Evidence map›Paper›PMID 41413848›Full record

ArticleArchives of public health = Archives belges de sante publique2025

Building trust through collaboration: a mixed-methods evaluation of San Francisco's Pregnancy Village model of cross-sector care delivery.

Osamuedeme J Odiase, April J Bell, Alison M El Ayadi, Catherine Ravikumar, Kattia Suarez Vargas, KaSelah Crockett, Malini A Nijagal, Patience A Afulani

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In one paragraph

Article in Archives of public health = Archives belges de sante publique, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Osamuedeme J OdiaseDepartment of Obstetrics, Gynecology, & Reproductive Sciences, University of California, San Francisco, CA, USA. Osamuedeme.odiase@ucsf.edu.
April J BellDepartment of Family and Community Medicine, University of California, San Francisco, CA, USA.
Alison M El AyadiDepartment of Obstetrics, Gynecology, & Reproductive Sciences, University of California, San Francisco, CA, USA.
Catherine RavikumarDepartment of Neurological Surgery, Weill Institute for Sciences, University of California, San Francisco, CA, USA.
Kattia Suarez VargasInstitute for Health and Aging, University of California, San Francisco, CA, USA.
KaSelah CrockettCompass & Keys, Oakland, CA, USA.
Malini A NijagalDepartment of Obstetrics, Gynecology, & Reproductive Sciences, University of California, San Francisco, CA, USA.
Patience A AfulaniDepartment of Obstetrics, Gynecology, & Reproductive Sciences, University of California, San Francisco, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHistorical injustices, systemic racism, unequal healthcare access, and provider bias have fostered mistrust in healthcare institutions. Cross-sector collaborations between healthcare institutions and community-based organizations (CBOs), such as San Francisco’s Pregnancy Village (PV) model, could potentially build institutional trust within minoritized communities. This study primarily aimed to examine trust in PV, with secondary aims exploring participant perceptions of trust in the health system and CBOs, including their views on the health system’s involvement in PV.

methodsBetween July 2021 and June 2022, we conducted a convergent, mixed-methods study involving 116 survey participants (57 pregnant/postpartum individuals and 59 family members) and 18 semi-structured interviews (13 pregnant/postpartum people and five family members). Trust was assessed quantitatively using a seven-item scale (scores standardized to 0-100) adapted from the Public Healthcare System Trust Scale and qualitatively with open-ended questions. We performed univariate, bivariate, and multivariate analyses of the quantitative data and thematic analyses of the qualitative data.

resultsThe mean trust in PV score was 85.9/100 (SD = 18.9), with lower trust among Latine participants (β = -12.2, 95% CI: -21.6, -2.9), those with prior preterm birth (β = -11.0, 95% CI: -20.5, -1.4), and those experiencing food insecurity (β = -12.4, 95% CI: -21.0, -3.8). Qualitative findings revealed that trust in both the health system and CBOs was shaped by receipt of person-centered care. Trust in CBOs was attributed to their focus on holistic care, relatability, and responsiveness to community needs. Distrust in the health system was shaped by experiences of racism and neglect. Participants held mixed views on the health system’s role in PV; some highlighted its ability to meet community needs, while others voiced skepticism due to ongoing structural racism and inequities in care.

conclusionsParticipants perceived PV as trustworthy, with mixed views of the health system, generally positive perceptions of CBOs, and overall support for the health system’s involvement in PV despite lingering concerns regarding structural racism. These findings underscore PV’s unique role in bridging sectors and highlight that sustained, community-guided collaboration is essential to building trust and advancing more equitable cross-sector care.

Indexed as

Birth equityCommunity-based organizationsCommunity-institution partnershipHealth equityHealth systemMedical mistrustPerinatal healthPregnancyProgram evaluationTrust

Identifiers

PMID41413848
PMCPMC12829213

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.