Our Conceptual Framework
Structural determinants of health, including Jim Crow, Slavery, the 13th Amendment, Redlining and the GI Bill are the drivers of adverse social determinants. These adverse social determinants coalesce to influence the health and wellbeing of birthing people, and are embodied in disparate outcomes for BIPOC birthing people and their infants.
Adapted from: Howell, Clin Obstet Gynecol. 2018 June ; 61(2): 387-399 and Kramer MR, et al. Am J Obstet Gynecology. 2019; 221(6): 609 and Crear-Perry J et al, J Women’s Health (Larchmt) 2021;30(2):230-5. Model is modified from model created by Alison Stuebe.
World Health Organization
Mortal “Delays” to Health Access & Quality
These delays are due to structural barriers and adverse SDoH. We propose studies to provide evidence for scalable and sustainable approaches that address the root causes.
Adapted from: MacDonald, T., Jackson, S., Charles, MC. et al. The fourth delay and community-driven solutions to reduce maternal mortality in rural Haiti: a community-based action research study. BMC Pregnancy Childbirth 18, 254 (2018).