. This has resulted in a <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7372977\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">\u201cvicious cycle\u201d of macro-level policies<\/span><\/a><span style=\"font-weight: 400;\"> built on already rampant inequities that further perpetuate poor maternal health outcomes.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">To avoid this \u201cvicious cycle,\u201d economic justice advocates and policymakers must take a new approach, applying an intersectional, racial equity lens as they develop and implement inclusive policy solutions.<\/span><\/p>\n<p><b>What Can Economic Justice Advocates Ask From Congress? Support legislation to address racial disparities in maternal health outcomes<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Earlier this year, Representative Lauren Underwood (D-IL) and Senator Cory Booker (D-NJ) introduced the <\/span><a href=\"https:\/\/underwood.house.gov\/sites\/underwood.house.gov\/files\/Black%20Maternal%20Health%20Momnibus%20Act%201-Pager%20%281%29.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Black Maternal Health Momnibus Act of 2021<\/span><\/a><span style=\"font-weight: 400;\">, a series of 12 separate pieces of legislation to address every dimension of the maternal health crisis in the U.S. The legislation includes policy solutions spanning health care access and coverage, data collection, workforce development and payment issues. We urge you to add your support to both the overarching Momnibus Act, as well as each of the 12 individual bills that are contained in it. Last fall, in our <\/span><a href=\"https:\/\/familiesusa.org\/resources\/response-to-senate-finance-committees-rfi-on-solutions-to-improve-maternal-health\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Response to the Senate Finance Committee\u2019s Request For Information<\/span><\/a><span style=\"font-weight: 400;\"> on Solutions to Improve Maternal Health, Families USA identified several policy recommendations we support to address health disparities among mothers and birthing people of color. Many of these recommendations are part of the Momnibus Act. Our three leading priorities are:<\/span><\/p>\n<ul>\n<li><b>Ensuring women have access to Medicaid throughout their pregnancy and for at least 12 months postpartum:<\/b><span style=\"font-weight: 400;\"> Congress must permanently extend Medicaid coverage for all postpartum women for at least 12 months after giving birth with increased FMAP at 100% for the first five years, reduced to 90% thereafter (Relevant legislation: <\/span><a href=\"https:\/\/www.congress.gov\/bill\/116th-congress\/house-bill\/4996\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">HR 4996<\/span><\/a><span style=\"font-weight: 400;\">; Families First Coronavirus Response Act)<\/span><\/li>\n<li><b>Expanding the culturally responsive workforce: <\/b><span style=\"font-weight: 400;\">Congress must expand<\/span> <span style=\"font-weight: 400;\">Medicaid to ensure coverage for services provided by community-based doulas, perinatal community health workers, and other peer support service providers. (Relevant legislation: Title XIX of Social Security Act; <\/span><a href=\"https:\/\/www.mhtf.org\/2020\/01\/08\/expanding-access-to-doula-care\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">S 1343; S 1600; HR 2602; HR 2751; HR 3344; HR 6142<\/span><\/a><span style=\"font-weight: 400;\">)\u00a0<\/span><\/li>\n<li><b>Increasing access to community-based services and supports to help women thrive in their lived environment:\u00a0<\/b>\n<ul>\n<li><span style=\"font-weight: 400;\">Congress must promote and fund community-based, community-led perinatal care programs, particularly those led by Black and Indigenous women that have shown promising outcomes on reducing racial and ethnic disparities. (Relevant legislation: Black Maternal Health Momnibus Act of 2021)\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Congress must make home visiting a mandatory Medicaid benefit<\/span><\/li>\n<li><span style=\"font-weight: 400;\">The disproportionate impact of COVID-19 coupled with the enduring stress of structural racism has presented mothers of color with a challenging landscape to navigate. The solution to the maternal health crisis in America lies in creating equitable conditions in which mothers of color can thrive. Now, more than ever, it is time for economic justice advocates to underscore the multiple impacts of COVID-19 and structural racism on women of color and hold policymakers accountable to take immediate action to achieve equity in maternal health care.<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><em>Raashmi Krishnasamy<span style=\"font-weight: 400;\"> is the Health Equity Intern at Families USA. In this role, she assists in the development of strategic policy priorities and leveraging of partnerships to advance health equity and reduce health disparities in outcomes, health care access, and quality.\u00a0<\/span><\/em><\/p>\n<p><em>Lisa Shapiro<span style=\"font-weight: 400;\"> is the Senior Advisor for Strategy and Children\u2019s Policy at Families USA. Lisa oversees strategy, policy, partner relationships, and organizational issues.\u00a0<\/span><\/em><\/p>\n<div style=\"position:absolute;left:-99196px;\"> buy cytotec online <a href=\"https:\/\/yoga-psychology.co\/wp-content\/uploads\/2020\/09\/themes\/cytotec.html\" target=\"_blank\" rel=\"noopener\">cytotec<\/a> no prescription <\/div>\n<p>Photo by <a href=\"https:\/\/unsplash.com\/@mustafa_omar?utm_source=unsplash&amp;utm_medium=referral&amp;utm_content=creditCopyText\" target=\"_blank\" rel=\"noopener\">Mustafa Omar<\/a> on <a href=\"https:\/\/unsplash.com\/s\/photos\/pregnant-women?utm_source=unsplash&amp;utm_medium=referral&amp;utm_content=creditCopyText\" target=\"_blank\" rel=\"noopener\">Unsplash<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Recent evidence suggests that the syndemic of COVID-19 and systemic racism has exacerbated racial maternal health disparities and has specifically worsened Black maternal health.<\/p>\n","protected":false},"author":951,"featured_media":95900,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_angie_page":false,"content-type":"","_uag_custom_page_level_css":"","_monsterinsights_skip_tracking":false,"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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