{"id":71353,"date":"2025-03-10T14:17:29","date_gmt":"2025-03-10T21:17:29","guid":{"rendered":"https:\/\/lapost.us\/?p=71353"},"modified":"2025-03-10T14:17:29","modified_gmt":"2025-03-10T21:17:29","slug":"fresno-doula-tackles-black-maternal-health-in-her-community","status":"publish","type":"post","link":"https:\/\/lapost.us\/?p=71353","title":{"rendered":"Fresno Doula Tackles Black Maternal Health in Her Community"},"content":{"rendered":"<div class=\"td_block_wrap tdb_single_author tdi_65 td-pb-border-top td_block_template_1 tdb-post-meta\" data-td-block-uid=\"tdi_65\">\n<div class=\"tdb-block-inner td-fix-index\">\n<div class=\"tdb-author-name-wrap\"><span class=\"tdb-author-by\">By<\/span><a class=\"tdb-author-name\" href=\"https:\/\/ethnicmediaservices.org\/author\/selen-ozturk\/\">Selen Ozturk<\/a><\/div>\n<\/div>\n<\/div>\n<div class=\"td_block_wrap tdb_single_date tdi_66 td-pb-border-top td_block_template_1 tdb-post-meta\" data-td-block-uid=\"tdi_66\">\n<div class=\"tdb-block-inner td-fix-index\"><i class=\"tdb-date-icon tdc-font-fa tdc-font-fa-calendar\"><\/i><time class=\"entry-date updated td-module-date\" datetime=\"2025-03-10T09:00:00-07:00\">Mar 10, 2025<\/time><\/div>\n<\/div>\n<div class=\"td_block_wrap tdb_single_subtitle tdi_67 td-pb-border-top td_block_template_1\" data-td-block-uid=\"tdi_67\">\n<div class=\"tdb-block-inner td-fix-index\">\n<p>With the Black maternal health crisis worsening, Shantay Davies-Balch is growing a rapid-response doula network across Fresno County.<\/p>\n<\/div>\n<\/div>\n<div class=\"td_block_wrap tdb_single_featured_image tdi_68 tdb-content-horiz-left td-pb-border-top td_block_template_1\" data-td-block-uid=\"tdi_68\">\n<div class=\"tdb-block-inner td-fix-index\">\n<figure><img loading=\"lazy\" decoding=\"async\" class=\"entry-thumb td-animation-stack-type0-2\" title=\"IRV_Davies-Balch_241212_258-e1739163895756-1180x700\" src=\"https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2025\/03\/IRV_Davies-Balch_241212_258-e1739163895756-1180x700-1-e1741391120950.jpg\" sizes=\"auto, (max-width: 1180px) 100vw, 1180px\" srcset=\"https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2025\/03\/IRV_Davies-Balch_241212_258-e1739163895756-1180x700-1-e1741391120950.jpg 1180w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2025\/03\/IRV_Davies-Balch_241212_258-e1739163895756-1180x700-1-e1741391120950-300x163.jpg 300w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2025\/03\/IRV_Davies-Balch_241212_258-e1739163895756-1180x700-1-e1741391120950-1024x555.jpg 1024w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2025\/03\/IRV_Davies-Balch_241212_258-e1739163895756-1180x700-1-e1741391120950-768x417.jpg 768w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2025\/03\/IRV_Davies-Balch_241212_258-e1739163895756-1180x700-1-e1741391120950-150x81.jpg 150w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2025\/03\/IRV_Davies-Balch_241212_258-e1739163895756-1180x700-1-e1741391120950-696x377.jpg 696w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2025\/03\/IRV_Davies-Balch_241212_258-e1739163895756-1180x700-1-e1741391120950-1068x579.jpg 1068w\" alt=\"\" width=\"1180\" height=\"640\" \/><figcaption class=\"tdb-caption-text\">Shantay Davies-Balch, winner of a $350,000 grant from the James Irvine Foundation to tackle the Black maternal health crisis by training Black doulas throughout Fresno County, explains doula care fundamentals during a training session. (Courtesy: James Irvine Foundation)<\/figcaption><\/figure>\n<\/div>\n<\/div>\n<div class=\"td_block_wrap tdb_single_content tdi_69 td-pb-border-top td_block_template_1 td-post-content tagdiv-type\" data-td-block-uid=\"tdi_69\">\n<div class=\"tdb-block-inner td-fix-index\">\n<p>With the Black maternal health crisis worsening, Shantay Davies-Balch is growing a rapid-response doula network across Fresno County.<\/p>\n<p>The U.S. has the highest maternal death rate of any high-income country, despite a pandemic decline, with\u00a0<a href=\"https:\/\/www.commonwealthfund.org\/publications\/issue-briefs\/2024\/jun\/insights-us-maternal-mortality-crisis-international-comparison\">22.3 maternal deaths<\/a>\u00a0per 100,000 live births in 2022 \u2014 more than double and sometimes triple many other high-income countries.<\/p>\n<p>Black maternal deaths remain highest, at 49.5 deaths per 100,000 live births.<\/p>\n<p><a href=\"https:\/\/www.cdc.gov\/maternal-mortality\/preventing-pregnancy-related-deaths\/index.html\">Over 80%<\/a>\u00a0of maternal deaths are preventable.<\/p>\n<p>\u201cAfter losing my mother to preventable breast cancer and enduring pre-term births despite taking every precaution, I felt the need to do something about this and advocate for Black maternal health in my community,\u201d said Davies-Balch, who grew up in Fresno and studied health care administration at Fresno Pacific University.<\/p>\n<p>In 2005, while working corporate roles in business, she trained as a birth assistant at local clinics and eventually became a doula \u2014 a trained professional providing physical, emotional and educational support to patients before, during and after childbirth.<\/p>\n<p>In 2017, after many years of helping mothers as a doula while raising her own children, Davies-Balch created Fresno\u2019s BLACK Wellness &amp; Prosperity Center (BWPC), a Black maternal advocacy, research and doula training organization where she now works as CEO.<\/p>\n<p>Since launching a 125-hour training program through the BWPC project\u00a0<a href=\"https:\/\/www.blackwpc.org\/bdn\">Black Doula Network<\/a>\u00a0(BDN) in 2021, she has trained 10 doulas in Fresno, more than tripling the number of Black doulas working countywide \u2014 \u201cand our goal is 30 by the end of next year,\u201d she said.<\/p>\n<p>For these efforts, she received a $350,000 grant last month as part of the philanthropic\u00a0<a href=\"https:\/\/irvineawards.org\/\">James Irvine Foundation Annual Leadership Awards<\/a>.<\/p>\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\">\n<div class=\"wp-block-embed__wrapper\">\n<div class=\"td-video-replacer\" data-id=\"undefined\"><\/div>\n<div class=\"youtube-embed\" data-video_id=\"ixdtZ7K0xF4\"><iframe loading=\"lazy\" id=\"widget2\" title=\"Shantay R. Davies-Balch, 2025 Leadership Award Recipient\" src=\"https:\/\/www.youtube.com\/embed\/ixdtZ7K0xF4?feature=oembed&amp;enablejsapi=1\" width=\"100%\" height=\"392\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" data-gtm-yt-inspected-13=\"true\" data-mce-fragment=\"1\"><\/iframe><\/div>\n<\/div>\n<\/figure>\n<p>Although BDN has already secured hospital privileges at half the hospitals in Fresno County and gained approval to work through three major insurance systems, expanding doula services for thousands of mothers, Davies-Balch said that gaining the trust of medical]providers was a steep uphill battle.<\/p>\n<p>\u201cWhen we first started this work with only a few doulas to train, we did evaluations and engagements with over 80 local physicians and nurses, and we found that almost none of them had ever worked with a doula before,\u201d she explained.<\/p>\n<p>\u201cThey had misinformation about what the doulas did, the scope of practice, as though we were going to tell their patients to do something against medical advice,\u201d she continued. \u201cWe don\u2019t lead the birth experience or tell you there\u2019s one way to achieve a positive one \u2026 we help you advocate for what you need from your doctors.\u201d<\/p>\n<p>According to the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine, \u201cone of the most\u00a0<a href=\"https:\/\/www.ajog.org\/article\/S0002-9378(14)00055-6\/fulltext\">effective<\/a>\u00a0tools to improve labor and delivery outcomes is the continuous presence of support personnel, such as a doula.\u201d<\/p>\n<p>\u201cWe had our work cut out for us, and to do it, we built out a comprehensive training for doulas to work with licensed providers, and for providers to connect their patients with a doula,\u201d Davies-Balch said.<\/p>\n<p>\u201cSince then, we\u2019ve been working very closely with the hospitals, which was never, ever before done here. We not only have contracts with the hospitals to let our doulas work, but our doulas are invited to hospitals to speak about their work,\u201d she added. \u201cThe Irvine award will really help us invite not only more doulas but outreach to more audiences about the change that this work at the community level can do.\u201d<\/p>\n<p>This local speaking series has led to a recent collaboration with the University of California, San Francisco, where BDN doulas will work with hospital research residents to co-train with doulas across fields, from obstetrics and gynecology to pediatrics, serving mothers even after childbirth.<\/p>\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2025\/03\/ShantayDaviesBalchHeadshot.png\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-34309 td-animation-stack-type0-2\" src=\"https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2025\/03\/ShantayDaviesBalchHeadshot-1024x1024.png\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2025\/03\/ShantayDaviesBalchHeadshot-1024x1024.png 1024w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2025\/03\/ShantayDaviesBalchHeadshot-300x300.png 300w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2025\/03\/ShantayDaviesBalchHeadshot-150x150.png 150w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2025\/03\/ShantayDaviesBalchHeadshot-768x768.png 768w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2025\/03\/ShantayDaviesBalchHeadshot-696x696.png 696w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2025\/03\/ShantayDaviesBalchHeadshot-1068x1068.png 1068w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2025\/03\/ShantayDaviesBalchHeadshot.png 1080w\" alt=\"\" width=\"1024\" height=\"1024\" \/><\/a><figcaption class=\"wp-element-caption\">Shantay Davies-Balch. (Courtesy: James Irvine Foundation)<\/figcaption><\/figure>\n<p>A big win for BDN came in early 2023, when Medi-Cal \u2014 California\u2019s version of Medicaid \u2014 rolled out a doula service program for enrollees statewide.<\/p>\n<p>Though most doulas across Fresno County and California are still independent with out-of-pocket fees,<a href=\"https:\/\/healthlaw.org\/doula-care-improves-health-outcomes-reduces-racial-disparities-and-cuts-cost\">\u00a0doula care saves<\/a>\u00a0$58.4 million from the $26.2 billion spent on preterm delivery in the U.S. \u2014 or $51,600 per baby \u2014 and prevents 3,288 preterm births annually.<\/p>\n<p>Davies-Balch estimated that private pay for local doulas \u201cranges from $1,500 to $3,500 depending on what you\u2019re hiring them to do.\u201d<\/p>\n<p>Part of the challenge in integrating doulas with public insurance is that \u201ceveryone has a different set of credentials. It\u2019s not a monolith,\u201d she explained.<\/p>\n<p>\u201cFor instance, I have an MBA for the administration side of things, I\u2019m also a certified lactation educator and a certified newborn care specialist. Crucial to building trust is being open about what you are and aren\u2019t qualified to do, because everyone has a different background,\u201d she continued.<\/p>\n<p>\u201cIt\u2019s also key to protecting the people you serve,\u201d Davies-Balch added. \u201cIf a provider you\u2019re working with doesn\u2019t even know what a doula does and asks you to do something outside your scope like taking vitals or treating conditions, what a doula does is know what licensed support to call on instead.\u201d<\/p>\n<p>No universal doula training system exists, and California does not require doulas to earn a certificate; in place of one,\u00a0<a href=\"https:\/\/www.dhcs.ca.gov\/provgovpart\/Documents\/DRAFT-Medi-Cal-Requirements-and-Procedures-for-Doula-Enrollment.pdf\">Medi-Cal lets doulas<\/a>\u00a0enroll through five years of experience and three letters of recommendation from licensed providers, community-based organizations, or enrolled doulas.<\/p>\n<p>\u201cBefore we open up training this year for our third cohort of doulas, on our way to our goal of 30 by 2026, we want to make sure that the billing infrastructure part is there with the state. That\u2019s the biggest bottleneck for doulas,\u201d she explained.<\/p>\n<p>Medi-Cal repayment delays is a concern for doulas statewide, so much so that on March 3, doulas and doula groups sent an\u00a0<a href=\"https:\/\/docs.google.com\/document\/d\/1t_mbj8Ow1iesLnWRbLI-IqKfjTlu_k4U--ZIgF-OjCs\/edit?usp=sharing\">open letter<\/a>\u00a0to the California Department of Health Care Services, which administers Medi-Cal, describing denied and delayed reimbursement and asking for a clearer billing process.<\/p>\n<p>\u201cThough the benefit is there to help the mothers who need it most, even with doing tons of paperwork, it still takes months and months before the doulas get the repayment they need to support themselves,\u201d said Davies-Balch. \u201cThese Irvine funds will absolutely help us add on more people to work through the billing.\u201d<\/p>\n<p>\u201cThis time-heavy, labor-intensive, admin side of things \u2014 it\u2019s like a different world compared to the heart of our work, which is helping mothers, fighting this maternity health crisis,\u201d she added. \u201cBut we need to make sure our doulas eat, that they\u2019re not burnt out. When we bridge that gap, we find out it\u2019s a circle.\u201d<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>BySelen Ozturk Mar 10, 2025 With&#46;&#46;&#46;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6,16],"tags":[],"class_list":["post-71353","post","type-post","status-publish","format-standard","hentry","category-ca-local","category-health"],"_links":{"self":[{"href":"https:\/\/lapost.us\/index.php?rest_route=\/wp\/v2\/posts\/71353","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lapost.us\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lapost.us\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lapost.us\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/lapost.us\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=71353"}],"version-history":[{"count":1,"href":"https:\/\/lapost.us\/index.php?rest_route=\/wp\/v2\/posts\/71353\/revisions"}],"predecessor-version":[{"id":71354,"href":"https:\/\/lapost.us\/index.php?rest_route=\/wp\/v2\/posts\/71353\/revisions\/71354"}],"wp:attachment":[{"href":"https:\/\/lapost.us\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=71353"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lapost.us\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=71353"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lapost.us\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=71353"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}