Skip to main content
Log in

Save 100 Babies©: Engaging Communities for Just and Equitable Birth Outcomes Through Photovoice and Appreciative Inquiry

  • Notes from the Field
  • Published:
Maternal and Child Health Journal Aims and scope Submit manuscript

An Erratum to this article was published on 04 July 2014

Abstract

This paper presents a community engagement model designed to advance social justice and equity for African American birth outcomes through the combined techniques of Photovoice and Appreciative Inquiry. In response to the persistent racial disparities in birth outcomes, Save 100 Babies© was constructed as a 2-day summit where the emphasis was placed on individual and community assets rather than deficits. The engagement was designed to create a level of readiness among individuals working within and outside the field of Maternal and Child Health to envision strategies to attain equitable birth outcomes. The goal of the conference was to facilitate higher level consciousness by guiding the participants though a process aimed at articulating assets, possibilities and the potential for co-creating the desired future where racial disparities in birth outcome are eliminated. As the result of the guided discourse that began with photographs of the lives of African American women, participants articulated the strengths they detected from the pictures, their recommendations for multifaceted changes in policies and practices, and their individual and organizational commitments for a changed future. Since the summit, participants have indicated ways they have fulfilled their vows that include informing families and communities about pregnancy risks, working with youth programs, supporting fatherhood involvement in pregnancy and birth, and advancing case management that is more attuned to women’s strengths. Save 100 Babies© is evolving into a network and clearinghouse for sharing and disseminating information and resources for collaboration.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Kellogg Foundation. http://web.archive.org/web/20120629222858/; http://www.wkkf.org/what-we-support/civic-engagement.aspx.

  2. CDC/ATSDR, Office of Public Health Practice. (1997). Principals of community engagement.

  3. Wallenstein, N. (2002). Empowerment to reduce health disparities. Scandinavian Journal of Public Health, 30(59), 72–77.

    Article  Google Scholar 

  4. Jones, L., Meade, B., Forge, N., Moni, M., Jones, F., & Norris, K. (2009). Begin your partnership: The process for engagement. Ethniticity and Disease 19(4 Suppl. 6), S6, 8–16.

    Google Scholar 

  5. California Newsreel. http://www.unnaturalcauses.org/episode_descriptions.php.

  6. Georgia Department of Public Health. (2012). From preconception to infant protection: A regional look at periods of risk for Georgia’s newborns. Atlanta, GA: Georgia.

    Google Scholar 

  7. Women’s Health. Gov. Women’s Health in Georgia (DHHS, Region IV): www.womenshealth.gov/quickhealthdata, Accessed February, 2013.

  8. Dominguez, T. P. (2008). Race, racism, and racial disparities in adverse birth outcomes. Clinical Obstetrics and Gynecology, 51(2), 360–370.

    Article  PubMed  Google Scholar 

  9. Jackson, F. M., Rowley, D. L., & Owen, T. C. (2012). Contextualized stress, global stress and depression in well-educated African American women. Women Health Issues Journal, 22(3), e329–e336.

    Article  Google Scholar 

  10. Collins, J. W., David, R. J., Handler, A., Wall, S., & Andes, S. (2004). Very low birth weight in African American infants: The role of maternal exposure to interpersonal racial discrimination. American Journal of Public Health, 94(12), 2132–2138.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Jackson, F., Phillips, M., Hogue, C., & Curry-Owens, T. (2001). Examining the burdens of gendered racism: Implications for the pregnancy outcomes among college-educated African American women. Maternal and Child Health Journal, 5(2), 95–107.

    Article  PubMed  CAS  Google Scholar 

  12. March of Dimes, Peristats, Georgia. http://www.marchofdimes.com/peristats/ViewSubtopic.aspx?reg=13&top=6&stop=105&lev=1&slev=4&obj=1&dv=ms. Accessed September 2013.

  13. US Census, Quick Facts, Atlanta. http://quickfacts.census.gov/qfd/states/13/1304000.html. Accessed September 2013.

  14. McEwen, B. S., & Steller, E. (1993). Stress and the individual: Mechanisms leading to disease. Archives of Internal Medicine, 153(18), 2093–2101.

    Article  PubMed  CAS  Google Scholar 

  15. Braveman, P. (2014). What is health equity?: And how does a life-course approach take us further toward it? Maternal and Child Health Journal, 18(2), 366–372.

    Google Scholar 

  16. Commission on the Social Determinants of Health. (2008). Closing the gap in one generation: Health equity through action on the social determinants of health. Final Report. Geneva, CH.

  17. Wang, C., & Burris, M. A. (1997). Photovoice: Concept, methodology, and use for participatory needs assessment. Health Education, 24(3), 269–287.

    Article  Google Scholar 

  18. Wang, C. C., & Pies, C. A. (2004). Family, maternal, and child health through photovoice. Maternal and Child Health Journal, 8(2), 95–102.

    Article  PubMed  Google Scholar 

  19. Wang, C. C. (1999). Photovoice: A participatory action research strategy applied to women’s health. Journal of Women Health, 8(2), 185–192.

    Article  CAS  Google Scholar 

  20. Killion, C. K., & Wang, C. C. (2002). Linking African American women across life stage and station through photovoice. Journal of Health Care for the Poor and Underserved, 11(3), 310–325.

    Article  Google Scholar 

  21. Velera, P., Gallin, J., Schuk, D., & Davis, N. (2009). “Trying to eat healthy”: A photovoice study about women’s access to healthy food in New York City. Journal of Women Social Work, 24(3), 300–313.

    Article  Google Scholar 

  22. Friere, P. (1970). Pedagogy of the oppressed. New York: Continuum.

    Google Scholar 

  23. Weiler, K. (1988). Women teaching for change: Gender, class, and power. South Hadley, MA: Bergin and Garvey.

    Google Scholar 

  24. Collins, P. B. (2000). Black feminist thought: Knowledge, consciousness, and the politics of empowerment. New York: Routledge.

    Google Scholar 

  25. Carlson, E. D., Engebretson, J., & Chamberlain, R. M. (2006). Photovoice as a social process of critical consciousness. Qualitative Health Research, 16(6), 836–852.

    Article  PubMed  Google Scholar 

  26. Cooperrider, D. L., Whitney, D., & Stavros, J. M. (2005). Appreciative inquiry handbook. Brunswick, OH: Crown Custom.

    Google Scholar 

  27. Whitney, D., & Trosten-Bloom, A. (2003). The power of appreciative inquiry: A practical guide to positive change. San Francisco, CA: Berrett-Kochler.

    Google Scholar 

  28. Moore, M., & Charvat, J. (2007). Promoting health behavior change using appreciative inquiry: Moving from deficit models to affirmation models of care. Family and Community Health, 30(Suppl 1), S64–S71.

    Article  PubMed  Google Scholar 

  29. Todd, J. L., & Worrell, J. (2000). Resilience in low-income, employed African American women. Psychology of Women Quarterly, 24(2), 119–128.

    Article  Google Scholar 

  30. Jackson, F. M. (2007). Race, stress, and social support: Addressing the crisis in black infant mortality. Washington, DC: The Joint Center for Economic and Political Studies.

    Google Scholar 

  31. Craig, J. (1964). Wesleyan Baccalaureate is delivered by Dr. King. Hartford, Connecticut: Hartford Courant.

    Google Scholar 

Download references

Acknowledgments

We would like to acknowledge the W. K. Kellogg Foundation and HHS, Region IV for their generous support of this work. Thank you to Reverend Dr. Raphael G. Warnock for welcoming the collaboration with historic Ebenezer Baptist Church. We also express sincere gratitude to Jemea Dorsey, Director of the Center for Black Women’s Wellness and most especially the center’s clients who permitted us into their lives and became the beacon guiding the direction for just and equitable birth outcomes.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Fleda Mask Jackson.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jackson, F.M., Saran, A.R., Ricks, S. et al. Save 100 Babies©: Engaging Communities for Just and Equitable Birth Outcomes Through Photovoice and Appreciative Inquiry. Matern Child Health J 18, 1786–1794 (2014). https://doi.org/10.1007/s10995-014-1436-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10995-014-1436-9

Keywords

Navigation