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America is trying to solve the problem of maternal mortality through federal, state and local programs.

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TULSA, Okla. (AP) — On the scene racial massacre it decreased districts in ashes 100 years ago, where wall paintings commemorate the once flourishing ” Black Wall Street“A black mother tries to keep other children from dying while they fight to bring latest life into the world.

Black women are 3 times more likely to be die consequently of pregnancy or childbirth as white women in Oklahoma, which consistently ranks amongst the top states in the country for maternal mortality.

“Tulsa is hurting,” said Corrina Jackson, who runs the local version of the federal Healthy Start program, coordinating needed care and helping women through pregnancy. “We’re talking about lives here.”

Across the country, programs in any respect levels of government—federal, state and local—share the same goals to reduce maternal mortality and close racial gaps. No one has all the answers, but many are making progress of their communities and leading the way for other places.

Jackson’s project is one of greater than 100 funded by Healthy Start, which has awarded $105 million in grants nationwide this yr. Officials call Healthy Start a significant part of the Biden administration maternal health plan.

Other approaches to the crisis include halving California’s maternal mortality rate through a company that shares best practices for treating common causes of maternal death and expanding New York’s access to midwives and doulas two years ago. Several states have passed laws this yr geared toward improving maternal health, including radical measure in Massachusetts. Last week, the U.S. Department of Health and Human Services announced greater than $568 million in funding to improve maternal health through activities akin to home visiting services and higher identifying and stopping pregnancy-related deaths.

At the local and national level, “we really need to identify those giving birth who are potentially at greatest risk,” said New York City Health Commissioner Dr. Ashwin Vasan, “and then provide care throughout their pregnancy.”

Healthy Start in Tulsa

In addition to coordinating prenatal and postnatal care—which experts say is crucial to keeping moms alive—local Healthy Start projects provide education about pregnancy and parenting and referrals to services for issues akin to depression or domestic violence. Local efforts also reach out to partners of women and children up to 18 months old. They give attention to issues that affect health, akin to transportation to appointments.

“We try to get them through the first trimester of pregnancy and then we work with them up until the day they’re born. Then we work with the babies to make sure they hit their milestones,” Jackson said.

Jackson received help from the local Urban League as a single mother and felt a calling to give back to her community. She has been involved with Healthy Start for greater than 25 years, first through the Tulsa Health Department and most recently through the nonprofit she founded, which received about $1 million in federal funding this fiscal yr.

“I treat her like a mom on this show,” Jackson said.

In the entire state of Oklahoma, the maternal mortality rate is roughly 30 per 100,000 live births, far higher than the national average of about 23. But in her quarter-century in office, Jackson said, there have been no maternal deaths amongst her clients.

Critical to Healthy Start’s success are care coordinators like Krystal Keener, a social employee in the obstetrics and gynecology clinic at Oklahoma State University, where clients receive prenatal care. One of her responsibilities is educating clients about health issues, akin to recognizing the signs of preeclampsia or how much bleeding is an excessive amount of after delivery.

Areana Coles undergoes an ultrasound during a prenatal visit at the Oklahoma State University obstetrics and gynecology clinic in Tulsa, Oklahoma, Tuesday, July 16, 2024. (AP Photo/Mary Conlon)

She also helps with practicalities: Many clients don’t have cars, so that they call Keener after they need transportation to a prenatal visit, and she helps schedule it.

Along with the doctors, Keener serves as a patient advocate. One afternoon, Keener attended a prenatal visit for Areana Coles. A single mother, Coles had her 5-year-old daughter together with her, who was born prematurely and hung out in intensive care.

Coles, 25, said Healthy Start was “probably the best thing that’s happened in this pregnancy.” She called Keener an “angel.”

Together they handled several health issues, including dehydration and low potassium, which landed Coles in the hospital.

As Coles’ due date approached, Keener spoke about what to look out for during and shortly after labor, like blood clots and postpartum depression. She advised Coles to take care of herself and “give myself credit for the little things I do.”

During an ultrasound a number of minutes later, Coles saw Dr. Jacob Lenz indicate her unborn baby’s eyes, mouth, hand, and heart. He printed out a picture of the scan, which Coles immediately showed her daughter.

Keener said she’s glad Coles won’t have to give birth prematurely this time.

“You made it to the end of your pregnancy – hurray!” she told her client.

Coles smiled. “My body can do it!”

Improving health care

While programmes akin to Healthy Start give attention to individual patient needs, other initiatives ensure comprehensive quality of care.

California has the lowest maternal mortality rate in the country—10.5 per 100,000 live births, lower than half the national rate. But that wasn’t the case before the Maternal Quality Care Collaborative was formed in 2006.

Founded by Stanford University School of Medicine in partnership with the state, the initiative brings together individuals from every hospital with a maternity unit to share best practices for managing conditions that may lead to maternal injury or death, akin to hypertension, heart problems and sepsis.

“When you look at the maternal death rate in the United States compared to California, they were basically neck and neck until it was fixed,” said Dr. Amanda Williams, clinical innovation adviser for the collaboration. “At that point, they completely separated, and California started going down. The rest of the country started going up.”

The collaboration provides hospitals with toolkits full of materials, akin to multi-format care guidelines, best practices articles and slide decks that designate what to do during a medical emergency, how to form medical teams and what supplies to have on the unit. The collaboration also addresses issues akin to improving maternity care by integrating midwives and doulas, whose services are covered by the state Medicaid program.

Initially, some doctors resisted the enterprise, assuming they knew best, Williams says, but now that the collaboration has proven its price, there is much less opposition.

MemorialCare Miller Children’s & Women’s Hospital Long Beach began participating in the program around 2010. The partnership helps “look at all the research that’s out there,” said Shari Kelly, executive director of perinatal services. “It’s just really important to really understand how we as providers can make a difference.”

For example, if a lady loses a major amount of blood after a vaginal delivery, “we know how to activate what we call here the ‘code scarlet,’ which brings the blood to the bed,” Kelly said. “We can act quickly and stop any potential hemorrhage.”

She added that the collaboration also helped reduce racial inequalities, akin to by lowering the rate of cesarean sections amongst black moms.

In July, the U.S. Centers for Medicare & Medicaid Services proposed an initiative similar to the one in California focused on the quality of perinatal care nationwide: the first basic health and safety requirements for hospital obstetric and emergency medical services.

Experts say tackling maternal mortality at the national level requires tailoring solutions to the needs of individual communities, which is easier when programs are locally run.

New York City has a goal of reducing maternal mortality overall, specifically achieving a ten percent decrease in maternal mortality amongst black people by 2030. Statewide, black individuals are about 4 times more likely to die while pregnant or childbirth than white people.

The city is starting with low-income and social housing residents, amongst others. The New Family Home Visits Initiative provides pregnant women and those that have given birth with visits from specialists akin to nurses, midwives, doulas and lactation consultants. Vasan said that since 2022, greater than 12,000 families have received visits.

Nurse Shinda Cover-Bowen works for the Nurse Family Partnership, which visits families for two 1/2 years, long after pregnancy and birth. She said that “that consistency of having someone there, listening to you, guiding you through your mother’s journey, is priceless.”

Rooted in the community—and its history—is also key to Healthy Start’s projects. The lasting effects of racism are evident in Tulsa, where in 1921, white residents killed an estimated 100 to 300 black people, and destroyed houseschurches, schools and businesses in the Greenwood neighborhood. That’s where Jackson lives now, and where health care inequities persist.

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Being trustworthy is priceless to black women who may not trust the health care system, Jackson said. Plus, knowing the community allows for close collaboration with other local agencies to meet people’s needs.

Denise Jones, who signed up to Healthy Start in February, has struggled with anxiety, depression and drug addiction but has been sober since April.

By mid-July, her room was stuffed with baby gear—a crib, a bassinet, tiny clothes hanging neatly in the closet—in anticipation of her baby’s arrival. Jones, 32, was leafing through a baby book, pointing to the sonogram of her son Levi, who was due in a number of weeks.

She said she feels healthy and blissful thanks to the help she received from Healthy Start and Madonna House, a transitional housing program run by Catholic Charities of Eastern Oklahoma.

“I have professionals working with me and supporting me. I didn’t have that with my other pregnancies,” she said. “I am one with my baby and I can focus.”

This article was originally published on : thegrio.com
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Britain’s public is becoming more ‘carbon conscious’ – here’s what that means

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As climate change intensifies, growing public awareness and gradual changes in behaviour will hopefully translate into transformative motion. We explore how lifestyles and governance systems need to vary to deliver a sustainable, low-carbon future for the UK.

Our research in Centre for Climate Change and Social Transformation suggests that the knowledge, attitudes and behavior of the British public about climate change have improved significantly during the last decade. Recycling rates are rising, energy consumption is decreasingAND polls show that more voters are taking climate change into consideration when selecting which party to vote for.

In the recent scientific workWe reviewed over 240 academic studies to summarise the ways people can act of their different roles to take motion on climate change. We then compared surveys from 2008 and 2022 asking Britons about their knowledge of climate change, their attitudes towards it and their consumer decisions. We call the knowledge, skills and motivation needed to scale back an individual’s carbon footprint ‘carbon capacity’.

In 2008, 66% of respondents said they knew ‘a fair amount’ or ‘a lot’ about climate change; this rose to 80% in 2022. Over the identical period, the proportion of respondents who said they were conversant in the term ‘carbon footprint’ rose from 51% to 68%. We also found that a big majority (81%) of individuals within the UK agree that ‘significant lifestyle changes’ are needed to attain climate targets.

People are increasingly taking environmental issues into consideration when making on a regular basis decisions.
Hampton and Whitmarsh (2023)/One Earth

More engagement at home and in stores

Energy efficiency in homes has improved significantly. For example, the proportion of people that say they usually turn off lights in empty rooms has increased from 67.2% in 2008 to 73.3% in 2022.

The percentage of people that usually buy organic, locally produced and seasonal food has increased from 12.6% to 19.2%. The popularity of eating meat is largely influenced by: Demographic aspectsand we found that younger, higher educated, left-leaning people were more more likely to limit the quantity of beef of their food plan.

Recycling rates have also improved since 2008, rising from just over 70% to almost 78% of individuals saying they recycle at home. In 2022, almost 25% said they often buy products with less packaging, up from just 11% in 2008. Younger people and oldsters are much more more likely to buy second-hand, repair or reuse items.

A woman pours breakfast cereal into a plastic container.
Grocery stores are more common today than they were 20 years ago.
Author: Ben Molyneux

One of the actions aimed toward increasing the capability of the complete population to avoid wasting carbon is let’s discuss climate changeAround two-thirds (64%) of individuals surveyed in 2022 said that they had talked about climate change prior to now month, and again we found that younger, higher educated and more affluent people were most probably to achieve this.

There has been a noticeable increase within the practice of writing to politicians about climate issues (4.9% in 2022, up from 0.4%), which may be attributed to the increased ease of doing so – for instance, using email templates and online petitions. This is consistent with evidence that UK politicians have experienced a major increase generally correspondence lately, particularly in the course of the pandemic.

Bigger and harder changes are needed

Although people reported that that they had increased their efforts to avoid wasting energy at home, more effective measures were introduced, equivalent to the installation of warmth pumps still lagging behind. Structural barriers, particularly those related to home ownership, prevent many individuals from taking motion to enhance energy efficiency. For example, private and social renters could also be more constrained in making these improvements than homeowners.

The percentage of people that say they’re flying less due to climate change has fallen barely, from 23.8% in 2008 to 21.7% in 2022. However, six in 10 people said in the newest survey that they would really like to travel more. Although it was noted noticeable increase in distant work lately it it didn’t amount to to an overall reduction in transport-related emissions amongst UK residents.

Tourists entering the airplane via escalator.
‘Flying embarrassment’ fails to discourage UK holidaymakers
Ceri Breeze/Shutterstock

There is a growing interest in sustainable food decisions and Meat consumption within the UK is falling. However, our research shows that the proportion of vegetarians and vegans stays relatively low at 7.7%, having fallen by one percentage point since 2008 – although estimates of vegetarianism vary across studies.

Our findings also show that people significantly underestimate food waste. According to food waste charity Wrap, UK households generate a mean of 241 kg of food waste per 12 months – which equates to 16% of all food purchased. However, 91% of respondents to our 2022 survey believed that the food they waste was lower than 10% of what they bought.

There appears to be a growing awareness and commitment to reducing carbon footprints within the UK. Younger, more educated and wealthier people are inclined to be probably the most committed and more in a position to change their lifestyles. This shows how essential addressing socio-economic inequalities might be to any climate solution.

The progress made to this point is commendable, but incremental changes to on a regular basis habits, equivalent to turning off the lights and recycling, have gone further than more effective changes, equivalent to installing low-carbon heating systems or making significant dietary changes. More widespread lifestyle changes are needed to handle the total range of environmental challenges.

Measures to encourage people to make higher decisions about climate are inclined to fail preferred by decision makersIf we’re serious about increasing the UK’s ability to scale back carbon emissions, we want to see more concrete measures, equivalent to removing barriers to make low-carbon living decisions easy, inexpensive and attractive.

This article was originally published on : theconversation.com
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As the US hits record high temperatures, some people are forced to choose between food and energy bills

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Climate change, record heat, U.S. climate change, U.S. record heat, heatwaves and economics, energy poverty, record heat and energy costs, energy costs, Stacey Freeman North Carolina, theGrio.com

CHARLOTTE, N.C. — During the heat dome that blanketed much of the Southeast in June, Stacey Freeman used window units to cool her poorly insulated mobile home in Fayetteville, N.C. The 44-year-old mom relied on space heaters during the winter.

In each cases, her energy bills bumped into tons of of dollars a month.

“Sometimes I have to choose whether to pay the electric bill,” Freeman said, “or pay all the rent, buy food, or not let my son play sports?”

As a regional field organizer for PowerUp NC, Freeman’s job is to help people properly weatherize their homes, especially in the Sandhills region where she lives and works and where poverty and rising temperatures make residents vulnerable to the health effects of climate change.

But Freeman’s income is just too high to afford the services she helps others obtain through her grassroots initiative for sustainability, clean energy and environmental justice.

Like a growing variety of Americans, Freeman is battling what is named energy povertyincluding the inability to pay utility bills for heating or cooling the home. Households that spend greater than 6% Some researchers suggest that around 20% of their income from electricity bills goes to the energy poor.

Energy poverty can increase exposure to extreme heat or cold, which increases the risk of respiratory problems, heart problems, allergies, kidney disease and other health problems. And that burden falls disproportionately on households in communities of color, which experience it at a rate 60% higher than in white communities.

Public health and environmental experts say that as climate change continues to drive extreme weather, greater policy efforts are needed to help vulnerable communities, especially during heatwaves.

“Energy poverty is just one example of how climate change can exacerbate existing inequities in our communities,” said Summer Tonizzo, spokeswoman for the North Carolina Department of Health and Human Services.

Extreme heat is the leading explanation for weather-related deaths in the U.S., and the risk increases as temperatures rise. Last yr, 2,302 people died in the U.S. died of heat-related causeswhich is a 44% increase compared to 2021. In one week in early July this yr, extreme heat killed at the very least 28 people, according to The Washington Postbased on reports from government officials, health workers and local media reports.

Yet 1 in 7 households spends about 14% of their income on energy, according to RMI, an energy and sustainability think tank. Nationally 16% of households lives in energy poverty, according to an evaluation co-authored by Noah Kittner, an assistant professor of public health at the University of North Carolina at Chapel Hill.

“Old, inefficient buildings and heating systems force people to supplement their energy needs in ways that increase costs,” Kittner said.

Pregnant women, people with heart or lung disease, young children, older people, and people who work or exercise outdoors are most vulnerable to heat-related health problems. High temperatures have also been linked to mental health problems, equivalent to suicide and severe depression.

Location is one other risk factor. For example, in the historically black community in Raleigh often called Method, temperatures might be 10 to 20 degrees warmer than nearby areas with more vegetation and less development, said La’Meshia Whittington, an environmental justice and clean energy advocate. Interstate 440 runs through Method, and the city stores shuttle buses there, often with their engines running.

“That creates a lot of pollution that heats the area,” Whittington said. “There’s no ground to absorb the heat. Instead, it bounces off the shingles, the roofs, the sidewalks, and creates a furnace.”

Method residents often complain of chronic headaches and respiratory problems, she added.

While rural areas tend to have cooler temperatures than nearby urban areas because they’ve less asphalt and more trees, they often lack resources like health care facilities and cooling centers. Substandard housing and higher poverty rates contribute to high rates of heat-related illnesses.

As Ashley Ward, director of the Heat Policy Innovation Hub at Duke University, puts it, energy poverty “is about burdens piling up without any means of addressing them at the individual level.”

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In many parts of the country, extreme heat is a comparatively latest problem. Policymakers have historically focused on the risks posed by lower temperatures.

The federal low-income home energy assistance program, established greater than 4 a long time ago, has a funding formula that favors states with a chilly climate over those experiencing extreme heat, according to a Georgetown University study. Florida, Georgia, Arizona, Texas and Nevada have the lowest proportional allocations of federal funds, while North Dakota, South Dakota and Nebraska have the highest.

North Carolina relies heavily on private donors and local nonprofits like PowerUp to provide fans and air conditioners during the summer, but the state doesn’t subsidize energy bills.

On extremely hot days, Freeman and her colleagues at PowerUp NC work with state health officials to direct vulnerable people to cooling centers.

On a private level, staying cool this summer meant sending my son to a free, open-air recreation center as a substitute of paying for him to play in a sports league.

“We do things that don’t cost anything,” she said. “We’re just trying to keep up with the electric bill.”


Healthbeat is a nonprofit public health newsroom published by Citizen News Company AND KFF Health News. Sign up for newsletters Here.KFF Health News is a national newsroom that produces in-depth health journalism and is considered one of the major operating programs of KFF, an independent source of health policy research, polling and journalism. Learn more about KFF.

This article was originally published on : thegrio.com
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HBCU GO, an Allen Media Group Company, Announces Partnership with P&G

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HBCU GO and P&G partnership, HBCU culture HBCU life, HBCU GO, HBCU GO Allen Media Group, HBCU GO Procter & Gamble, HBCU GO Byron Allen, HBCU football, theGrio.com

HBCU GO, an Allen Media Group company and leading media provider to the nation’s 107 Historically Black Colleges and Universities (HBCUs), and Procter & Gamble are joining forces to rejoice HBCU culture.

The partnership features a industrial campaign titled “THIS IS HOW WE HBCYOU” that may run through the 2024 football season. The partnership also includes the “2024 HBCU GO Sports Pre-Game Live Kick-Off Show,” the first-ever HBCU GO live on-campus show leading as much as the most important games of the season, including the Southern Heritage Classic on Saturday between Tennessee State and Arkansas Pine Bluff.

Eric Austin, Vice President of Global Marketing and Media Innovation at Procter & Gamble, said, “We strive to meet the unique needs of all consumers. Together with HBCU GO Allen Media Group, we are able to authentically connect and empower Black consumers—in their everyday lives, through great brand innovation at the right cultural moments.”

P&G’s #HowWeHBCYOU ad campaign, powered by AMG, highlights the importance of supporting HBCUs and their students to support their success and continued growth.

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The “2024 HBCU GO Sports Pre-Game Live Kick-Off Show,” hosted by Jasmine McKoy, former Carolina Panthers defensive end Tre Boston and HBCU Gameday’s Tolly Carr, will give fans of the 4 major HBCU football conferences live access to all of the interviews and game strategy, in addition to a taste of HBCU culture.

In addition to the Southern Classic on Saturday, the event schedule includes:

Oct. 12: Bethune Cookman vs. Alabama A&M, homecoming game;
Oct. 19: Arkansas Pine Bluff vs. Grambling State, return game;
Oct. 26: Jackson State vs. Bethune Cookman, homecoming game;
November 9: Mississippi Valley vs. Jackson State.

For more details about HBCU GO, visit HBCUGO.TV.

This article was originally published on : thegrio.com
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