Abstract

The San Francisco Pregnancy Village: A cross-sector care delivery model to address birth inequities

Osamuedeme Odiase1, April Bell, PhD, MPH2, Malini Nijagal1, Alison El Ayadi, ScD, MPH3, Kattia Vargas1, Schyneida Williams1, Designing Justice + Designing Spaces (DJDS)4, KaSelah Crockett5 and Patience A. Afulani1
(1)University of California, San Francisco, San Francisco, CA, (2)University of California San Francisco, San Francisco, CA, (3)University of California, San Francisco, CA, (4)Designing Justice + Designing Spaces, Oakland, CA, (5)Compass & Keys, Oakland, CA

APHA 2025 Annual Meeting and Expo

Background:

The San Francisco Pregnancy Village (PV) is a novel cross-sector care delivery model providing a one-stop-shop for city government, clinical, and community-based wraparound services in an uplifting, celebratory, and dignified environment for Black and other minoritized pregnant people and their families. We examined the accessibility, acceptability, trustworthiness, and person-centeredness of its first event series, the San Francisco Family and Pregnancy Pop-Up Village (FPPV), and its impact on experiences of racism and discrimination.

Methods:

Data are from a mixed-methods, community-engaged evaluation using surveys (N = 157) and in-depth interviews (N = 41). Key constructs were measured using standardized tools, with scores from 0 to 100—higher scores indicating more positive perceptions (reverse for discrimination). In-depth interviews were transcribed and analyzed thematically.

Results:

62% of participants found FPPV more accessible than their usual sources of care. FPPV was highly acceptable (M = 90.3/100). Participants reported higher perceptions of person-centered care (M = 87.4/100 for PV vs. M = 83.7/100 for usual care; p = 0.0018) and trustworthiness (M = 84.6/100 vs. M = 75.6/100; p = 0.000), and less racism and discrimination (M = 8.8/100 vs. M = 18.4/100; p = 0.000) compared to their usual sources of care. Qualitative themes supported these findings, with participants highlighting the welcoming and uplifting atmosphere and respectful and supportive providers.

Conclusions:

The Pregnancy Village model is accessible, acceptable, person-centered, trustworthy, and reduces experiences of racism and discrimination. With community responsiveness a central priority, PV offers a promising model to improve pregnancy experiences for Black families.

Conduct evaluation related to programs, research, and other areas of practice Implementation of health education strategies, interventions and programs Public health or related research Social and behavioral sciences Systems thinking models (conceptual and theoretical models), applications related to public health