Results: Infants-of-color/higher-income are more likely to die from prematurity (54.5% vs 30.9% average). Infants-of-color/lower-income are more likely to die from sleep-related causes (29.5% vs 18.6% average). These sleep-related deaths are more likely to receive Family/Community Communication category recommendations. Within this category, recommendations to institute-repetitive-messaging were most prevalent in the infant-of-color/higher-income group (17.1% vs 9.8% average).

Higher-income groups received recommendations in the Person-centered Decision-making category twice as often as their lower-income counterparts. Within this category, recommendations to empower-patient-questions/requests/decision-making were most frequently assigned to the white-higher-income group (40.0% vs 24.8% average).

Conclusion: Statistically significant differences exist in infant mortality between racial and socioeconomic groups in Kalamazoo County. This necessitates targeted interventions to ensure equitable improvement in infant care outcomes according to recommendations generated by the FIMR review team.