The Family and Pregnancy Pop‐Up Village: Developing a one‐stop shop of services to reduce pregnancy care‐related inequities in San Francisco

Author:

Nijagal Malini A.1,Odiase Osamuedeme J.2ORCID,Bell April J.3,El Ayadi Alison M.14,Williams Schyneida1,Nicolaisen Chloe5,Jacobs Garrett6,Mack Brandi6,LaSerre Monique7,Stewart Chelsea7,Crockett KaSelah8,Afulani Patience A.124ORCID

Affiliation:

1. Department of Obstetrics, Gynecology & Reproductive Sciences University of California San Francisco California USA

2. Institute for Global Health Sciences University of California San Francisco California USA

3. Department of Family and Community Medicine University of California San Francisco California USA

4. Department of Epidemiology & Biostatistics University of California San Francisco California USA

5. Department of Obstetrics, Gynecology and Women's Health Albert Einstein College of Medicine/Montefiore Medical Center New York New York USA

6. Designing Justice + Designing Spaces (DJDS) Oakland California USA

7. Rafiki Coalition for Health and Wellness San Francisco California USA

8. KaCierge Consulting, Compass & Keys Oakland California USA

Abstract

AbstractIntroductionCentering affected individuals and forming equitable institutional–community partnerships are necessary to meaningfully transform care delivery systems. We describe our use of the PRECEDE‐PROCEED framework to design, plan, and implement a novel care delivery system to address perinatal inequities in San Francisco.MethodsCommunity engagement (PRECEDE phases 1–2) informed the “Pregnancy Village” prototype, which would unite key organizations to deliver valuable services alongside one another, as a recurring “one‐stop‐shop” community‐based event, delivered in an uplifting, celebratory, and healing environment. Semi‐structured interviews with key partners identified participation facilitators and barriers (PRECEDE phases 3–4) and findings informed our implementation roadmap. We measured feasibility through the number of events successfully produced and attended, and organizational engagement through meeting attendance and surveys.ResultsThe goals of Pregnancy Village resonated with key partners. Most organizations identified resource constraints and other participation barriers; all committed to the requested 12‐month pilot. During its first year, 10 pilot events were held with consistent organizational participation and high provider engagement.ConclusionThrough deep engagement and equitable partnerships between community and institutional stakeholders, novel systems of care delivery can be implemented to better meet comprehensive community needs.

Funder

California Wellness Foundation

University of California, San Francisco

Bella Vista Foundation

San Francisco General Hospital Foundation

Joseph and Vera Long Foundation

Stupski Foundation

Publisher

Wiley

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