Challenge
The U.S. has worse birth outcomes than most other developed countries. Compounding this problem are significant health and access-to-care disparities for women of color compared to white women, and for women who live in rural communities compared to those in urban areas. Racial minorities are up to four times more likely than white women to have pre-term births, low-birthweight babies, and late or no prenatal care. Centers for Disease Control and Prevention data show that the Carolinas have exceeded the national average relative to pre-term birth and low-birthweight rates for the last five years. Outcomes continue to trend downward, yet are not experienced equally across the U.S., as shown by preterm births being 55 percent higher for Black women than white women.