Follow the assignment template which includes headings for each section and a descriiption of the expected content (in blue text). Make sure that you address all of the required content and remove the blue text with instructions before you submit your assignment.
APA format is required for citations and your reference page.
Complete your paper directly in this document. You will change or delete words in blue italic and replace them with your specific information. Your final paper will be in black font and not italicized. Your final paper will be double-spaced.
Body of the paper should be at least 4-5 pages (and not more than 7) of full-text content, not counting the title page, table, or reference page
Limit the use of direct quotes.
Introduction and Notable Events in the Community
1) Where is your community located?
2) What indigenous communities first lived on the land where your community resides?
3) Describe one historic event that had a lasting impact on your community (for example closing of an industry that was a major employer, a natural disaster, redlining, wave of immigration or migration). Did this event impact the health of the community?
4) Are there any historical events that community members are particularly proud of?
Environmental Conditions and Disaster Plan
1) What environmental conditions or emergencies might impact access to care and how?
2) What is your community’s disaster plan in the event of an emergency?
3) What agency handles public health emergencies/pandemic preparedness?
Access to Perinatal and Reproductive Health Services
1) Are there any limitations on reproductive health services?
2) Is abortion care available in this community? Are fertility services available? Are perinatal and reproductive health practices welcoming of individuals who identify as LBGTQI?
3) Are there free reproductive or perinatal care services for individuals who can’t access insurance and where are these services located?
4) Are there practices that offer centering pregnancy or some form of group prenatal care?
5) What is the cesarean rate in your county? Are Vaginal birth after cesarean services available?
Birth Options in the Community
1) Number of resident births, birth settings, and providers that offer care during labor and birth
2) Types of birth care providers in the community
3) Nearest maternal-fetal medicine physician and level 3 nursery
4) Percentage of births attended by midwives (in the community or state)
5) Percentage of births reimbursed by Medicaid
6) Percentage of Medicaid reimbursement for CNMs/CMs compared to physicians. (i.e. are midwives reimbursed the same [100%] as OB/GYNs in your state)
Local Transportation
1) What are the options for local transportation and can people access health care facilities through public transportation?
2) How much does public transportation cost?
3) Are there any discount programs for low-income women/pregnant individuals to access transportation to health care visits?
Major Employers and Insurance Access
1) List at least 3 of the community’s major employers.
2) Do the employers offer health insurance coverage to all/some employees?
3) How do seasonal or part-time workers access insurance coverage?
4) Does Medicaid coverage for maternity care extend past 6-8 weeks postpartum?
5) Did your state accept the federal Medicaid expansion?
Tables 1-4: Community Resources and Services for Women, Pregnant Individuals and Children
Include at least 3 services or resources for each table. If you are unable to find services, explain how you searched and why services are limited.
Table 5: Demographic and Economic Factors
Descriiptive Comparative Data Analysis
1) Cover: race, ethnicity, homeownership, home value, education, language, median family income, poverty, and unemployment rate.
2) Consistent comparison of data across the county, state, and nation
3) Consistent sharing of numeric data points
4) Citing table 5 consistently
Describe how components of your community descriiption represent either strengths or challenges for perinatal and/or reproductive health in your community
Identify at least 4 demographic or economic factors from table 5 that are relevant to the design of midwifery services. Describe the relevance in concise sentences.
Conclusion
1) Summarize the areas of your community assessment that show a need for midwifery services. /
2) What specific midwifery services would benefit the community? /
3) How will these midwifery services benefit the community? /
