Partnering with Community Doulas to Improve

Maternal and Infant Health Equity in California

Project Summary

Background: Doulas are trained professionals who provide educational, physical, and spiritual support before, during, and after childbirth. Doula support is associated with improved maternal and infant outcomes. Although limited, research on the benefits of doula care has led to identification of doula care as a strategy to reduce racial/ethnic disparities in maternal and infant health outcomes. Specifically, research on the impact of community doulas is limited; community doulas provide comprehensive services at low or no cost to underserved communities, are often members of the communities they serve, and share cultures and languages with their clients. Stakeholder engagement, particularly from women of color and community doulas whose voices have largely been absent from research and policy conversations, is vital for future PCOR on the impact of community doula care.

Proposed Solution to the Problem: The project team will create a collaborative of stakeholders in California that will facilitate equitable, ethical, and patient-centered outcomes research (PCOR) on community doula care. This approach will be successful because it creates the infrastructure for the development of a shared research agenda that centers women of color and community doulas. California is ideal for this work, given ongoing pilots evaluating the impact of community doula care in San Francisco and Los Angeles, and interest from policy makers to advance Medicaid coverage for doula care.

Objectives: The project’s objective is to establish a collaborative of California stakeholders to develop a research agenda for community doula care as an intervention to advance maternal and infant health equity. The long-term objective is to inform patient-centered, equity-focused, community-informed research on the impact of community doula care.