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From Barriers to Bridges: Implementing Access Solutions to Improve American Indian, Alaska Native and Native Hawaiian Maternal Health

Authors: Dr. Katy Kozhimannil, PhD, MPA; Alyssa Fritz, MPH, RD, CLC; Nicolle L. Arthun FACNM, CNM, RN; Angela Cruz- Traditional Cultural Practitioner; Lucy Rogers, MPH; Dr. Carla Britton, PhD, MS; Annette Marley, MPH; Chelsea Bellon, MPH; Charlotte Little; Morea Mendoza; Carolina Nkouaga, MPH, LM, CPM; Jessica Whitehawk MPH; Jill Alliman, DNP, CNM, FACNM; Kait Guild; Janet Johnson; Seattle Indian Health Board; Urban Indian Health Institute; Center for Reproductive Rights; American Association of Birth Centers; National Partnership for Women & Families

Publication Year: October 2025

Keywords: Culturally Informed Care, Health Care Access, Maternal Mortality and Morbidity, Medicaid/Medicare, Mental and Behavioral Health, Missing and Murdered Indigenous People (MMIP), Social Determinants of Health (SDOH), Substance Use, Suicide and Suicide Prevention, Traditional Healing, Infant health, infant mortality, IPV, intimate partner violence, domestic violence, prevention, strength based approach

 

Abstract: 
American Indian and Alaska Native (AI/AN) people have unique and structural challenges to accessing the maternity care that is required help keep babies and mothers safe and healthy. This report examines this issue in four parts to address specific issues: 1) accessing care in urban areas, 2) accessing care in rural areas, 3) cultural integrative care models, and 4) the role of traditional medicine in maternal health care.

 

File Download:

Source: Link to Original Article.

Type of Resource: Reports

culturally informed care health care access maternal mortality and morbidity medicaid/medicare mental and behavioral health missing and murdered indigenous people (mmip) social determinants of health (sdoh) substance use suicide and suicide prevention traditional healing infant health infant mortality ipv intimate partner violence domestic violence prevention strength based approach
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