ANNUAL Report

FY2022

Update on the Maternal Health Crisis

The United States is amid a maternal health crisis that continues to worsen despite efforts by front-line birth workers and dedicated organizations working to galvanize a national response to improve outcomes for pregnant women and birthing people.

Maternal morbidity and mortality rates have steadily increased in the U.S. even though rates in other high-income countries are on the decline; continually increasing for Black women and birthing people compared to other racial groups.

The U.S. maternal mortality rate is 32.9 deaths per 100,00 live births in 2021 (compared to 23.8 in 2020 and 20.1 in 2019 according to the CDC) – officially making it one of the wealthiest nations with one of the worst health outcomes for pregnant women/birthing people and their babies globally.

Black women experience a greater burden of maternal morbidities during and around the time of pregnancies contributing to adverse pregnancy and birth outcomes.

The U.S. maternal mortality rate was 69.9 deaths per 100,00 live births in 2021 for (non-Hispanic) Black women compared to 55.3 in 2020 (according to the CDC) in comparison to their (non-Hispanic) white counterparts.

Black women and birthing people are 2.6 times more likely to suffer harm or death in relation to pregnancy, childbirth, labor, and the postpartum period.

As we look to the future, we recognize that we must accelerate our efforts to improve outcomes for Black birthing populations. We will continue to lean into this work and call on our allies to collectively intensify and unify our efforts to incorporate equity in practice widely across health systems by working with strategic partners, funders, community-based organizations (CBOs), maternal health organizations, community leaders, policymakers, etc. to advance birth equity.

The United States is amid a maternal health crisis that continues to worsen despite efforts by front-line birth workers and dedicated organizations working to galvanize a national response to improve outcomes for pregnant women and birthing people.

Maternal morbidity and mortality rates have steadily increased in the U.S. even though rates in other high-income countries are on the decline; continually increasing for Black women and birthing people compared to other racial groups.

U.S. maternal mortality rate 32.9 deaths per 100,00 live births in 2021 (compared to 23.8 in 2020 and 20.1 in 2019 according to the CDC) officially making it one of the wealthiest nations with one of the worst health outcomes for pregnant women/birthing people and their babies globally.

Black women experience a greater burden of maternal morbidities during and around the time of pregnancies contributing to adverse pregnancy and birth outcomes.

The U.S. maternal mortality rate is 69.9 deaths per 100,00 live births in 2021 for (non-Hispanic) Black women (compared 55.3 in 2020 according to the CDC)

In comparison to their (non-Hispanic) white counterparts. Black women and birthing people are 2.6 times more likely to suffer harm or death in relation to pregnancy, childbirth, labor, and the postpartum period.

As we look to the future, we recognize that we must accelerate our efforts to improve outcomes for Black birthing populations. We will continue to lean into this work and call on our allies to collectively intensify and unify our efforts to incorporate equity in practice widely across health systems by working with strategic partners, funders, community-based organizations (CBOs), maternal health organizations, community leaders, policymakers, etc. to advance birth equity.

United States Maternal Mortality Rate
From 2019 to 2021

  • 2019
  • 2020
  • 2021
  • 75
  • 60
  • 45
  • 30
  • 15
23.8
55.3
Deaths per 100,000 live births

   U.S. Non-Hispanic Black Women

    U.S. Women (All)

   U.S. Black Women (Non-Hispanic)

    U.S. Women (All)

In comparison to their (non-Hispanic) white counterparts,
Black women and birthing people are 2.6 times more likely to suffer harm
or death in relation to pregnancy, childbirth, labor, and the postpartum period.

Mission & Vision

The Collaborative is a Black woman-led organization that creates transnational solutions to optimize Black infant health, maternal health, sexual and reproductive well-being. Our vision is that all Black mamas, their babies, and their villages thrive. We do this by shifting systems and culture through training, research, technical assistance, policy advocacy, and community-centered collaboration.

Our work is rooted in reproductive justice, racial equity, and human rights frameworks to improve health equity for all by prioritizing the impacts of the social and structural determinants of health as well as their root causes (e.g., racism). The Collaborative, with its unique shared leadership model, is nationally recognized for providing expertise on health equity, reproductive health, birth outcomes, public insurance, respectful health care including well-woman, maternal, and prenatal care, community-based engagement, staff development and integration to address biases and racism among those who interact with pregnant people in outpatient and inpatient settings.

The Collaborative’s Executive Leadership Team

Jauna Crear JD, MBA
Vice President
Finance & Compliance
Khalilah Elliott
Vice President
Institutional Development & Capacity Building
Carmen Green, MPH
Vice President
Research & Strategy
Shani Hunter
Vice President of Administration/Chief of Staff
Inas-Khalidah Mahdi, MPH, DrPH(c)
Vice President
Equity Centered Capacity Building
Nia Mitchell, MPH
Vice President
Center for Birth Equity Research and Praxis

PROGRAMMING AND MILESTONES

Overview

The Collaborative is comprised of an intimately woven, cooperative network of teams with the unified goal of decreasing unnecessary deaths among Black women and birthing people in the American healthcare system and abroad. This problem is multitiered, and The Collaborative applies layered solutions powered by its comprehensive, ariel view of Black womanhood, witnessed traumas, healthcare ambivalence, and desire for change. Each team has grown programmatic branches that lean into the skill and support of sister teams, creating a strong web of distinct, yet interconnected initiatives with a unified mission and vision.

Spotlight on

New initiatives

Community Power Building

The Collaborative launched its Community Power Building (CPB) initiative in 2022 to uplift and strengthen local Community-based Organization (CBO) partners and grassroots efforts in key regions throughout the U.S. who are currently engaged in birth equity and social justice work. The CPB framework for social justice shifts the perception of partners from clients to fellow change agents with rooted knowledge of their own unique experiences and needs, while helping communities build the mechanics and network of allies through which to express this inherent power.

In 2022, The Collaborative’s CPB team interfaced with everyday people, future healthcare workers and government officials to integrate birth equity in all strata of society. With funding provided through the CDC’s Local Community COVID Vaccine Partnerships, the team engaged everyday people in relaxed settings to inform community members of Black maternal health disparities through engaging, creative activities ranging from the COVID-19 Community Party with a Purpose Bus Tour to the Breast-Feeding Week Baby Shower.

Engagements also included events at the state level with statewide conferences, speaking engagements, and several statewide mayoral proclamations in Baton Rouge, New Orleans, and Shreveport Louisiana during Black Maternal Health Week 2022.

Center for Birth Equity Research and Praxis (CBERP)

The Center for Birth Equity Research and Praxis (CBERP) was established to advance the reproductive desires, well-being, and outcomes of Black women, birthing people, and their families. Its objectives are to prioritize evidence-based research grounded in birth equity and reproductive justice, build a likeminded and supportive leadership community; improve clinical practices and health policies affecting Black women and birthing people; and facilitate healing from all trauma and oppression.
 

The Collaborative leans on perspectives from The Kindred Southern Healing Justice Collective in defining healing justice not as a movement in and of itself, but rather as a framework for movements to address collective harm and trauma.

To that end, the organization weaves healing justice into the fabric of our human resources’ operations via practices that acknowledge the need for balance and restorative selfcare. Our Community Care Program encourages staff to create personal and collective restorative regimens which have included such sessions as yoga, journaling, and African dance. Moreover, our monthly Healing Justice newsletter is rich with interactive resources to connect staff with events and online resources with the click of a button.

To support Black women outside the organization seeking to overcome trauma, the team also hosted a virtual wellness event for Black women and their families to observe during Black Maternal Mental Health Week (July 19-25, 2022) in partnership with the Center for Reproductive Rights. The event featured a panel discussion highlighting the connections between Black maternal mental health and fertility challenges as well as an intimate wellness session for birthing people and their partners.

Impact

BRAND GROWTH

Social Media

Growth (Compared to 2021)

New Followers

Total Engagements: 1
1 %
Total Impressions: 1
1 %
Total Post Link Clicks 1
1 %
Total Engagements: 1
1 %
Total Impressions: 1
1 %
Total Website Clicks: 1
1 %
Total Posts: 1
1 %
Total Followers: 1
1 %
Total Engagements: 1
1 %
Total Impressions: 1
1 %
Total Post Link Clicks: 1
1 %
Total Video Views: 1
1 %
Total outbound Tweets: 1
1 %
Total Engagements: 1
1 %
Total Impressions: 1
1 %
Total Post Link Clicks: 1
1 %

High Performing Content

TOP INSTAGRAM POSTS

9 Black-led organizations uplifting breastfeeding awareness
Total Likes: 1
Engagement Rate: 1 %
Total Impressions: 1
Total Saves: 1
Bills of the Black Maternal Health Momnibus Act
Total Likes: 1
Engagement Rate: 1 %
Total Impressions: 1
Total Saves: 1

Top LinkedIn Posts

Introducing Robert Wood Johnson Birth Fund
Total Likes: 1
Engagement Rate: 1 %
Total Impressions: 1
Total Shares: 1
Total Clicks: 1
Announcing Black Maternal Health Week
Total Likes: 1
Engagement Rate: 1 %
Total Impressions: 1
Total Shares: 1
Total Clicks: 1

Top Tweets

Little Miss Trend
Total Likes: 1
Engagement: 1
Total Impressions: 1
SisterTalk: Black Breastfeeding Week
Total Likes: 1
Engagement: 1
Total Impressions: 1

MEDIA

It seems like a scary time for reproductive rights. Here are reasons to have more hope.

May 21, 2022

“Power over bodies has a long history that is inclusive of racism, classism and ableism. We need to change the way we talk about abortion rights.”

In abortion debate, echoes of another battle: Reproductive rights for Black women

June 10, 2022

“The United States faces an ever-growing maternal health crisis that is especially deadly for Black women, who, along with Native American women, live shorter lives than many other Americans. Pregnancy and childbirth are among the leading causes of death of all teenage girls and women 15 to 44 years old, and Black women are three times as likely to die as a result of pregnancy as White women.”

Expectant Black mothers, facing higher mortality rates, turn to doulas and midwives for support

June 17, 2022

“A 2018 study found that states with more robust midwifery services reported better maternal care and better birthing outcomes, suggesting that states that have better resources dedicated to health care have better results . . .”

Exclusive: Black congresswomen urge Biden to declare public health and national emergency around abortion

June 24, 2022

"The effects of this decision on the lives and health of Black women and pregnant people will be devastating and require an urgent and whole-of-government response . . ."

Black Maternal Health Week 2022 Kicks Off With These Stellar Events

April 11, 2022

“Black Maternal Health Week 2022 is officially underway — and this year’s theme is: Building for Liberation: Centering Black Mamas, Black Families and Black Systems of Care.”

Organizations that Support Black Mothers and Caregivers Today and Everyday

May 6, 2022

“Giving back has a way of making people feel good. And Mother’s Day is the perfect time to support Black mothers and caregivers who need it most. If you are looking for a way to help those who are always helping others this Mother’s Day, consider supporting one of these important non-profit organizations.”

OP-ED: Formula Shortage Highlights Blackness As The Casualty Of Capitalism

August 15, 2022

“Maternal health funders must acknowledge and address injustices in funding distribution and the perpetuation of research and programming that looks for solutions outside of the marginalized community. Justice-centered approaches to funding and programming will establish a narrative that does not perpetuate this continued marginalization but promotes asset-based solutions for improving maternal health. Black women’s thought leadership is the chief asset.”

Reproductive Justice on the Frontlines of US Climate Action Extreme Weather Highlights Need to Support Doulas and Environmental Health in Maternal Care

July 7, 2022

"Pregnant people are more vulnerable to heat-related illnesses, and exposure to heat and wildfire smoke are associated with stillbirth and premature and low weight births (themselves both linked to higher infant death rates). This makes the environmental crisis a reproductive health and equality crisis. The US has struggled with increasing rates of preterm birth for years, and rates are twice as bad for Black infants as white. Now, reproductive justice advocates and frontline birth workers, such as doulas and midwives, are intervening to support pregnancy health in the face of additional pressures from the climate crisis. "

Birthing Justice Documentary Examines Systemic Racism and Identifies Solutions to Address The Shocking Infant and Maternal Mortality Rates in The U.S.

April 14, 2022

“America’s medical establishment has turned giving birth into a battlefield for Black women and their babies, but activists are changing those negative outcomes. Birthing Justice goes behind the statistics and beyond the grief to amplify how Black women are taking control of their lives and transforming the birth experience to one of resilience and joy.”

Looking Forward

Birth Equity Trainings

The dismantling of ingrained racist medical practices necessitates a path to the humane and equitable treatment of Black women and birthing people. Thus, The Collaborative offers Birth Equity Trainings as a thoughtful, methodical, and evidence-based solution that unites birth justice advocates and the medical community, forging a new path. We are excited about our plans to offer robust and accessible Birth Equity Trainings to our partners by housing training modules on Rise 360, a premier online learning platform that automatically adapts to all devices. In addition, training modules will include two new courses entitled Birth Equity 101 and Deconstructing Bias. The Collaborative’s Birth Equity Training goals include a Promotional Campaign, the retooling and launching of the Birth Equity Assessment, developing an impact profile for Birth Equity Assessment and training, establishing a Culture of Birth Equity as a core external engagement strategy, and developing a Respectful Maternity Care training curriculum.

Financials

Contributed Revenue

Foundation/Corporate Contributions: 1 .00
Private Grants: $ 1 .00
Individual Donations: $ 1 .00
Subtotal: $ 1 0

Earned Revenue

Program Services & Fees (Training & Technical Assistance): $ 1 .00
Subtotal: $ 1 .00
Total Revenue: $ 1 0

Contributed Revenue

Foundation/Corporate Contributions:
1 .00
Private Grants:
$ 1 .00
Individual Donations:
$ 1 .00
Subtotal:
$ 1 0

Earned Revenue

Program Services & Fees (Training & Technical Assistance):
$ 1 .00
Subtotal:
$ 1 .00
Total Revenue:
$ 1 0

Expense

Salaries/wages, payroll taxes, and benefits: $ 1 .00
Program Services & Support (Subcontractors/Consultants): $ 1 .00
Fiscal Sponsor Fee (The Praxis Project, Inc.): $ 1 .00
SubGrant Awards, Contributions & Sponsorships: $ 1 .00
Special Events (BMHW22, Community Cares, staff/leadership retreats, etc.): $ 1 .00
Travel: $ 1 .00
Staff Training/Professional Development: $ 1 .00
Software Licenses: $ 1 .00
Meetings & Conferences: $ 1 .00
Supplies & Equipment: $ 1 .00
Rent, parking, and occupancy: $ 1 .00
Research Incentive Support: $ 1 .00
Postage & Shipping: $ 1 .00
Total Expense: $ 1

Expense

Salaries/wages, payroll taxes, and benefits:
$ 1 .00
Program Services & Support (Subcontractors/Consultants):
$ 1 .00
Fiscal Sponsor Fee (The Praxis Project, Inc.):
$ 1 .00
SubGrant Awards, Contributions & Sponsorships:
$ 1 .00
Special Events (BMHW22, Community Cares, staff/leadership retreats, etc.):
$ 1 .00
Travel:
$ 1 .00
Staff Training/Professional Development:
$ 1 .00
Software Licenses:
$ 1 .00
Meetings & Conferences:
$ 1 .00
Supplies & Equipment:
$ 1 .00
Rent, parking, and occupancy:
$ 1 .00
Research Incentive Support:
$ 1 .00
Postage & Shipping:
$ 1 .00
Total Revenue:
$ 1
Revenue Less Expense: $ 1
Revenue Less Expense:
$ 1

Thank You to our Donors

We offer deep gratitude to our donors for fueling The Collaborative engine, which gives us the resources to actualize our mission, values, and goals.
We also sincerely thank our supporters who continue to create a strong village that renews our fighting spirit each day.
MAJOR FUNDERS
National Philanthropic Trust
Pivotal Ventures
Conrad N. Hilton Foundation
Robert Wood Johnson Foundation (RWJF)
Wellspring Foundation
Perigee Fund
Merck
National Healthy Start Assoc (NHSA)
New Venture Fund for Global Policy and Advocacy (NVF)
Pritzker Family Foundation
Packard Foundation
March of Dimes
California Health Care Foundation (CHCF)
Open Society Foundation
United Healthcare (UHC)
Yellow Chair Foundation
Universal Access Project - UN Foundation
SUPPORTERS
Premier
American College of Obstetricians and Gynecologists/ Alliance for Innovation on Maternal Health (ACOG/AIM)
CDC Foundation
YouTube Health (YT Health)
Planned Parenthood Federation of America (PPFA)
St. Joseph County Health Department (Indiana)
Cradle Kalamazoo
Tulane
Women In The Room Productions (WTRP)
Bill & Melinda Gates Foundation
S Albert Fund of the Philadelphia Foundation
National Partnership for Women and Families (NPWF)
William & Flora Hewlett Foundation
Covis Pharma
Health Care Transformation Task Force (HCTTF)
Pinpoint Foundation
JSI Reproductive Health National Training Center
Coalition to Expand Contraceptive Access (CECA)

To support NBEC, please visit birthequity.org/donate

Acknowledgment

We extend our appreciation to Dr. Joia Crear-Perry, a visionary, trailblazer and thought leader who brought the National Birth Equity Collaborative (NBEC) from the realm of possibility to active, vibrant fruition while enlisting and inspiring a team of talented experts to aid in the mission of improving birth outcomes for Black women and birthing people.

As we move forward from our foundation and grow towards making a greater impact in reproductive health as THE COLLABORATIVE (a fiscally sponsored program of The Praxis Project, Inc.), we also recognize the importance of these efforts historically and gratefully acknowledge the original vision of NBEC’s founder that has made it possible to launch our work further into the future. 

Annual Report

2022

Donate today to help educate and empower
others about birth equity.

Donate today to help educate and empower others about birth equity.

Copyright © 2023, National Birth Equity Collaborative (NBEC). All Rights Reserved.
THE COLLABORATIVE is a fiscally sponsored program of The Praxis Project, Inc. and is graciously supported by the Robert Wood Johnson Foundation.
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