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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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Percival Everett wins the National Book Award for his Huckleberry Finn-inspired epic “James.”

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NEW YORK (AP) – Percival Everett’s “James,” a daring reworking of “The Adventures of Huckleberry Finn,” won the National Book Award for fiction. The winner in the nonfiction category was “Soldiers and Kings: Survival and Hope in the World of Human Smuggling” by Jason De León, while the finalists included Salman Rushdie’s memoir about his brutal stabbing in 2022, “The Knife.”

The youth literature prize was awarded Wednesday night to Shifa Saltaga Safadi’s coming-of-age story “Kareem Between,” and the poetry prize was awarded to Lena Khalaf Tuffah’s “Something About Living.” In the translation category, the winner was “Taiwan Travel Diary” by Yáng Shuāng-zǐ, translated from Mandarin Chinese by Lin King.

Evaluation panels composed of writers, critics, booksellers and other representatives of the literary community chosen from lots of of submitted entries, and publishers nominated a complete of over 1,900 books. Each of the winners of the five competitive categories received $10,000.

Everett’s victory continues his remarkable development over the past few years. Little known to readers for many years, the 67-year-old was a finalist for the Booker and Pulitzer Prizes for such novels as “Trees” and “Dr. No” and the novel “Erasure” was adapted into the Oscar-nominated “American Fiction”.

Continuing Mark Twain’s classic about the wayward Southern boy, Huck, and the enslaved Jim, Everett tells the story from the latter’s perspective and highlights how in another way Jim acts and even speaks when whites usually are not around. The novel was a finalist for the Booker and won the Kirkus Prize for Fiction last month.

“James was well received,” Everett noted during his speech.

Demon Copperhead novelist Barbara Kingsolver and Black Classic Press publisher W. Paul Coates received Lifetime Achievement Medals from the National Book Foundation, which awards the awards.

Speakers praised diversity, disruption and autonomy, whether it was Taiwanese independence or immigrant rights in the US. The two winners, Safadi and Tuffaha, condemned the years-long war in Gaza and U.S. military support for Israel. Neither mentioned Israel by name, but each called the conflict “genocide” and were met with cheers – and more subdued reactions – after calling for support for the Palestinians.

Tuffaha, who’s Palestinian-American, dedicated her award partly to “all the incredibly beautiful Palestinians this world has lost, and all the wonderful ones who survive, waiting for us, waiting for us to wake up.”

Last yr, publisher Zibby Owens withdrew support for the awards after learning that the finalists planned to sentence the war in Gaza. This yr, the World Jewish Congress was amongst critics of Coates’ award, citing partly his reissue of the essay “The Jewish Onslaught,” which was called anti-Semitic.

National Book Foundation executive director Ruth Dickey said in a recent statement that Coates was being honored for his body of labor, not for any single book, and added that while the foundation condemns anti-Semitism and other types of bigotry, it also believes in free speech.

“Anyone who looks at the work of any publisher over the course of almost fifty years will find individual works or opinions with which they disagree or find offensive,” she added.

The National Book Awards took place way back in mid-November, shortly after the election, and supply an early glimpse of the book world’s response: hopeful in the wake of Barack Obama’s 2008 victory, when publisher and honorary winner Barney Rosset predicted a “new and uplifting program.” ; grim but determined in 2016, after Donald Trump’s first victory, when fiction winner Colson Whitehead urged viewers to “be kind to everyone, make art and fight power.”

Keke Palmer Recalls the Key Advice Will Smith Gave Her as a Child:

This yr, as lots of gathered for a dinner ceremony at Cipriani Wall Street in downtown Manhattan to have a good time the seventy fifth anniversary of the awards, the mood was certainly one of sobriety, determination and goodwill.

Host Kate McKinnon joked that she was hired because the National Book Foundation wanted “something fun and light to distract from the fact that the world is a bonfire.” Musical guest Jon Batiste led the crowd in a round of “When the Saints Go Marching In” and sang a couple of lines from “Hallelujah,” the Leonard Cohen standard that McKinnon somberly performed at the starting of the first “Saturday Night Live” after the 2016 election.

Kingsolver admitted that she feels “depressed at the moment”, but added that she has faced despair before. She compared truth and like to natural forces equivalent to gravity and the sun, that are at all times present whether you may see them or not. The screenwriter’s job is to assume “a better ending than the one we were given,” she said.

During Tuesday evening’s reading by the award finalists, some spoke of community and support. Everett began his turn by confessing that he really “needed this kind of inspiration after the last few weeks. In a way, we need each other. After warning that “hope just isn’t a technique,” he paused and said, “Never has a situation seemed so absurd, surreal and ridiculous.”

It took him a moment to understand that he wasn’t discussing current events, but fairly was reading James.

This article was originally published on : thegrio.com
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What is GiveTuesday? The annual day of giving is approaching

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Since it began as a hashtag in 2012, Giving on Tuesdaythe Tuesday after Thanksgiving, became one of the largest collection days yr for non-profit organizations within the USA

GivingTuesday estimates that the GivingTuesday initiative will raise $3.1 billion for charities in 2022 and 2023.

This yr, GivingTuesday falls on December 3.

How did GivingTuesday start?

The hashtag #GivingTuesday began as a project of the 92nd Street Y in New York City in 2012 and have become an independent organization in 2020. It has grown right into a worldwide network of local organizations that promote giving of their communities, often on various dates which have local significance. like a vacation.

Today, the nonprofit organization GivingTuesday also brings together researchers working on topics related to on a regular basis giving. This too collects data from a big selection of sources comparable to payment processors, crowdfunding sites, worker transfer software and offering institutions donor really helpful fundstype of charity account.

What is the aim of GivingTuesday?

The hashtag has been began promote generosity and this nonprofit organization continues to advertise giving within the fullest sense of the word.

For nonprofits, the goal of GivingTuesday is to boost money and have interaction supporters. Many individuals are aware of the flood of email and mail appeals that coincide on the Tuesday after Thanksgiving. Essentially all major U.S. nonprofits will host fundraising campaigns, and plenty of smaller, local groups will participate as well.

Nonprofit organizations don’t have to be affiliated with GivingTuesday in any method to run a fundraising campaign. They can just do it, although GivingTuesday provides graphics and advice. In this manner, it stays a grassroots endeavor during which groups and donors participate as they please.

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Was GivingTuesday a hit?

It will depend on the way you measure success, but it surely has definitely gone far beyond initial efforts to advertise giving on social media. The day has change into an everlasting and well-known event that focuses on charitable giving, volunteerism and civic participation within the U.S. and all over the world.

For years, GivingTuesday has been a serious fundraising goal for nonprofits, with many looking for to arrange pooled donations from major donors and leverage their network of supporters to contribute. This is the start year-end fundraising peakas nonprofits strive to fulfill their budget goals for next yr.

GivingTuesday giving in 2022 and 2023 totaled $3.1 billion, up from $2.7 billion in 2021. While that is loads to boost in a single day, the trend last yr was flat and with fewer donorswhich, in accordance with the organization, is a disturbing signal.

This article was originally published on : thegrio.com
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BlaQue Community Cares is organizing a cash crowd for serious food

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QNS reports that Queens, New York-based nonprofit BlaQue Community Cares is making an effort to assist raise awareness of Earnest Foods, an organic food market with the Cash Mob initiative.

The BlaQue Cash Mob program is a community-led event that goals to support local businesses, reminiscent of grocery stores in Jamaica, by encouraging shoppers to go to the shop and spend a certain quantity of cash, roughly $20. BlaQue founder Aleeia Abraham says cash drives are happening across New York City to extend support for local businesses. “I think it’s important to really encourage local shopping habits and strengthen the connections between residents and businesses and Black businesses, especially in Queens,” she said after hosting six events since 2021.

“We’ve been doing this for a while and we’ve found that it really helps the community discover new businesses that they may not have known existed.”

As a result, crowds increase sales and strengthen social bonds for independent businesses.

Earnest Foods opened in 2021 after recognizing the necessity for fresh produce in the world. As residents struggled to seek out fresh food, Abraham defines the shop as “an invaluable part of the southeast Queens community.” “There’s really nowhere to go in Queens, especially Black-owned businesses in Queens, to find something healthier to eat. We need to keep these businesses open,” she said.

“So someone just needs to make everyone aware that these companies exist and how to keep the dollars in our community. Organizing this cash crowd not only encourages people to buy, but also shows where our collective dollars stand, how it helps sustain businesses and directly serves and uplifts our community.”

The event will happen on November 24 from 2:00 p.m. to 4:00 p.m. at 123-01 Merrick Blvd in St. Albans. According to the shop’s co-owner, Earnest Flowers, he has partnered with several other Black-owned brands in the world to sell his products at the shop. Flowers is comfortable that his neighbors can come to his supermarket to purchase organic food and goods from local vendors like Celeste Sassine, owner of Sassy Sweet Vegan Treats.

At the grand opening three years ago which was visited by over 350 viewersSassine stated that the collaboration was “super, super, super exciting” to the purpose that the majority of the products were off the shelves inside hours.


This article was originally published on : www.blackenterprise.com
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