The Development, Implementation, and Evaluation of a Racism and Health Disparity Prevention Course for Midwives

Abstract

Maternal health disparities persist as a significant issue in the United States, with Black, Indigenous, and marginalized women facing disproportionately high rates of maternal morbidity and mortality. Despite the United States having the highest maternal mortality rate among developed countries, addressing these disparities remains a challenge, particularly in rural areas and within underserved communities. One key strategy in mitigating these disparities involves training health care providers to recognize and combat systemic biases, particularly those rooted in race. This article discusses the development, implementation, and evaluation of a dedicated antiracism and health disparity prevention course developed for midwifery students at the University of Minnesota. In addition to content embedded in the existing midwifery curriculum, a course was designed and integrated that addresses racism, health disparities, and cultural competence designed for second-semester Doctor of Nursing Practice students. Faculty use a structured framework to increase awareness of implicit biases, historical oppression, and the importance of culturally sensitive care. The course encourages self-reflection and equips students with actionable strategies to address systemic inequities in maternal care. Students reported increased self-awareness and a stronger commitment to addressing racism in health care. Despite challenges such as balancing credit loads and emotional labor, midwifery students report that it positively contributes to their education. Additionally, the course has garnered interest from students and faculty in other health care disciplines. The authors advocate for the integration of such courses across health care programs to foster more equitable, antiracist practices within maternal health care.