Evaluating the Implementation and Outcomes of a Community‐Based Doula Program in Washington State: A Mixed‐Methods Analysis.
Background: Community‐based doulas, who provide nonclinical perinatal support and are often from the same communities as the families they serve, are increasingly recognized as a strategy to ameliorate racialized perinatal health inequities. However, little is known about the successful implementati...
| Publicado en: | Perspectives on Sexual & Reproductive Health Vol. 57; no. 2; pp. 219 - 231 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=186252537&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186252537 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15386341 K87 jtl: Perspectives on Sexual & Reproductive Health issn: 15386341 maglogo: Y pubinfo: dt: Jun2025 vid: 57 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 186252537 185889565 186252537 186252537 10.1111/psrh.70015 186252537 ppf: 219 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Evaluating the Implementation and Outcomes of a Community‐Based Doula Program in Washington State: A Mixed‐Methods Analysis. aug: au: Riley, Taylor Buchanan, Zeruiah V. Perera, Dila Brickell, Kate Wilhite Turrietta, Cynthia Teal, Janae Bess, Jami Celis, Margarita Egal, Hawa Gladstone, Memorie Hernandez, Betty Prioleau, Vonda Sharif, Mienah Z. affil: Department of Epidemiology, University of Washington, Seattle Washington,, USA sug: subj: Doulas Community Programs Washington Program Evaluation Program Implementation Community Health Services Perinatal Care Human Female Washington Multimethod Studies Interviews Audiorecording Thematic Analysis Female ab: Background: Community‐based doulas, who provide nonclinical perinatal support and are often from the same communities as the families they serve, are increasingly recognized as a strategy to ameliorate racialized perinatal health inequities. However, little is known about the successful implementation and sustainability of community‐based doula programs. Methods: Using an explanatory sequential mixed methods design, we examined the implementation and health outcomes of a community‐based doula program serving low‐income families and the barriers and facilitators that influence these outcomes. We analyzed programmatic and health outcome data among all families enrolled in the program from January 2016 through December 2022. Four in‐depth listening sessions with the program's direct service providers were conducted and analyzed using thematic analysis. Results: Among the over 1800 families served, the majority of whom identified as either Asian, Black, Indigenous, Latina/e/x, or multiracial, there were 14,672 total home visits that totaled 17,774 h. Over $87,000 in direct funds and 7000 tangible items (e.g., diapers) were dispersed to families. Preterm birth ranged from 4% to 9% across programs and most participants (> 94%) were breastfeeding/chestfeeding at birth. Direct service providers identified holistic, culturally‐matched services and "doula‐ing the doula" (organizational infrastructure to support doulas) as facilitators. Barriers included the intersecting systems of oppression that underlie the primary challenges faced by birthing families and direct service providers, including lack of community resources and power asymmetries within birth settings, that can lead to provider burnout. Conclusions: These findings document the positive impact of community‐based doula programs and bolster calls for increased compensation and structural supports for doulas. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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