Maternal Health in American Indian/Alaska Native Communities: Challenges, Opportunities, and Pathways Forward
Maternal health is a cornerstone of any community’s well-being, yet American Indian and Alaska Native (AI/AN) women face disproportionate challenges in achieving safe and healthy pregnancies. Historical inequities, systemic barriers, and the enduring effects of colonization have resulted in significant maternal health disparities within Native communities. However, these same communities are also sources of resilience, creativity, and innovation. Maternal health programs aimed at centering community in tradition, culture, and resiliency can offer unique, cross-sectoral solutions to complex systemic health barriers for AI/AN families.
Investing in Civic Infrastructure: The Rise of a New Foundation in a Rural, Disinvested Community
When people hear about our work in Imperial Valley, they often exclaim, “How exciting to build a new foundation!” But I gently redirect them: We’re not building another institution— the last thing our communities need is another organization competing for resources. Instead, we’re building civic infrastructure to create the framework for lasting, community-led change.
Medicaid Managed Care Contracts are a Powerful Tool for Change; Philanthropy has a Role to Play
As a foundation, the mission of the United Methodist Health Ministry Fund is to improve the health of all Kansans. Our success, in large measure, depends on investments we make in advancing positive policy and systems changes that affect the state and communities. So, with large numbers of the state’s most vulnerable people relying on Medicaid for health coverage and care, we focus on leveraging the opportunities this program offers to sustain improved health outcomes and make progress on health equity.
Sustainability? No, It Is about Building Durability!
Philanthropy has forever espoused the term “sustainability.” We ask in grant applications and in our conversations with grant partners: “What’s your sustainability plan?” and “How do you plan to sustain your program once the grant ends?” Thanks to the influence of Tom Klaus, formerly of Tenacious Change, my thinking has shifted and evolved over the past few years to “durability.”