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Issue 2

Improving African American Maternal Health

By:
Kwasheba
Harriott
Improving African American Maternal Health Abstract Background: The maternal health of African American mothers in the United States is in crisis, with a long history of racial disparities as a major contributing factor. African American mothers are three times more likely to die from pregnancy-related complications compared to their white counterparts and women from all other ethnic categories. In 2022, the maternal mortality rate for African American women was 49.5 deaths per 100,000 live births compared to 19 deaths per 100,00 live births for Caucasian women. Despite overall improvements in maternal health outcomes, African American mothers continue to experience inadequate prenatal care, continuous stress, and poor socioeconomic conditions. These challenges are a direct result of systemic barriers leading to adverse maternal and birth outcomes. Main objective: To describe the social determinants contributing to the poor maternal health outcome for African American mothers. Methods: A novel qualitative study surveyed 21 African American mothers at a maternal health facility, exploring their maternal health journeys and attempting to understand the link between their experiences and poor maternal health outcomes. Key findings: (1) Lack of confidence in prenatal care; (2) Lack of communication; (3) Reservation participating in research due to historic cultural mistrust; (4) Lack of confidence in medical team. Conclusion The findings underscore the need for additional research with a larger participant pool to further explore the impact on maternal health. To address this crisis, it is imperative that future research incorporates the lived experiences and personal stories of African American mothers to inform more effective interventions and improve outcomes.
Published:
August 1, 2024
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Frank Marshall Valier, D.B.A., CAIBP

Professor of Healthcare Administration

Specializing in Healthcare AI & Healthcare Blockchain Technology

Healthcare Sciences & Technology Department

Charter Oak State College

New Britain, CT
Email:  fvalier@charteroak.edu

Dr. Frank Marshall Valier is a Distinguished Charter Oak Professor and a Certified Artificial Intelligence and Blockchain Technology Management Healthcare Professional whose career exemplifies the highest ideals of scholarly leadership, transformative teaching, and academic innovation. As the founder, publisher, and editor of the Journal of Healthcare Administration and Policy (JHCAP), he has created a vital forum for advancing knowledge at the intersection of healthcare administration, policy, and emerging technology.

Over a distinguished 25-year career, Dr. Valier has made enduring contributions to healthcare administration education through excellence in faculty leadership, graduate-level instruction, scholarly research, and academic publication. At Charter Oak State College in New Britain, Connecticut, he serves as Lead Faculty Instructor for the Master of Healthcare Administration (MHA) program, where he has played a pivotal role in shaping the program's academic identity — most notably through the development and teaching of the MHA Capstone course. His curriculum design reflects a sophisticated command of both healthcare administration and information technology management, preparing students to lead with confidence in an increasingly complex and technology-driven healthcare landscape.

Dr. Valier earned his Doctor of Business Administration in Information Technology Management, with a specialization in Healthcare, from Nova Southeastern University in Fort Lauderdale, Florida. His doctoral dissertation, "A Primary Study of the Perception of Characteristics of Innovation during Pre-Diffusion Stage," earned a Best Paper Award nomination from the Association of Information Systems and was subsequently published in the Journal of International Technology and Information Management — a testament to his significant scholarly contributions to the study of technology adoption in healthcare settings.

As an educator, Dr. Valier is widely recognized for his ability to make complex healthcare concepts both accessible and meaningful. He brings to the classroom a rare combination of rigorous academic standards and genuine investment in student success, consistently bridging theoretical frameworks with real-world application. His pedagogical approach reflects a deep alignment with Charter Oak State College's mission of delivering relevant, career-focused, and student-centered education.

Dr. Valier's professional interests continue to evolve at the forefront of healthcare innovation. His expertise in artificial intelligence and blockchain technology management positions him as a thought leader in the digital transformation of healthcare administration — and as a tireless advocate for preparing the next generation of healthcare leaders to meet that challenge.

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Updated 6/1/26