Multi-Stakeholder Engagement with State Policies to Advance Antiracism in Maternal Health (MEND)

California has passed a new law (SB464) that requires perinatal clinicians to undergo implicit bias training, with the goal of improving care and outcomes for Black birthing people in particular. This project will engage Black birthing people, perinatal clinicians, and socio-legal scholars to produce evidence-based guidance for these trainings.

Black mother and child at postnatal visit

Principal Investigator:
Sarah Garrett, PhD | UCSF Philip R. Lee Institute for Health Policy Studies


Black women and birthing people experience maternal mortality, morbidity, and preterm birth at higher rates than most other groups in the US. Researchers and policy-makers increasingly understand that racism and other biases within the healthcare system are important causes of these inequities. In 2019, California passed laws meant to reduce racial bias among healthcare providers (Senate Bill 464, Assembly Bill 241). This represents a historic opportunity to improve care for Black women and birthing people.


MEND is a cross-disciplinary project that will, under the guidance of a community advisory panel: (1) Work with legal scholars to interpret the history and content of the new laws. (2) Engage Black women and birthing people and perinatal clinicians in the San Francisco Bay Area to learn how the laws can be implemented to fit their realities and priorities. And (3), with legal and community input, draft evidence-based guidance for local and state implementation of the new laws.

Want to get updates on MEND? Sign up for study updates here. 


“Get to know me”: The role of patient stories in reducing bias in perinatal care

Click here to read the full abstract.

Challenges & opportunities for clinician implicit bias training: Insights from perinatal care

Click here to read the full abstract.


Additional birth equity resources for patients, providers, and health system leaders