ArticleMaternal and child health journal2022
Barriers and Facilitators to the Implementation of a Community Doula Program for Black and Pacific Islander Pregnant People in San Francisco: Findings from a Partnered Process Evaluation.
Article in Maternal and child health journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 30 citations in OpenAlex.
- A Thematic Analysis of the Structural Racism Navigated by Community Based Organization Employees.Journal of racial and ethnic health disparities · 2026Article
- Assessing Racial/Ethnic Variation and Trends in Vaginal Birth after Cesarean in California: A Retrospective Cohort Study Using Linked Birth Certificate and Hospital Discharge Records.American journal of perinatology · 2026Article
- Recent Innovations in Peer Programs for Socially Isolated Older Adults: Implications for Public Health Emergency Preparedness.Journal of the American Geriatrics Society · 2025Article
- Exploring the Role of Doulas in Supporting People With Perinatal Mood and Anxiety Disorders.International journal of childbirth · 2025Article
- "Sometimes the Doulas, They Need a Doula": A Qualitative Analysis of Black and Pacific Islander Doulas' Perspectives on Personal and Professional Growth as Birth Workers.The Journal of perinatal education · 2025Article
- Exploring the Experiences of Community-Based Doulas That Serve Immigrant, Migrant, and Refugee Clients in Arkansas.Women's reproductive health (Philadelphia, Pa.) · 2025Article
- What Do Community Doulas Think About the Future of the Doula Workforce?Maternal and child health journal · 2024Article
- Characterizing the utilization of doula support services among birthing people of color in the United States: a scoping review.BMC public health · 2024Article
- Assessing the Impact of a Culturally Congruent Perinatal Home-Visiting Program on Gestational Age at Delivery for Black Women.Health equity · 2024Article
- Cultural brokering in pregnancy care: A critical review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023Review
- Utilizing Community-Centered Approaches to Address Black Maternal Mortality.Health education & behavior : the official publication of the Society for Public Health Education · 2023Article
- "They're gonna be there to advocate for me so I'm not by myself": A qualitative analysis of Black women's motivations for seeking and experiences with community doula care.Women and birth : journal of the Australian College of Midwives · 2023Article
- Supporting Birthing People and Supporting Doulas: The Impact of the COVID-19 Pandemic on a Community-Based Doula Organization in San Francisco.Health equity · 2023Article
- Opportunities to Strengthen Women's Nutrition Within Maternal Health Service Delivery: Reflections From Global Health Implementation.American journal of public health · 2022Article
- An Interprofessional Collaboration Between a Community-Based Doula Organization and Clinical Partners: The Champion Dyad Initiative.Journal of midwifery & women's healthArticle
- What, when, and how long? Doula time use in a community doula program in San Francisco, California.Women's health (London, England)Review
- Community Care in Action: Scaling Doula Support Through a Health Department-Community Partnership.Health equityArticle
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIncreasingly, community-based models of doula care are receiving attention as possible interventions to address racial inequities in maternal health care experiences and outcomes. In 2018, community-based organization SisterWeb launched to provide free culturally congruent community doula care to advance birth equity for Black and Pacific Islander pregnant people, with funding from the San Francisco Department of Public Health. We conducted a process evaluation of SisterWeb's first 1.5 years of existence to identify multilevel barriers and facilitators to implementation of their programs.
methodsGuided by the Equitable Evaluation Framework™, we conducted 46 in-depth interviews with individuals from 5 groups: SisterWeb leadership, doulas, doula mentors, and clients, and external stakeholders.
resultsBarriers included having diverse clientele groups with unique needs, an ineffective payment model, and simultaneously building an organization and developing and implementing programs. Facilitators included the presence of established strategic partnerships, positive reception of services due to an unmet need for culturally and linguistically congruent pregnancy and birth support among SisterWeb's clients, a clear organizational vision and mission, and a unique doula cohort model. DISCUSSION: Our findings suggest developing community doula programs pay close attention to the difference between launching a program versus an organization, including the required resources of each, the sustainability of payment models for community doulas, and the provision of culturally relevant, needed services within priority communities. Furthermore, strategic partnerships with maternal health stakeholders in birthing sites, particularly hospitals, are vital to the success of a community doula program.
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