Collaborative Anti-Racist Perinatal Care: A Case Study of the Healthy Birth Initiatives–Providence Health System Partnership
Publication Title
Genealogy
Document Type
Article
Publication Date
7-4-2025
Keywords
oregon; portland; core; core publication; diversity; black maternal health; health disparities; community-based organization; medical partnership; qualitative research; case study
Abstract
This article describes a case study of the partnership between Healthy Birth Initiatives, a community-based organization (CBO) and Black-led public health nurse home visiting program, and the maternal health division of the Providence Health System located in the Pacific Northwest. This study’s purpose was to explore the formation, significance, and impact of this partnership from the perspectives of staff and leadership members from both organizations. We conducted a case study through qualitative interviews with staff, participant observation, and debrief of leadership meetings. We completed a hybrid deductive–inductive thematic analysis of the data, followed by member checking with study participants and other key interest holders. Key facilitators of the CBO–health system partnership included the vital role of leaders in prioritizing the partnership; health system willingness to incorporate new information from the CBO to improve care; and health system utilization of resources to institutionalize changes that emerged from this partnership. Challenges to the CBO–health system partnership included CBO resource limitations; fragmented referral processes and information sharing; and the persistence required to nurture the relationship without formalized roles. This study contributes to the literature by offering staff perspectives on how a CBO–health system partnership formed, successes, early lessons learned, and practical suggestions for how to develop stronger alignment to provide culturally responsive patient-centered care to Black families.
Area of Special Interest
Women & Children
Specialty/Research Institute
Center for Outcomes Research and Education (CORE)
Specialty/Research Institute
Obstetrics & Gynecology
Specialty/Research Institute
Population Health
DOI
https://doi.org/10.3390/genealogy9030068
