One Year Later: Strengthening a Maternal Health Worker Program in Rural Mississippi [ID 1339]

INTRODUCTION: Mississippi has among the highest maternal and infant mortality rates in the United States, with 80% of pregnancy-related deaths deemed preventable and 51.2% of counties considered maternity care deserts. In response, a community maternal health worker (MHW) program was established in 2023 at a federally qualified health center (FQHC) in rural Mississippi. Maternal health workers are matched with patients and provide weekly support from the first prenatal visit through 1 year postpartum to address social determinants of health and facilitate clinical needs. A perinatal social worker and program coordinator provide overarching support. This assessment aimed to evaluate the program from the perspective of the staff. METHODS: We conducted quality improvement interviews with four MHWs, one perinatal social worker, the program coordinator, and the obstetrician–gynecologist at the FQHC. These interviews focused on identifying program strengths and opportunities for growth. RESULTS: One hundred forty-two patients enrolled in the program. At 1 year, there were 107 active patients. The program staff reported enthusiasm from the patients, particularly for the support during prenatal care. Three major areas for improvement emerged from the interviews: 1) patients are experiencing significant psychological stress, prompting the need for enhanced mental health resources; 2) patients face notable barriers to breastfeeding; and 3) patient attrition during the postpartum period was a concern. CONCLUSIONS/IMPLICATIONS: Continued improvement of MHW programs can help address psychological and social determinants of health in maternity care deserts. Further investment and research is needed to identify the effect on health outcomes and address the unique needs of rural populations.