Infant Mortality Proposal

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Purpose/Rationale In Shelby County, Tennessee, the African-American infant mortality rate exceeds the state and national average by more than 50 percent. The infant mortality rate is determined by the number of infant deaths per 1000 live births and is used to measure the overall health of communities worldwide. The Urban Child Institute (TUCI) 2012, reported that in 2010, 13.4 of 1000 infants born to African-American mothers in Shelby County, Tennessee died before their first birthday. These numbers are numbing; all while exceeding the national average of 6.1 deaths per 1000 live births. According to a report published by the National Center for Health Statistics (NCHS)(Murphy, Xu, and Kochanek, 2012), nationally there are many…show more content…
Background Literature Researchers continue to study infant mortality trends throughout the US and have failed to pinpoint any specific reason why African-American mothers are more likely to become victims of infant death than any other race of women. Because of this, researchers continue to look for definite causes of African-American infant death while maintaining focus on the roles that possible variables such as teen pregnancy and lack of prenatal care play. As a result, the research presented in this literature review will cover current works on the role of doulas as community workers, the history of healthcare in the US, particularly the South and the impact that racism has played in the conversations and campaigns geared toward decreasing health care disparities and inequities. The South continues to produce many of the worst health statistics in the country and as reported by Surgeon General Thomas Parran in 1938, who served under President Franklin D. Roosevelt. The Southern region was “the number one health problem of the Nation” (Thomas, 2006, p.826). Records show that the South was residence to nearly 76.7 percent of the African-Americans in the country. However, as citizens they were not allowed access
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