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Dr. Chelsea Clinton, CGI Call for Collective Action to Address Birth Equity in Black Maternal Care

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Clinton Foundation Vice Chair Chelsea Clinton delivers opening remarks at CGI’s roundtable on birth equity, “Time for Action: A Convening to Advance Support for the Birth Equity Initiative.” Photo by Megan Maher. (2023)


Dr. Chelsea Clinton joined birth equity leaders in New York in their call for collective energy, collective commitment, and collective action during a recent Clinton Global Initiative (CGI) convening on Black maternal health. CGI partnered with the New York City Department of Health and Mental Hygiene and the Fund for Public Health NYC for the roundtable, “Time for Action: A Convening to Advance Support for the Birth Equity Initiative,” to learn how birth equity advocates are taking action to change maternal outcomes for Black women and birthing persons.

At last year’s CGI Meeting in September, the NYC Health Department and its partners committed to reduce birth inequities for Black women and pregnant persons through the Birth Equity Initiative, a new and innovative umbrella effort to streamline, expand resources and improve the impact of all maternal health programs.

“CGI, in general, is extremely expert in both motivating people to act and working across silos. Those are the biggest challenges that we have in all of our work in the health department and in birth equity and health equity, specifically,” said Dr. Michelle Morse, Chief Medical Officer, Deputy Commissioner to the NYC Health Department. “Our partnership with CGI, from my perspective, is really one of the partnerships that will allow us to do those two things more effectively.”

National data shows Black women and birthing persons are three times more likely to die as a result of their pregnancy; nine times more likely to die in New York state. The main driver for these rising inequities is structural racism. According to the NYC Health Department, 75 percent of pregnancy-related deaths are preventable in Black patients compared to 43 percent in white patients. More than 50 percent of pregnancy-related deaths occur up to 12 months after the labor experience in the hospital, with cardiovascular disease and mental health issues, specifically opioid overdose and suicide, as the leading causes.


Representatives from the New York City Department of Health and Mental Hygiene discuss progress on the Birth Equity Initiative, a 2022 CGI Commitment to Action focused on improving Black maternal health. Photo by Megan Maher. (2023)


In order to address these issues, the Birth Equity Initiative has three strategic components to drive change: convene diverse stakeholders – community members, birth justice advocates, doulas, midwives, hospital leaders, insurers, health care workers – to develop collective impact goals; establish a Medicaid maternal home payment bundle model; and support the integration of primary care into marginalized communities.

Since the CGI 2022 Meeting, the NYC Health Department has convened a working group of 75 cross-sector partners who’ve developed a collective action vision statement and defined clear metrics and indicators to track progress. The Birth Equity Initiative is currently seeking funding to support the work of community-based organizations as they provide wrap-around resources like doulas, family wellness suites, postpartum home visits, and more to Black women and pregnant persons.

“We have to radically and urgently do a better job on birth equity in this city,” said Dr. Chelsea Clinton, and by leveraging the learning from the past 20 years, birth equity leaders are committed to move New York state into the next phase of maternal healthcare. We must take action by examining the drivers of preventable death in birthing people, working across silos, and building wrap-around community resources before, during, and after pregnancy. “We here at the Clinton Foundation and CGI stand ready to help and be of service in any way we can be,” Dr. Clinton said.


CGI’s Franciscka Lucien, Dr. Chelsea Clinton and Chief Medical Officer Dr. Michelle Morse participate in a CGI-lead Health Equity roundtable where health experts and leaders focused on birth equity. Photo by Megan Maher. (2023)


Participants in the birth equity roundtable included: Maritza Arroyo, Fund for Public Health in NYC; Edward Bray, March of Dimes; Meaghan Brown, First Deputy Mayor’s Office, City Hall; Donna Castelblanco, DOHMH; Christina Chang, Chief Program Officer, DOHMH; Lena Cole, NEXUS; Emilie Fidock, The Helmsley Charitable Trust; Ali Foti, New York Health Foundation; Ana Gallego, Health Systems Planning and Policy; Sara Gardner, Fund for Public Health NYC; Katelyn Gibert, Goldman Sachs; Aviva Goldstein, Aviva Goldstein Consulting; Irfan Hasan, The New York Community Trust; Dr. Leslie Hayes, DOHMH; Adena Hernandez, Robin Hood; Georgia Kinsley, DOHMH; Meera Kumanan, DOHMH; Ann Kurth, New York Academy of Medicine; Laura Louison, DOHMH; Franciscka Lucien, Clinton Foundation; Janice Magno, DOHMH; Dr. Zahirah McNatt, DOHMH; Dr. Michelle Morse, DOHMH; Stasia Obremskey, RH Capital; Samantha Persaud, Rabin Martin; Rachael Pine, Altman Foundation; Nicolas Polet, Mother Cabrini Health Foundation; Ashanda Saint Jean, American College of Obstetricians and Gynecologists; Maria Schneider, Rabin Martin; Ellen Smith, Palladium Group; Nan Strauss, Every Mother Counts; Jocelyn Valdez, DOHMH; Dr. Ashwin Vasan, Commissioner, DOHMH; and Rachel Wade, Mae.