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Increase Access to Quality Health Care

Together we can implement changes at every level of the health care system to increase access to quality health care for all.

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What We Know

Quality, value and access gaps exist—and have consequences.

When people have access to routine, quality and affordable health care they experience better health outcomes, including during pregnancy and birth. Currently, gaps in access to high-quality care is putting moms and babies at an elevated risk for poor outcomes such as preterm birth and even death.

Access includes geographic proximity, affordability through health insurance, as well as the type of services covered by insurance plans (e.g. midwifery care and doula support). Studies show that states adopting Medicaid expansion see improved health outcomes, including lower rates of preterm birth and low birthweight. Not only is Medicaid expansion important to ensure that more people can access the care they need, but so is Medicaid extension beyond the first 60 days postpartum, so that families can receive the care they need, when they need it.

Access to quality care is an essential part of achieving birth equity. We are working to ensure that all people have access to person-centered, culturally appropriate care, free of implicit bias and stigma. Positive health care experiences, where patients feel seen, heard and respected by their health care providers can help improve birth outcomes and reduce disparities.

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Improving Access, Quality and Equitable Outcomes

This strategy focuses on turning the curve on the rising maternal and infant morbidity and mortality rates, especially among communities of color, by addressing the quality, value and access gaps that currently exist.


In the last decade, the number of maternity care providers and birthing facilities with risk appropriate care available to families living in rural areas has declined, making it harder to access quality care before, during and after pregnancy. At the same time, rising reports of disrespectful care experienced by communities of color have given rise to the need to ensure quality care is available to everyone.

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Valley scene with sky and clouds


According to the 2020 March of Dimes Maternity Care Deserts Report, seven million American women of childbearing age, 35 percent of which are women of color, live in counties without or with limited access to maternity care.

News & Resources

US National Climate Report Highlights Climate Harms to Pregnancy, Newborns
Mom and Baby Action Network
Access to Care
Dismantling Racism
Environmental Justice

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Register Now for the 2022 Mom and Baby Action Network National Summit: Igniting Impact Together: Birthing Equitable Communities
Mom and Baby Action Network
Atlanta, GA
Access to Care
Building Communities

The Mom and Baby Action Network is excited to announce that registration is now open for our National Summit, "Igniting Impact Together: Birthing Equitable Communities," being held in Atlanta, GA (and virtually) October 24-25, 2022.

Take advantage of our Early Bird registration pricing and secure your spot!

In-Person Early Bird (Ends 7/17/22) $525
In-Person Regular Registration Rate (Ends 8/31/22) $625
In-Person Late Registration Rate (Ends 9/16/22) $675

Virtual Only Registration Rate (Open now thru 10/23/22) $150

In Person attendance will include exclusive workshops, offsite learning opportunities, networking reception, and more!

*March of Dimes is committed to providing a safe and healthy environment for in-person Summit participants.
We will review local Covid-19 data and policies, to ensure we update and communicate meeting safety protocols as we get closer to the event date.*

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KY-Moms MATR (Maternal Assistance Towards Recovery)
Local Collective Impact Initiatives
Louisville, KY
Access to Care

KY-Moms MATR (Maternal Assistance Towards Recovery) helps expectant Kentucky mothers who are at risk for using alcohol, tobacco and other drugs, to reduce harm to their children from their substance use, during and after pregnancy. This service is a collaboration between health departments, prenatal clinics and community mental health centers.

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