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- Publisher
- Springer Publishing
- Copyright
- © 2022 Springer Publishing Company
- ISSN
- 1058-1243
- eISSN
- 1548-8519
- DOI
- 10.1891/jpe-2021-0013
- Publisher site
- See Article on Publisher Site
Abstract
Evidence of doulas’ positive impacts on maternal health outcomes, particularly among underserved populations, supports expanding access. Health workforce-related barriers challenge the development of robust doula services in the United States. We investigated organizations’ barriers regarding training, recruitment, and employment of doulas. We conducted literature and policy reviews and 16 semi-structured interviews with key informants who contribute to state policymaking and from organizations involved in training, certifying, advocating for, and employing doulas. Our study shows barriers to more robust doula services, including varying roles and practices, prohibitive costs of training and certification, and insufficient funding. This study underscores the importance of doulas in providing support to clients from underserved populations. Health workforce-related challenges remain, especially for community-based organizations seeking to serve underserved communities.
Journal
Journal of Perinatal Education – Springer Publishing
Published: Jul 19, 2022