The Los Angeles County African American Infant and Maternal Mortality (AAIMM) Initiative is a countywide coalition dedicated to addressing the disproportionately high rates of Black infant and maternal deaths and ensuring healthy and joyous births for Black families in L.A. County. Led by the L.A. Department of Public Health (DPH) in partnership with First 5 LA, AAIMM was launched in 2018 as part of DPH’s 5-Year Plan to address the Black-White infant mortality gap in L.A. County. 

Black mothers are four times more likely to die from pregnancy complications than their white counterparts, while Black infants are three times more likely to die within their first year of life when compared to white babies. Through a series of comprehensive, coordinated strategies, AAIMM’s goal is to reduce the gap in Black/white infant mortality rates by 30 percent by 2023.

AAIMM members include the Los Angeles County Health Agency, First 5 LA, community-based organizations, mental and health care providers, funders, and community members. A fellowship funded by the Pritzker Foundation seeded the effort, informed by emergent research and focus groups of over 100 Black women. 

Central to the Initiative’s approach is a new understanding of the pathway from the mother’s lived experience to infant health. In this framework, the root cause of birth disparities has been identified as the stress caused by a Black person’s exposure to racism and the impact of that stress on a Black woman/birthing person’s body. This stress is further compounded by social, economic and political structures in society that perpetuate racism, as well as the presence of implicit and overt bias in the systems of support that interact with Black families.

STEERING COMMITTEE

The L.A. County African American Infant and Maternal Mortality Steering Committee guides the implementation of DPH’s 5-Year Action Plan and informs the development and implementation of strategies to complement the Plan. Committee members also work to advance awareness and policy change related to AAIMM.

Steering Committee members include representatives from:

COMMUNITY ACTION TEAMS

The AAIMM Community Action Teams (CAT) are regionally based partnerships between the Los Angeles County Health Agency and local community-based organizations, health care providers, residents, faith-based organizations, birth workers (e.g., doulas, midwives), businesses and other allies. CATs consult, inform and engage their community on all AAIMM strategies and create locally based actions.

CATs currently operate in the following Service Planning Areas (SPAs):

  • Service Planning Area 1 – Antelope Valley/Palmdale
  • Service Planning Area 2 – Santa Clarita/San Fernando Valley
  • Service Planning Area 3 – San Gabriel Valley/Pasadena
  • Service Planning Areas 6 and 8 – South LA/South Bay

Each CAT has various work groups focusing on issues such as Policy, Engagement, Fundraising, Family-Centered Models of Care and more.

PERINATAL EQUITY INITIATIVE

The Perinatal Equity Initiative (PEI) was established in 2018 as the California Department of Public Health’s response to the alarming statewide mortality rate for Black infants. Designed as a complement to the California Black Infant Health (BIH) Program, PEI improves birth outcomes and reduces mortality for Black infants through county level interventions that are evidence-based, evidence-informed or reflect promising practices.

The evidence-based programs implemented by the AAIMM Initiative include:

Group Prenatal Care. Offered in partnership with Charles Drew University’s Black Maternal Health Center for Excellence, this program provides evidence-based group prenatal care from Black community midwives exclusively for Black women/birthing people. As Alameda County’s BElovedBirth Black Centering program states, “Group perinatal care by, for, and with Black people is an innovative new program designed to provide culturally attuned and racially concordant care for Black birthing people.”

Fatherhood Initiative. This new initiative promotes the importance of having fathers engaged in the process, bolstering mental, emotional and physical health during pregnancy and post-delivery. The Fatherhood program includes social support in a group atmosphere and technical assistance that enable medical providers to best serve fathers from pregnancy through postpartum.

Preconception Health. Pregnancy Intentionality, Preconception and Interconception Care Intervention (Preconception Health) is designed to increase women’s health by focusing on their ability to make informed decisions on whether and when to become pregnant, and promote health-affirming behaviors both prior to conception and between pregnancies. The Preconception Health program seeks to promote reproductive health care and pregnancy intention screening as a fundamental, standard component of primary care. The program also provides technical assistance to clinicians and service providers, as well as culturally respectful reproductive health care and pregnancy intention communication that centers Black families.

In addition to the interventions, the AAIMM initiative is using PEI funding to collaboratively support several other anchor strategies, including:

The Village Fund. A public-private partnership to support community-led efforts that reinforce the broad goals of the AAIMM Initiative. In the spirit of “it takes a village to raise a child,” the Fund partners with organizations, service providers and networks that provide valuable support and services to Black birthing mothers and their families but are often not funded by — or even on the radar of — foundations and public entities. The Fund is administered by the LA Partnership for Early Childhood Investment and seeded by a combination of public and private philanthropic dollars, including PEI funding and First 5 LA.

Cherished Futures for Black Moms & Babies. A multi-sector, collaborative effort to reduce infant mortality and improve maternal patient experiences and safety for Black moms and babies in South Los Angeles and the Antelope Valley. With sponsorship from Health Net and in partnership with the Public Health Alliance of Southern California, Cherished Futures unites key decision-makers from local birthing hospitals, public health agencies, health plans, community-based organizations and advocacy groups to implement systems-change interventions at the clinical, institutional and community levels. Cherished Futures also contracts with the March of Dimes and BreastfeedLA for Hospital Quality Improvement work through funding from DPH-PEI and First 5 LA.                      

SOCIAL DETERMINANTS OF HEALTH

AAIMM currently addresses the social determinant of financial inequities on Black pregnant people’s health by providing education and hands-on support for families eligible for Paid Family Leave and Earned Income Tax Credit (EITC). There is strong evidence that the EITC increases employment and income for participating families and improves birth outcomes. There is also data that shows some families who could benefit the most from the program are not claiming their EITC.

Paid Family Leave. In partnership with The California Work & Family Coalition, we have recruited 50 community members to provide education and Paid Family Leave (PFL) support in their communities. The program will train African American parents, healthcare professionals, doulas, faith-based members and others who provide support and services to Black families in L.A. County. Selected community members will be compensated to share PFL information and assist families with applying.

Earned Income Tax Credit. In partnership with the Department of Consumer and Business Affairs, First 5 LA, CAL EITC and the United Way, AAIMM has created a public awareness campaign and are providing 30 African American families who are eligible for EITC with free tax preparation from certified tax preparers.

AAIMM DOULAS

In addition to the PEI-funded strategies, the AAIMM Initiative also recognizes doulas as a key part of the solution. Doula support can reduce medical interventions such as c-sections, improve mental health, increase satisfaction with the birth experience and increase breastfeeding success.

Funded by L.A. County DPH’s Division of Maternal Child and Adolescent Health through a $1 million award from the  California Home Visiting Program (CHVP), the AAIMM Doula Program will provide free, culturally congruent doula support to 500 Black/African American pregnant people countywide through June 2023. Priority will be given to families in SPAs 1,6 and 8 (Antelope Valley, South LA and the South Bay), where Black infant mortality rates are highest. 

The AAIMM Doula program features 14 African American/Black doulas — trained professionals who provide physical, emotional and informational support to a laboring person and/or family before, continuously during, and after childbirth to help them achieve the healthiest, most satisfying experience possible. AAIMM doulas provide unconditional and non-judgmental support and are trained in full-spectrum and trauma care as well as lactation education.

For more information on the program, please visit www.blackinfantsandfamilies.org or contact Michelle Sanders, Program Coordinator, at MS******@*********ty.gov. 

COMMUNICATIONS AND AWARENESS

Funded in part by the PEI grant and Doula project funding, AAIMM communications efforts focus on fostering awareness and action around racial health disparities in birth outcomes among Black women, the interventions to address them, and the role families and stakeholders can play in ending them. Communications activities underscore the theme, “a joyous and healthy birth takes a village,” and educates birthing families to activate a village of support, while inviting stakeholders to be a village of support for Black mothers, infants, and families.

IMPLICIT BIAS AND ANTI-RACISM TRAININGS FOR ALL COUNTY STAFF

REPORTS:

Co-Creating an Oasis: A New Context for Care of African American Mothers – First 5 LA Commissioned a focus group of 100 black women about their experiences with the health care system as well as pregnancy to further understand the impact of racism on a black woman’s well being. 

AAIMM PARTNER WEBSITES & RESOURCES FOR BLACK FAMILIES:

RELATED STORIES:

Los Angeles County partnership addresses critical need  for child care among essential workers

Los Angeles County partnership addresses critical need for child care among essential workers

Action enables first responders, medical personnel to continue reporting to work LOS ANGELES (April 9, 2020) – The Los Angeles County Early Childhood Education COVID-19 Response Team today announced the immediate availability of early childhood education and child-care services for essential first responders and health care workers on the front lines of the COVID-19 pandemic. The team is a...

Moving Forward, Together in Response to the COVID-19 Pandemic

Moving Forward, Together in Response to the COVID-19 Pandemic

Dear Friends, First 5 LA’s commitment to young children and families and partners is unwavering during this time. Our work continues to be grounded in our Strategic Plan and our values as we further our commitment in this quickly changing environment. During this period of great uncertainty, our ability to act quickly has been tested and has revealed the need for greater flexibility and adaptive...

Early Childhood Matters Newsletter – March 2020

Early Childhood Matters Newsletter – March 2020

Stay up to date on the latest news from First 5 LA by subscribing to our Early Childhood Matters newsletter via the sign-up belowEarly Childhood Matters is a once-a-month newsletter covering the top stories facing kids and families in L.A. County and California.

Early Childhood Matters – February 2020

Early Childhood Matters – February 2020

Stay up to date on the latest news from First 5 LA by subscribing to our Early Childhood Matters newsletter via the sign-up belowEarly Childhood Matters is a once-a-month newsletter covering the top stories facing kids and families in L.A. County and California.

Week In Review: This Week’s Top News & Views on Issues Impacting Kids

Week In Review: This Week’s Top News & Views on Issues Impacting Kids

First 5 LA's Week in Review is a weekly summary of the top news and research on early childhood issues from major news outlets, blogs and partner organizations. Sign-up to receive the once-a-week newsletter below: PAST ISSUES: May 27th, 2021: The Road Ahead for Child Care, Trans Male/NonBinary Birth, Birth Rates' Future Impact May 20th, 2021: Back to the Office, Child Tax Credit, Mom Genes May...

Making the News: COVID-19 Pandemic Cont.

Pregnant Women and NewbornsThe New York Times: ‘You’re Already Worried’: Navigating Coronavirus While Pregnant - NYT Parenting readers shared their experiences. (Blum, 3/12/20)Romper: What To Know About Coronavirus, Pregnancy, Babies & Kids - We know to sing the ABC song while we help wash those little hands, and we totally understand that we’re not supposed to panic (or hoard surgical masks),...

Making the News: New Normal: How COVID-19 has impacted children, families and communities

Making the News: New Normal: How COVID-19 has impacted children, families and communities

The world is currently grappling with an unprecedented upending due to the spread of the novel coronavirus. In the tumult, children and families are finding themselves in new and unforeseen environments and configurations. While this column, Making the News, typically covers how an issue unfolds over a year or more, we felt it important to share our library of news articles and resource to help...

Commission Meeting Summary for March 12, 2020

Commission Meeting Summary for March 12, 2020

Acknowledging the uncertainty and anxiety of the present times, Commission Chair Sheila Kuehl welcomed Commissioners to the March 12 board meeting with words on the COVID-19 pandemic: “In a time of high anxiety, it’s even more important for us to recognize the role that we have in being steady, being intentional, being collaborative, being kind and mindful … In the face of all this anxiety, not...

An Update to Our Partners on COVID-19 from First 5 LA Executive Director Kim Belshé

An Update to Our Partners on COVID-19 from First 5 LA Executive Director Kim Belshé

Dear Partners: Thank you for your leadership and critical work to support children, families and communities as well as your employees in response to the COVID-19 pandemic. We recognize the considerable strain on your organizations as you plan and prepare to respond to the needs of families and communities. First 5 LA cares deeply about the health and well-being of our County’s children and...

Translate