{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T07:15:14Z","timestamp":1783062914974,"version":"3.54.6"},"reference-count":35,"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"}],"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>Doula support is increasingly recognized as a promising strategy to address racial inequities in maternal health. The New York City Health Department launched the Citywide Doula Initiative (CDI) in March 2022 to expand access to free, community-based doula support in disinvested neighborhoods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>To evaluate the program\u2019s first year of implementation, we conducted semi-structured interviews with 44 clients, doulas, doula-organization staff, and Health Department staff between November 2022 and April 2023. We coded interview notes using template analysis (a thematic analysis approach) and grouped barriers and facilitators according to the Practical Robust Implementation and Sustainability Model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Facilitators included high perceived value of the CDI, a shared commitment to community, open communication, and policymaker support for doula work. Barriers included insufficient time for planning, cumbersome bureaucratic processes, and cultural and capacity differences between the Health Department and community partners. Additional factors, such as\u2014variation in hospital treatment of doulas, doula-organization capacity, doula skills and experiences, and client needs and circumstances\u2014had mixed effects on program implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Findings indicate that community-based doula models, which have been shown to improve birth outcomes in disinvested communities, can be successfully scaled in an urban setting. Programs seeking to expand access to doula support should prioritize time for planning, allocate sufficient resources for administrative support, and work to establish efficient and responsive payment and contracting processes. Having mission-driven staff at all levels of the program and prioritizing relationships with community-based organizations and doulas are vital for success.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/24731242261462522","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T12:59:29Z","timestamp":1782910769000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Community Care in Action: Scaling Doula Support Through a Health Department\u2013Community Partnership"],"prefix":"10.1177","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9166-0466","authenticated-orcid":false,"given":"Monique","family":"Baumont","sequence":"first","affiliation":[{"name":"Bureau of Brooklyn Neighborhood Health, Center for Health Equity and Community Wellness, New York City Department of Health and Mental Hygiene, Brooklyn, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Gelb","sequence":"additional","affiliation":[{"name":"Bureau of Brooklyn Neighborhood Health, Center for Health Equity and Community Wellness, New York City Department of Health and Mental Hygiene, Brooklyn, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"DoCampo","sequence":"additional","affiliation":[{"name":"Bureau of Brooklyn Neighborhood Health, Center for Health Equity and Community Wellness, New York City Department of Health and Mental Hygiene, Brooklyn, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela","family":"Ammann","sequence":"additional","affiliation":[{"name":"Bureau of Brooklyn Neighborhood Health, Center for Health Equity and Community Wellness, New York City Department of Health and Mental Hygiene, Brooklyn, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique","family":"Jaques","sequence":"additional","affiliation":[{"name":"Mama Glow Foundation, Brooklyn, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nataly","family":"Jasso Morales","sequence":"additional","affiliation":[{"name":"Community Health Center of Richmond, Staten Island, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary-Powel","family":"Thomas","sequence":"additional","affiliation":[{"name":"Bureau of Brooklyn Neighborhood Health, Center for Health Equity and Community Wellness, New York City Department of Health and Mental Hygiene, Brooklyn, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"e_1_3_3_2_1","volume-title":"White House Blueprint for Addressing the Maternal Health Crisis","year":"2022","unstructured":"1.White House Blueprint for Addressing the Maternal Health Crisis. The White House: Washington, DC; 2022."},{"key":"e_1_3_3_3_1","unstructured":"2.National Health Law Program. Current State Doula Medicaid Efforts. 2024. Available from: https:\/\/healthlaw.org\/current-state-doula-medicaid-efforts\/ [Last accessed: December17 2024]."},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12218"},{"issue":"8","key":"e_1_3_3_5_1","first-page":"e340","article-title":"Potential benefits of increased access to doula support during childbirth","volume":"20","author":"Kozhimannil KB","year":"2014","unstructured":"4.Kozhimannil KB, , Attanasio LB, , Jou J, et al. Potential benefits of increased access to doula support during childbirth. Am J Manag Care 2014;20(8):e340\u2013e352.","journal-title":"Am J Manag Care"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2022.101531"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003766.pub6"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2024.307805"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2024.08.029"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12701"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.2009.01005.x"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.12065"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.111753"},{"key":"e_1_3_3_14_1","volume-title":"Advancing Birth Justice: Community-Based Doula Models as a Standard of Care for Ending Racial Disparities","author":"Bey A","year":"2019","unstructured":"13.Bey A, , Brill A, , Porchia-Albert C, et al. Advancing Birth Justice: Community-Based Doula Models as a Standard of Care for Ending Racial Disparities. Ancient Song Doula Services, Village Birth International, and Every Mother Counts; 2019."},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2024.05.006"},{"key":"e_1_3_3_16_1","volume-title":"Doulas in Medicaid: Case Study Findings","year":"2023","unstructured":"15.Doulas in Medicaid: Case Study Findings. Medicaid and CHIP Payment and Access Commission: Washington, DC; 2023."},{"key":"e_1_3_3_17_1","unstructured":"16.Mudumala A Gifford K Ranji U et al. Challenges and Strategies in Expanding Non-Traditional Pregnancy-Related Services: Findings from a Survey of State Medicaid Programs. 2024. Available from: https:\/\/www.kff.org\/medicaid\/issue-brief\/challenges-and-strategies-in-expanding-non-traditional-pregnancy-related-services-findings-from-a-survey-of-state-medicaid-programs\/ [Last accessed: December17 2024]."},{"key":"e_1_3_3_18_1","volume-title":"Sustainable Funding for Doula Programs","year":"2017","unstructured":"17.Sustainable Funding for Doula Programs. HealthConnect One: Chicago, IL; 2017."},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1891\/JPE-2021-0013"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-017-2402-0"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/tbm\/ibz085"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.3389\/frhs.2023.1139788"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-65442-3_8"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-015-0301-6"},{"key":"e_1_3_3_25_1","doi-asserted-by":"publisher","DOI":"10.59656\/YD-CS8495.001"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11524-008-9260-4"},{"key":"e_1_3_3_27_1","doi-asserted-by":"publisher","DOI":"10.1353\/cpr.2013.0034"},{"key":"e_1_3_3_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/PHH.0000000000001685"},{"key":"e_1_3_3_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-022-03373-x"},{"key":"e_1_3_3_30_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2013.301608"},{"key":"e_1_3_3_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/PHH.0b013e31829dc256"},{"key":"e_1_3_3_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000000216"},{"key":"e_1_3_3_33_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.301201"},{"key":"e_1_3_3_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.13596"},{"key":"e_1_3_3_35_1","volume-title":"Getting doula paid: advancing community-based doula models in medicaid reimbursement conversations","author":"Sulaiman Z","year":"2023","unstructured":"34.Sulaiman Z, , Mullins M. Getting doula paid: advancing community-based doula models in medicaid reimbursement conversations. 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