In a recent government meeting, advocates for maternal health in Clark County highlighted the urgent need for enhanced support for doula services, particularly for marginalized communities. The discussions centered around the Doulas for All Coalition's initiatives aimed at addressing the alarming maternal health disparities faced by Indigenous and low-income populations.

Sheila Davis, a community development manager at 4th Plain Forward, emphasized the importance of cultural sovereignty and community-led healthcare, particularly for Indigenous women who experience significantly higher maternal mortality rates. Davis noted that the current pilot program includes a diverse cohort of ten individuals from various cultural backgrounds, aiming to reclaim traditional childbirth practices and improve maternal health outcomes.

Akia, a soon-to-be parent and doula, shared her personal journey, illustrating the challenges many face in accessing respectful and culturally competent care. She stressed the critical role doulas play in bridging the gap between medical systems and birthing individuals, advocating for a more inclusive approach to maternal care that recognizes the unique needs of different communities.

Tabitha Millian, a childbirth educator and former doula, highlighted the coalition's efforts to secure the highest reimbursement rates for doulas in the country, enabling them to provide sustainable support to low-income families. She called for continued legislative support to fill gaps in the perinatal care system, which is crucial for improving outcomes during pregnancy and postpartum periods.

Jasmine Williams, director of a Black-led organization, underscored the necessity of investing in a doula hub that would provide resources and support for doulas, ensuring their longevity in the profession. She advocated for sustainable practices that would allow doulas to remain in the field longer, thereby enhancing the quality of care available to birthing individuals.

Kirsten Campbell, a business advisor and doula support specialist, echoed these sentiments, stressing the importance of comprehensive business support for aspiring doulas. She called for ongoing investment in the doula hub to facilitate access to a wider range of doula services for families across the state.

Paris Nelson, strategic development manager at 4th Plain Forward, concluded the session by outlining three key requests for state support: continued Medicaid reimbursement for doula care, investment in the doula hub, and support for fee waivers for doula certification. Nelson emphasized that investing in doula care is not only a matter of health equity but also an economic imperative, as it can lead to significant savings in healthcare costs by reducing the need for costly interventions.

The meeting concluded with a call for questions, reflecting a collaborative effort to address the pressing maternal health needs in Southwest Washington and the vital role of doulas in fostering healthier outcomes for all families.