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Tackling racism in maternal health

Approaches are needed that tackle the root causes, including the structural drivers of health, argue Raquel Catalao and colleagues

Inequalities in maternal health outcomes for ethnic minority and Indigenous populations across the globe are driven by cultural, structural, and interpersonal racism. Strategies to mitigate this racial injustice require government commitment, structural policy changes, and community led solutions. Biomedically driven interventions alone will not fix this, and novel systemic approaches are required to tackle the social determinants.

Maternity care provides a unique setting for understanding the links between social determinants and health inequity through its focus on the experiences at a critical transitional period of life. We focus here on high income countries, where our experiences mostly lie and where data tend to be more widely available. In this context, there is a clear and alarming pattern of people from racialised groups (that is, those who are disadvantaged based on their skin colour or indigeneity through the normalisation and legitimisation of an array of dynamics that favour white people1) experiencing worse maternal outcomes.2

Inequities in maternal mortality show how disparities in social determinants are shaped by racism and colonial legacies and give rise to inequalities in social conditions and health risk factors that cost women´s lives. Maternal mortality is a barometer of more widespread inequalities experienced by racialised and Indigenous populations, including adverse birth outcomes, morbidity, access to care, and experience of the services.34 Data driven technologies are increasingly used to identify inequalities in access, experience, and allocation of resources, but current health datasets lack consistency and completeness of ethnicity recording.5 In most high income countries the gulf of inequity is not decreasing, and it has been exacerbated by the covid-19 pandemic.67

Evidence shows that different pathways link racism to inequities in society and …

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'We came in times of need': Nurses mark 75th anniversary of Windrush

Nurses have today been celebrating and reflecting on the contribution that the Windrush generation and their descendents have made to health and social care across the UK.

United-kingdom , Windrush , Gloucestershire , Britain , Paulette-lewis , Yvonne-coghill , Tru-powell , Annabel-sosowemimo , Estephanie-dunn , Twitter , Midwives-association , Staff-race-equity-nationality-network-whit

Racism experienced by nurses 'costing lives and safe care'

The racism and harassment experienced by nurses from Black and minority ethnic backgrounds is costing lives and safe care.

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'I want to commemorate Black African nurses'

I want to specially commemorate Black African nurses, who etched their mark on Britain's health service, by highlighting their deeds.

Windrush , Gloucestershire , United-kingdom , Lagos , Nigeria , Ibadan , Oyo , London , City-of , Ghana , Nigerian , Britain

NHS chief cites progress in making nurse leadership more diverse

The fact more minority ethnic nurses are progressing into senior roles shows the “measurable progress” the health service is making to promote racial

London , City-of , United-kingdom , Amanda-pritchard , Yvonne-coghill , Navina-evans , Health-observatory , Workforce-race-equality-standard ,

Nurses help shine spotlight on race inequalities at conference

Nursing leaders have welcomed discussions about racial inequalities in nursing and warned that there is still a "long way to go" to stamp these out

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RCN told to make 'significant change' in independent review

An independent review into the governance of the Royal College of Nursing has called for “significant change” and makes several recommendations related to

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RCN director of nursing confirmed as latest high-profile departure from college

One of the most senior leaders at the Royal College of Nursing has stepped down less than six months into the role. Susan Aitkenhead started in the dual

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Major conference to explore the impact of racism on health

Major conference to explore the impact of racism on health
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