Health advocates, hospital and clinic administrators and rural residents across the country say changing the health outcomes and health care services in rural America needs to start at the local level — especially in communities of color that may lack trust in medicine or the ability to communicate in their native language.
Journalists from Capital B, California Health Report, Cardinal News and Enlace Latino NC contributed reporting to this collaborative project led by the Institute for Nonprofit News' Rural News Network with visual support from CatchLight.
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Natalee Waters
Alexis Ratliff, 29, with her 11-month-old daughter Eleah Witcher and son Ezekiel, 5, in their Rocky Mount home recently. Ratliff had a doula to help with the birth of Eleah. (Natalee Waters)
CARDINAL NEWS
Virginia’s pregnant women must travel farther as the maternity care crisis grows. Doulas are stepping in to fill gaps.
In the last six years, five maternity units have closed down across rural Virginia, impacting access to prenatal care. However, with the closures have come new models of care. A statewide shift toward doula services aims to ease maternal morbidity, particularly among Black mothers.

