Photo credit: Ursula Page
The New York City Health Department announced on April 13, 2022, the reopening of the Family Wellness Suites at its Neighborhood Health Action Centers. The Family Wellness Suites provide birthing people and their families a safe, welcoming, and supportive space where families can participate in a range of parenting and birthing classes, connect to community resources and receive critical supplies like car seats and pack n’ plays.
The reopening takes place during Black Maternal Health Week and to mark the occasion, the Health Department is hosting a series of community events at the Neighborhood Health Action Centers in Brownsville, East Harlem, and East Tremont. The activities include Meet the Doulas, Respectful Care at Birth; Breastfeeding 101; Mommy & Me Yoga; Childbirth Education; and Read Aloud with the Public Library. To find out the location of the Neighborhood Health Action Centers and how to register, click here.
The Family Wellness Suites at the Neighborhood Health Action Centers offer a range of services, including:
*Newborn care classes
*Reproductive health workshops
*Referrals to social services
In March 2020, in response to the COVID19 pandemic, the Family Wellness Suites paused the on-site programs, transitioned to virtual workshops, and expanded services to include emergency diaper distribution.
The Family Wellness Suites are part of the City’s plan to reduce maternal and infant health inequities. In New York City, from 2001-2018, Black parents were on average 9.4 times more likely to die from a pregnancy-related death compared to white parents. In 2019, Black parents also experienced a rate of infant mortality 3.3 times higher than their White counterparts.
These disparities are rooted in racism and structural inequity. Contributing factors include decreased access to care; residential segregation and lower educational attainment; and the stressors stemming from racism. Even when controlling for socioeconomic and educational status, Black birthing people are still more likely to suffer from severe morbidity and mortality than those of other races and ethnicities.
Last month, Mayor Eric Adams announced the expansion of programs and resources to address disparities in maternal and infant health. The Citywide Doula Initiative provides free access to doulas for birthing families and focus on 33 neighborhoods with the greatest social needs. The Midwifery Initiative includes all 38 public and private birthing facilities citywide and will allow the Health Department, for the first time, to gather data on births and care with midwives; create partnerships with midwife organizations, private practices, and community members; and develop a report on midwives in New York City. Finally, the Maternity Hospital Quality Improvement Network (MHQIN) will be expanded across all 38 birthing facilities across the city in an effort to improve maternal care at local hospitals and birthing centers.
The Health Department also offers the following programs and resources to promote healthy pregnancy outcomes and reproductive health:
Citywide Doula Initiative
Citywide Doula Initiative (CDI) provides doula support both at home and in the clinical setting, with three prenatal home visits, support during labor and delivery, and four postpartum visits. Clients who give birth at home will receive the same number of visits. The program will include screening and referrals for family needs and stressors, such as food insecurity. The model of care will be consistent across the city, and uniform data will be collected for a rigorous evaluation of the doula services provided through this initiative. The Citywide Doula Initiative will aim to train 50 doulas and reach 500 families by the end of June.
New Family Home Visits
New Family Home Visits (NFHV) offers a range of evidence-based home-visiting services via trained health care workers—from breastfeeding support and creating a safe home, to mental health screenings, to connections to social services. The program is open to first-time families in the TRIE neighborhoods, who live in NYCHA in the TRIE neighborhoods, or who are engaged with child welfare. Mayor Adams announced $30 million in funding for FY23 for New Family Home Visits to expand access to care and create a system for intake and referrals and enhanced capacity for community partners. To sign up, families can call 311 or (718) 637-5235.
The Nurse-Family Partnership
The Nurse-Family Partnership (NFP) is an evidence-based home visiting program that connects first-time expectant parents with trained nurses to promote healthy pregnancy outcomes, child development, and economic self-sufficiency and independence. Pregnant people are eligible if they have never parented before and if they qualify for WIC or Medicaid. NFP serves families in all five boroughs, regardless of age, immigration status or gender identity. Pregnant persons are enrolled before the 29th week of pregnancy and can remain in the program until the child turns two. Under the New Family Home Visits Program, NFP is expected to offer services to an additional 500 birthing families by June 2022.