Accessibility and acceptability of San Francisco’s Pregnancy Village model: a mixed-methods evaluation

Abstract The Pregnancy Village (PV) is a cross-sector perinatal care model for Black pregnant and postpartum individuals. This study assessed PV’s accessibility and acceptability among perinatal individuals and their families. Between July 2021 and June 2022, 116 surveys (57 perinatal individuals, 59 family members) and 18 interviews were conducted. Accessibility (3-item index) and acceptability (7-item scale based on the Theoretical Framework of Acceptability) were standardized on a 0–100 scale. Descriptive, bivariate, and multivariate analyses were conducted, alongside framework analysis of qualitative data. Mean accessibility was 76.0 ( SD = 21.0), with lower scores among participants living outside Bayview (−16.6) and those reporting prenatal care discrimination (−11.0). While most reported minimal burden, interviews revealed language barriers and limited provider follow-up. Acceptability was high ( M = 91.9, SD = 14.4), but lower among Spanish speakers (−7.9). Qualitative findings supported PV’s affirming atmosphere. Findings suggest PV is accessible and acceptable, with continued model iteration critical for ensuring community priorities and sustainability.