![About2](https://www.first5la.org/wp-content/uploads/2021/01/About2.jpg)
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.
![therootcause](https://www.first5la.org/wp-content/uploads/2021/04/therootcause.jpg)
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.
![Screen Shot 2021-04-12 at 1.58.03 PM](https://www.first5la.org/wp-content/uploads/2021/04/Screen-Shot-2021-04-12-at-1.58.03-PM.png)
![StrategiesandAnchor](https://www.first5la.org/wp-content/uploads/2021/04/StrategiesandAnchor.jpg)
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:
- California Black Women’s Health Project
- LA County Department of Public Health
- First 5 LA
- Antelope Valley Partners for Health
- Black Women for Wellness
- Black Mental Health Taskforce
- Charles Drew University of Medicine and Science
- Cherished Futures/Hospital Association of Southern California
- LA County Department of Health Services
- LA County Department of Mental Health
- Essential Access Health
- Growth Mindset Communications
- Healthy African American Families
- iDREAM for Racial Health Equity
- Kaiser Permanente
- AAIMM Doula Advisory Board
- LA Partnership for Early Childhood Investment
- Long Beach Department of Health and Human Services
- March of Dimes
- PHFE WIC/CinnaMoms
- AAIMM Community Action Teams
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.”
![14352429998_ee84e470f6_c](https://www.first5la.org/wp-content/uploads/2021/04/14352429998_ee84e470f6_c.jpg)
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.
The first cohort of AAIMM Village Fund grantees are:
![5497719278_ef426b5799_k](https://www.first5la.org/wp-content/uploads/2021/04/5497719278_ef426b5799_k-1.jpg)
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******@ph.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
![ResourcesReports](https://www.first5la.org/wp-content/uploads/2021/04/ResourcesReports.jpg)
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:
- L.A. County AAIMM Initiative website: Blackinfantsandfamilies.org
- Home Visitation Programs (https://edirectory.homevisitingla.org/Home/Programs)
- Black Infant Health (http://www.publichealth.lacounty.gov/mch/BIH/bih.htm)
- Breast Feed LA (http://breastfeedla.org/)
- Black Women for Wellness (https://www.bwwla.org/)
- California Black Women’s Health Project (https://www.cabwhp.org/)
- Cinnamoms (https://www.cinnamoms.org/)
- Essential Health Access (www.essentialaccess.org)
- Healthy African American Families (https://www.haafii.org/)
- iDREAM for Racial Health Equity (www.idreamnow.org)
- Los Angeles County Health Agency (http://healthagency.lacounty.gov/)
- March of Dimes (www.marchofdimes.org)
- Maternal Mental Health Now (https://www.maternalmentalhealthnow.org/)
RELATED STORIES:
Strategic Plan 2015-2020
First 5 LA's 2015-20 Strategic Plan: Focusing for the Future presents an exciting opportunity for First 5 LA to achieve greater clarity, direction and focus for impact and sustainability for the next five years and beyond. In addition to the long-term fiscal projection for First 5 LA and the governance guidelines, the strategic plan will ensure transparency in future decision-making and promote...
Policy-Advocacy Fund
The Early Care and Education Policy and Advocacy Fund (ECE PAF) is a five-year, $15 million investment. The fund is created to strengthen existing advocacy efforts and help create new opportunities for collaboration among groups and organizations seeking policy and systems change with a goal of improving access to quality early care and education in Los Angeles County. A recently released...
Community Member Spotlight: Severiana Pablo
Severiana Pablo has lived her 58 years by one simple creed:“One might have a little but we still have to share what we have.”Severiana has done just that as a participant in Best Start Panorama City & Neighbors. Since 2011, Severiana has given whatever she can to help ensure children in her community are raised in a nurturing environment and given the tools they need to succeed.A grandmother of...
Groundbreaking for New Tot Park in South LA
First 5 LA and Best Start celebrated the groundbreaking of the new Avalon and Gage tot park for children and families in Los Angeles on Saturday, May 3.The 1/3-acre park, which will be completed in October, will feature play equipment focused on helping to improve children’s motor skills, social play and sensory development.“The playground area will also have a sweet and sour garden to help...
VIDEO: Central Long Beach Embarks on “Learning by Doing” Journey
Throughout Los Angeles County, Best Start Community Partnerships have embarked on the “Learning by Doing” journey – Best Start‘s approach to Community Capacity Building. Partnerships are collectively moving through the decision making points that will ultimately lead to engaging in results focused activities to strengthen children and families in their community. Watch the video below to see how...
A Dynamic Duo in Broadway-Manchester
While First Lady Michelle Obama’s health and fitness campaign “Let’s Move” is helping focus the spotlight on raising a healthier generation of kids, Priscilla Melendez and G. JoAnn Smith are leading the charge in their Los Angeles community to educate families about healthy eating and cooking habits.Moved by the strong sense of community shared at the opening of the 97th Street Pocket Park near...
Best Start Families Framework Rolls Out
First 5 LA has recently undertaken the rollout phase of the Best Start Families Framework, or BSFF, at each of the 14 Best Start Communities, marking a significant step in the initial implementation of the BSFF.Approved by the First 5 LA Commission in November, the $4.9 million, six-month BSFF implementation plan represents a place-based investment in a community change agenda which asserts that...
Change Dashboard
VIDEO: Covered CA Forum in Watts-Willowbrook
On November 20, 2013 the Watts-Willowbrook Best Start Community Partnership held a meeting on the Affordable Care Act and Covered California. Local experts and organizations came together to provide concrete support to the community by linking them to information, vital resources and health services. The purpose of the meeting was to address concerns about the new health care law, as well as to...
VIDEO: Best Start Metro LA and Panorama City & Neighbors Joint Communications Workgroup
On December 5, 2013, members of Best Start Metro LA and Best Start Panorama City & Neighbors held a joint workgroup meeting at the First 5 LA offices to share and learn about each other’s communications efforts and beyond. Pilar Marrero, journalist of La Opinión Newspaper, made a special appearance to share reporting tips and writing skills to inspire and motivate others in their community...