The County Maternal Health Landscape: Inequities, Barriers and Recommendations

Counties play a critical role in improving the health of pregnant and postpartum people. As owners and administrators of the local health and human services social net, county leaders recognize that rising instances of maternal health complications and deaths underscore the necessity for enhanced provision and accessibility of maternal health services. Further, disparities in maternal health experiences pose a serious equity issue that can be addressed through policies and programs that lead to strong birth outcomes. 

To better understand the challenges and opportunities for county government in supporting pregnant and postpartum people, the National Association of Counties Research Foundation (NACoRF) surveyed county officials on their role and authority in maternal health, gaps and barriers in maternal care systems and county-level solutions and priorities. This report highlights survey findings alongside focus group and interview responses to share the critical role of counties in serving pregnant and birthing residents. County leaders can use this information to guide development of comprehensive, accessible and equitable local maternal health care systems.

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