Building HOPE: Integrating community-based doula care in public hospitals in New York City.

ABSTRACT: Maternal morbidity and mortality in the United States is an urgent public health issue, and there are stark differences by race and ethnicity. Community-based doula care is an evidence-based strategy to improve maternal health through accompaniment, health care engagement, addressing social needs, and promoting respectful care. Yet, there is a gap in access to doula care for people who are low-income or publicly insured, due to cost and availability. New York has recently joined a growing number of states providing Medicaid coverage for doula services. There are many challenges to overcome for this benefit to succeed: limited workforce capacity, minimal integration of doulas into hospitals, and reimbursement challenges. We offer a case study for integrating doula services into hospital-bas

SUBMITTER: Maru S 

PROVIDER: S-EPMC11886845 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature