{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:37:16Z","timestamp":1792787836194,"version":"4.5.0"},"reference-count":91,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"National Institute on Minority Health and Health Disparities","award":["K01MD015785"],"award-info":[{"award-number":["K01MD015785"]}],"id":[{"id":"https:\/\/ror.org\/0493hgw16","id-type":"ROR","asserted-by":"crossref"}]},{"name":"National Institute on Minority Health and Health Disparities","award":["K01MD017626"],"award-info":[{"award-number":["K01MD017626"]}],"id":[{"id":"https:\/\/ror.org\/0493hgw16","id-type":"ROR","asserted-by":"crossref"}]},{"name":"National Center for Advancing Translational Sciences","award":["UL1 TR001872"],"award-info":[{"award-number":["UL1 TR001872"]}],"id":[{"id":"https:\/\/ror.org\/04pw6fb54","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Equity"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Hospitals in the United States are increasingly working to advance maternal health (MH) equity. To succeed, these efforts must be community-driven, centering voices of those with experience of health inequities, suboptimal care, and the impacts of structural racism. However, robust hospital engagement with such guidance remains rare. We documented community-driven strategies for advancing MH equity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Using a community-based participatory research approach, we conducted longitudinal in-person strategy sessions with individuals from communities disproportionately burdened by MH inequities: Black and\/or Pacific Islander individuals who had recently delivered or considered delivering in San Francisco hospitals. Two 2.5-h discussion-intensive meetings focused on generating and refining recommendations for improving hospital maternity care. Participants then selected their top 15 recommendations. Experienced community-based team members led recruitment and facilitated sessions. We independently reviewed data for accuracy and conducted thematic analysis to categorize recommendations into domains.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Participants developed and refined 48 unique recommendations to improve hospital maternity care for their communities, categorized into seven domains. Top-rated recommendations included:\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Respecting patient preferences\/requests.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Trainings to educate and un-bias clinicians.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Engaging patients and clinical teams with the \u201cBlack Birthing Bill of Rights.\u201d<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Racially-, culturally-, and\/or community-concordant programs and care teams.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Hospital-based community task forces.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Collecting patient feedback at discharge using tablets with clinician photos.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>The recommendations affirm guidance from other realms of reproductive care and reveal new strategies for hospitals to better serve affected communities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Health Equity Implications:<\/jats:title>\n                    <jats:p>Community-generated recommendations offer actionable and responsive ways for hospitals to improve maternal health care. These strategies are likely transferable across diverse hospital settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/24731242261424791","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T17:18:24Z","timestamp":1773249504000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Community Recommendations for Hospital-Based Maternity Care: Insights from Black and Pacific Islander Mothers in San Francisco"],"prefix":"10.1177","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3238-5692","authenticated-orcid":false,"given":"Sarah B.","family":"Garrett","sequence":"first","affiliation":[{"name":"University of California, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catthi","family":"Ly","sequence":"additional","affiliation":[{"name":"University of California, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie R.","family":"Taylor","sequence":"additional","affiliation":[{"name":"University of California, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauleva Lua\u2019iufi","family":"Aiono","sequence":"additional","affiliation":[{"name":"M.A.N.A. Pasefika, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Jones","sequence":"additional","affiliation":[{"name":"Black Women Birthing Justice, Oakland, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Breezy","family":"Powell","sequence":"additional","affiliation":[{"name":"Abundant Birth Project, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittany","family":"Chambers Butcher","sequence":"additional","affiliation":[{"name":"Department of Human Ecology, University of California, Davis, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"e_1_3_4_2_2","article-title":"Maternal mortality in the United States, 2025. Issue briefs","author":"DeClercq E","year":"2025","unstructured":"DeClercq E, , Zephyrin L. 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