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A Celebration of Life and Womanhood

ranks lower than many developed nations in life expectancy, infant mortality, and general health status. Studies have attributed this to the exacerbating effects of the social determinants of health, such as limited education, poverty, illiteracy, gender, and racial discrimination. Most of the burden of poverty and ill health falls on women, and maternal, infant, and child mortality increase as inequities rise within a given population. The health and well-being of women before, during, and after childbirth are pivotal factors in improving the economy and the future of any nation. The more compromised women are in a population, the worse the statistics on health indicators become and the longer lasting the effects are on future generations. With the Birthing Project, Kathryn Hall-Trujillo has cut to the core of the great disparity African American women experience in the United States. African American women are more likely to experience the death of a child and live a shorter life than white women. The 2006 infant mortality rate per 1,000 live births was 13.4 for African Americans, 2.4 times (or 240 percent higher than) the infant mortality rate for whites. African American women experience approximately 3,300 more infant deaths annually than should be expected in the United States. The Birthing Project brings an altered awareness to African American communities. Pregnancies and births are celebrated. Where pregnancy outcomes are regarded as the responsibility of the health-care system and are intricately linked to stress, racism, and lack of respect, a new framework is now emerging. Social support in the form of the SisterFriend network, which is centered on women giving of their time, experience, and care, is at the heart of the Birthing Project. A