Specifications include, but are not limited to: Goal 1: Increase awareness of how community-based doulas and birthing centers can support black, high-risk mothers to have an improved birthing experience, and fewer unnecessary medical interventions. • Short and/or Intermediate Objectives o Doula program identifies formal partnerships with Community-Based Organizations (CBO) to promote healthy mothers and babies o Doula program serves eligible cohort participants o Doula program staff shall possess core competencies and appropriate certifications o Birthing centers provide personalized and family centered care to birthing persons before, during and after the pregnancy, labor and the birth o Birthing centers present a high-value proposition for maternity care through improved outcomes o Providing enhanced prenatal care in birth centers to have the risk of preterm and/or low birth weight babies significantly reduced • Intervention Activities to Meet Objectives o Doula program has quarterly meetings in the community with CBOs o Outreach to mothers to enroll participants into infant health programs and other home maternal visiting programs o Outreach to participants at clinics, birthing centers, and hospitals o Outreach at known spaces/events where black, high-risk/high-mortality women congregate, including schools, beauty shops, churches, and shopping centers • Contracting agency shall recruit community members who can identify with the target population. o Contracting agency shall ensure training plan for all key staff in collaboration and model standards o Staff shall continue all on-going training or educational opportunities designed to enhance cultural sensitivity • Process Description and Measures o Doula program staff align shared goals with CBOs o Doula program coordinate and schedule the type and frequency of traditional and non-traditional outreach events o List training activities completed in a quarterly report to HCPH ▪ Describe improved performance in implementing the model ▪ Identify gaps in training in reports • Short Intermediate Outcome Measures o Relationship evidenced by meeting agendas and roster of attendees o Cumulative Outreach to 200 expectant and parenting mothers provided by multiple vendors documented by sign-in sheets o Maintain all records of staff attendance at training in reports ▪ Indicate the number of training relevant to working with mothers and infants ▪ Manager to notate evaluations of the performance of staff during probationary periods and annually Goal 2: Doulas have relationship-based work with families, which allows for health education about pregnancy, labor and delivery, and support for mothers in the immediate postpartum period • Short and/or Intermediate Objectives o Doulas have established trust with the mother, and have demonstrated the value of being an integral part of the birth team • Intervention Activities to Meet Objectives o Prenatal and postpartum home visits as agreed upon by the mother and doula • Process Description and Measures o Doulas provide home visits and document activities completed during the encounters into the designated HCPH documentation platform • Short Intermediate Outcome Measures o Number of staff who have completed doula best practices trainings o Number of sessions completed with qualified mothers o Completion of mutually agreed upon satisfaction survey o Completion of a mutually agreed upon post-session assessment Goal 3: Doulas support the mother and partner in birth plan development and support the birthing person in communicating this plan with medical providers • Short and/or Intermediate Objectives o Conduct prenatal visits to establish a relationship with the mother and partner o Attend prenatal exams with the mother o Navigate the healthcare system in partnership with mother • Intervention Activities to Meet Objectives o Meet routinely with the mother and complete the HCPH agreed upon pre-assessment tool o Translate medical terminology when appropriate; ask clarifying questions when necessary o Assist mother in appointment scheduling; understanding how to overcome barriers to care regarding insurance; and accessing resources/benefits offered by health plans o Establishing trusted relationships with care providers to ensure higher rate of birthing success • Process Description and Measures o Document encounters activities with mothers in the designated HCPH documentation platform o Document each encounter in the designated HCPH documentation platform and flag follow-up items for subsequent visits o Document birth plan in the designated HCPH documentation platform • Short Intermediate Outcome Measures o Number of completed birth plans o Number of sessions completed o Completion of a participant satisfaction survey o Completion of post-sessions assessment
