Health Workforce Challenges Impact the Development of Robust Doula Services for Underserved and Marginalized Populations in the United States.
community-based doulas
doulas
health access
health equity
Journal
The Journal of perinatal education
ISSN: 1058-1243
Titre abrégé: J Perinat Educ
Pays: United States
ID NLM: 9301158
Informations de publication
Date de publication:
01 Jul 2022
01 Jul 2022
Historique:
entrez:
16
1
2023
pubmed:
17
1
2023
medline:
17
1
2023
Statut:
ppublish
Résumé
Evidence of doulas' positive impacts on maternal health outcomes, particularly among underserved populations, supports expanding access. Health workforce-related barriers challenge the development of robust doula services in the United States. We investigated organizations' barriers regarding training, recruitment, and employment of doulas. We conducted literature and policy reviews and 16 semi-structured interviews with key informants who contribute to state policymaking and from organizations involved in training, certifying, advocating for, and employing doulas. Our study shows barriers to more robust doula services, including varying roles and practices, prohibitive costs of training and certification, and insufficient funding. This study underscores the importance of doulas in providing support to clients from underserved populations. Health workforce-related challenges remain, especially for community-based organizations seeking to serve underserved communities.
Identifiants
pubmed: 36643390
doi: 10.1891/JPE-2021-0013
pii: JPE.31.3.133
pmc: PMC9829116
doi:
Types de publication
Journal Article
Langues
eng
Pagination
133-141Informations de copyright
© Copyright 2022 Lamaze International.
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