Strengthening Partnerships Between Researchers and Communities to Improve Maternal Health
PROGRAM OVERVIEW
The Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone Community Implementation Program (IMPROVE-CIP) supports community-engaged implementation research to address factors contributing to maternal mortality and severe maternal morbidity, such as mental health, substance use, psychosocial factors, and social and structural drivers of health.
IMPROVE-CIP is a program of the National Institutes of Health (NIH) Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE) initiative. This initiative was launched in 2019 in response to high rates of pregnancy-related complications and deaths in the U.S. The NIH IMPROVE initiative funds research to reduce preventable causes of maternal deaths and improve health before, during, and after delivery.
Like the broader IMPROVE initiative, IMPROVE-CIP focuses on health differences among populations hardest hit by maternal mortality and severe maternal morbidity.
As part of CEAL, IMPROVE-CIP emphasizes community involvement in all aspects of research. Like the Maternal Health Community Implementation Program (MH-CIP), another CEAL program, IMPROVE-CIP develops and tests community-based implementation strategies to increase the adoption, uptake, scale up, and scale out of evidence-based practices or interventions to improve health before, during, and after pregnancy. The program supports research coalitions firmly connected to and embedded in affected communities.
IMPROVE-CIP Goals
■ Use implementation science to bring effective maternal health interventions into communities severely impacted by maternal health differences.
■ Empower the most impacted communities across the U.S. to be full partners in community-engaged implementation research to reduce differences in outcomes in maternal mortality and severe maternal morbidity.
■ Identify and distribute effective implementation strategies that harness community strengths and knowledge to address facilitators or barriers affecting the adoption of evidence-based practices or interventions to improve maternal health.
■ Strengthen partnerships between researchers and community-based organizations to support the translation of research into usable tools and knowledge.
IMPROVE-CIP Research Coalitions
IMPROVE-CIP supports four coalitions of research organizations and community partners. These coalitions are conducting formative work to understand communities’ needs and priorities. This work sets the stage for the second phase of research, when coalitions will examine community informed strategies to begin evidence-based interventions to reduce maternal mortality and severe maternal morbidity. Community partners are co-leading these efforts, ensuring that local knowledge, values, priorities, and strengths are fully incorporated into the research.
| Coalition | Arizona State University | Texas Tech University Health Sciences Center | Thomas Jefferson University | University of Nebraska Medical Center |
|---|---|---|---|---|
| Study | Listen to the Villages: A responsive, community-engaged process to promote maternal and infant health. | VIBRANT MOMS: Verifying & Implementing evidence-Based pRograms Addressing Needed Transformations for Maternal health Outcomes, Measures, & Support | Addressing the needs of pregnant women with opioid use disorder (OUD) | Wellness Advocacy Zones: Opportunities for Kinship Involvement (WAZOKI) |
| Intervention | Community-engaged doulas provide support to reduce maternal stressors, such as mental health challenges, substance use, and obesity | Prevention (low-dose aspirin), screening, and blood pressure management to address preeclampsia | Adaptation of the Centering Pregnancy model to enhance prenatal care in pregnant women with OUD | Kinship involvement to improve maternal health outcomes, including maternal mental health in the Winnebago Tribe |
| Location | Urban and rural communities in Arizona | Women experiencing differences in the rural and urban counties of the Texas Panhandle | Pregnant women with OUD in Philadelphia, PA | Winnebago, Nebraska |
| Academic Leads | Cady Berkel, Ph.D. (Multiple Program Investigator) | Christine D. Garner, Ph.D., R.D., M.S. (Multiple Principal Investigator); Julie St. John, Dr.P.H., M.P.H., CHWI (Multiple Principal Investigator); Stephanie Stroever, Ph.D., M.P.H. | Vanessa Short, Ph.D., M.P.H. (Multiple Principal Investigator) | Regina Idoate, Ph.D.,M.A. (Cherokee Nation of Oklahoma) (Multiple Principal Investigator) |
| Community Leads | Lakisa Muhammad, L.M., CPM (Multiple Principal Investigator); Kimberly Moore-Salas, IBCLC (Multiple Principal Investigator) | Casie Stoughton, R.N.,M.P.H. (Multiple Principal Investigator); America Adame | Kimberly McLaughlin, Ph.D. (Multiple Principal Investigator) | Mona Zuffante, Ph.D., M.P.H., CPH (Seneca-Cayuga Nation) (Multiple Principal Investigator) |
IMPROVE-CIP is supported by the National Heart, Lung, and Blood Institute, the Eunice Kennedy Shriver National Institute of Child Health and Human Development, the National Institute of Nursing Research, and the Office of Research.