Community health is maternal health: insights from six North Carolina counties about community strengths and challenges to best maternal and infant health in Medicaid
High rates of preterm birth, low birth weight, and late initiation of prenatal care can be a sign of poor health and high levels of social risk factors in a community. On the other hand, early entry into prenatal care and better-than-expected birth outcomes can signal a supportive community environment. We identified six counties in North Carolina with better-than- and worse-than-expected birth outcomes among Medicaid members (Bladen, Catawba, Cumberland, Halifax, Orange, and Wayne; Johnston et al., forthcoming) and interviewed public health officials and health care and social service providers in each county to examine community-level strengths and challenges to optimal maternal and infant health. As North Carolina looks to improve birth outcomes and reduce health disparities in its new Medicaid managed care program, findings from this study can provide useful insights.
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