Meet a public purpose and fall within County authority to fund per NC General Statutes, to be affirmed and reviewed by the Cumberland County Legal Department prior to execution of a contract or funding agreement Agencies must have at least three years of experience providing doulas services Serve the residents of Cumberland County. Funding cannot be used to serve residents in other counties. Hire or contract with two birth doulas certified by a DONA International accredited/affiliated organization or other organization approved by the health department. Utilize evidence-based practices Complete at least one training on focused on health equity, health disparities, or social determinants of health to support individual competencies and organizational capacity to promote health equity. Provide continuous labor support to at least 30 clients annually Initiate and maintain contact with doula clients as follows: at least 3 visits during pregnancy; within 2 days after birth; and within 6 weeks after birth. Provide back-up coverage to the second doula contracted or hired with the program to ensure that all clients have continuous labor support. A representative of the funded agency must attend monthly Perinatal Taskforce meetings held the 3rd Tuesday of each month at 3 PM at the Health Department Collect and submit data at several intervals before, during and after birth including but not limited to number of women served by race and ethnicity, entry into prenatal care; number of prenatal visits completed; birth and postpartum satisfaction; reproductive life planning; breastfeeding initiation and duration; and number of organizations that collaborate with the Doula program Participate in all coordinated meetings with other funded agencies Provide performance reporting regarding use of funds and project impact on a quarterly basis Include an approved budget utilizing the County’s Budget Template and track and report expenditures utilizing the same form.