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Black Women in Rural Areas Grapple with Stark Decline in Obstetric Care

THE AFRO — “The risks facing women in rural communities is due to hardship in receiving routine screenings and also access for treatment if conditions/diseases arise. Also, in rural areas there are few specialists,” Dr. Sonya Buchanan, a preventative medicine physician and Meharry Medical College graduate, told the AFRO.

Published

2 weeks ago

April 8, 2026

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By Ashleigh Fields, Special to the AFRO

Black women in rural areas are facing the brunt of declining medical services, including access to obstetric care as new policies threaten clinic and hospital closures.

Under the current White House administration’s summer spending package, federal reimbursement for services covered through Medicaid and the Affordable Care Act severely declined leaving rural healthcare providers to fend for themselves amid pressing patient concerns.

“The risks facing women in rural communities is due to hardship in receiving routine screenings and also access for treatment if conditions/diseases arise. Also, in rural areas there are few specialists,” Dr. Sonya Buchanan, a preventative medicine physician and Meharry Medical College graduate, told the AFRO.

“Most specialists practice in larger cities with larger populations. Commuting to and from for treatment of chronic illnesses or cancer may not be possible for a number of reasons including financial, logistics or missing time from work,” she added.

In response to the 47th president’s spending bill, Georgia Rep. Nikema Williams (D) introduced the Maternal Health Equity Under Medicaid Act to raise federal matching rates to 90 percent for Medicaid expenditures on maternal healthcare.

Nearly 1 in 5 or 20 percent of rural adults and 40 percent of rural children rely on Medicaid or Children Health Insurance Program. Amid cost concerns, rural Americans also face geographic challenges that present threats to healthcare.

Most live an average of 10.5 miles from the nearest hospital, versus just 4.4 miles for their urban counterparts, according to the National Rural Health Association.

“Medicaid is the largest payer of maternity care in this country and must be part of the solution to the maternal health crisis. Too many people are still falling through cracks in our healthcare system, especially Black mamas who continue to face a worsening maternal health crisis,” Williams said in a statement noting that 42 percent of births are financed by Medicaid.

Still, women who enroll in Medicaid in their third trimester have a 4.7 times higher likelihood of experiencing maternal mortality and a 1.5 times higher risk for infant mortality, according to her office.

“Raising the federal match for maternal care will give states the resources they need to expand care and save lives. As Republicans threaten devastating Medicaid cuts, this legislation is a clear statement: we must invest in care, not cruelty,” the Georgia lawmaker said.

As of 2022, more than two-thirds of rural hospitals in eight states were without obstetric services, according to a Health Affairs study. From 2010- 2022, 12 states also reported the loss of 25 percent or more obstetric services in rural hospitals.

“The mass closures of obstetric wings in rural hospitals have been a major issue for years now. In North Carolina, 40 percent of our counties have no facilities at all for maternity care. The passage of the Big Beautiful Bill—I like to call it the Big Ugly Bill—is only going to make these issues so much worse. Labor and delivery units are often the first to get cut when hospital budgets get low,” Rep. Alma Adams (D-N.C.) told the AFRO.

“This bill made major cuts to Medicaid dollars, which hospitals rely on to stay afloat. It also created new restrictions making it more difficult to remain eligible for Medicaid,” she added.

The United States remains the only developed country with a rising maternal mortality rate, according to UNICEF, with deaths skewed towards women of color.

Black women are three to four times more likely to die from pregnancy-related complications and twice as likely to lose an infant to premature death. Women in rural communities are threatened the most.

All 50 states were given access to the federal Rural Health Transformation Fund which provides over $100,000 to strengthen and modernize health care in rural communities across the country.

“While it won’t fully alleviate the burden of these Medicaid cuts, our state will be using some of these dollars to keep rural hospitals in business and expand maternity care access in our state, focusing on non-medical barriers to care, too,” Rep. Adams said.

“Let’s be honest, though—this is a band-aid to our country’s Black maternal health crisis. We need comprehensive legislation to address it, like the Momnibus Act, which we’re reintroducing soon with Rep. Underwood and Sen. Booker. We need major action soon, because our country is reaching a boiling point, and our moms deserve better,” Adams continued.

The Momnibus Act is a package of 13-bill acts that address social determinants, mental health, workforce diversification, and data collection, with over $1 billion in proposed investments dedicated to solving the maternal mortality crisis.

While lawmakers address issues through policy, doulas have also been stepping in to bridge the gap by providing travel services to address the lack of care in rural communities.

“Historically, doulas were responsible for assisting those giving birth and midwives, and were often among the few enslaved individuals who were allowed to travel due to the indispensability of their services. However, as births moved into hospitals, the non-clinical support system declined — removing an invaluable service for expectant mothers, particularly those within communities disproportionately affected by maternal mortality rates and limited access to medical care and birthing services,” according to Valerie Rochester, chief health equity officer at Creating Healthier Communities (CHC).

“Increasingly, research suggests that doulas are not only beneficial in better health outcomes, but also in reducing unnecessary medical procedures and, therefore, healthcare costs. A recent study of Medicaid beneficiaries found that women who received doula support had both lower cesarean and preterm birth rates,” she added.

Jacque Souza, a self-employed doula, said families in areas without immediate access to healthcare or concerns about care in hospitals have benefitted from the at-home services doulas provide.

“A birth doula holds space so birth can unfold with dignity. She does not replace medical care but helps mothers make the best decisions when bringing a baby into the world,” Souza told the AFRO.

Doulas also provide extensive treatment after babies are born.

“A postpartum doula also has an important, though often less visible, role. She helps families navigate the unique and delicate time of postpartum. those days when nights are long and the days feel endless. A postpartum doula guides and cares for new mothers during this profound transition,” Souza said.

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The hidden risks of poor water management in residential properties

Poor water management in residential properties can result in structural damage, health risks, and long-term financial strain. Water is the most important resource for any country, and having access to clean drinking water should be a right that needs to be preserved. Unfortunately, we are noticing a trend in the US right now where poor water […]

Published

3 days ago

April 17, 2026

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Poor water management in residential properties can result in structural damage, health risks, and long-term financial strain.

Water is the most important resource for any country, and having access to clean drinking water should be a right that needs to be preserved. Unfortunately, we are noticing a trend in the US right now where poor water management in residential properties is becoming more common.

It’s not even just access to water that gets affected when residential water management isn’t made a priority. It can result in issues with major leaks and flooding events, which affect the health and safety of residents.

Gradual Structural Damage

The worst thing about flooding or water leaks is the gradual structural damage that real estate investors have to deal with. Water can seep into materials like:

Wood
Drywall
Concrete

It can do so over time, drop by drop, and eventually cause significant damage to these structures.

A slow leak behind a wall or under a floor may go unnoticed for months, gradually compromising the integrity of the structure. Over time, this can lead to:

Warped floors
Cracked foundations
Weakened support beams

If you aren’t interested in spending hundreds or thousands of dollars to repair your residential properties, then it’s important to focus on water management in your annual plan.

Mold and Indoor Air Quality Issues

Excess moisture creates the perfect growing environment for mold. Within 24 to 48 hours, mold can start developing in damp conditions, and it often does so in hidden places like:

Behind walls
Under carpets
Poorly ventilated areas

Mold is a health hazard, especially for the very young and very old, and those who have a compromised immune system. Indoor air quality starts degrading very fast when mold growth happens, which can result in allergies, asthma, and other respiratory conditions.

Addressing mold problems can be both complicated and expensive, often requiring professional remediation to fully eliminate the issue.

Increased Utility Costs

If you notice that your utility bills have gone up in recent weeks or months, without any corresponding difference in tenants or temperature, it could be due to a water leak. Malfunctioning fixtures can also cause an increase in utility costs.

Even small, continuous leaks can add up to substantial water loss, making regular inspections and maintenance essential. That’s why paying attention to water management is so crucial for any real estate investor.

Foundation and Drainage Problems

Proper drainage is crucial to protecting a home’s foundation. Water needs to be directed away from the property, and if not done so, then it can accumulate around the base of a structure. This can lead to soil erosion, foundation cracks, and even basement flooding.

Clogged gutters, improper grading, and inadequate drainage systems are common contributors to these issues. All of these have to be addressed to prevent long-term damage to your foundation and prevent expensive repair bills that eat away at your budget.

Professional eavestrough installers are necessary to ensure rainwater stays away from your foundation and moves away from the property properly.

Pest Infestations

No homeowner or investor wants pests in their residential properties. It’s not good for the health of the residents, nor is it good for the reputation of the properties in attracting future tenants.

Moist environments often attract pests such as:

Termites
Rodents
Insects

Standing water or damp areas provide ideal conditions for these unwanted guests to thrive.

Once pests are established in your property, they will start causing further damage by eating away at certain structures. To get rid of them requires expensive pest control services and takes time.

Insurance and Financial Implications

Even though insurance does cover certain types of water damage, it doesn’t cover all forms of water damage, and thus, you might end up paying out of pocket in certain cases.

Damage resulting from neglect or lack of maintenance is often excluded from coverage. That’s why it’s so important to apply water management strategies to all of your residential properties.

If you wish to sell your property later, then it’s important to be very cognizant of water damage, as buyers will conduct inspections that could alert them to such water damage and prevent your home from selling in the future.

Frequently Asked Questions

What Are Some Preventive Measures for Water Management?

There are many home safety tips you can follow to ensure your home stays safe from water damage.

Regularly inspecting plumbing systems, cleaning gutters, and ensuring proper drainage can help identify problems early. Installing moisture detectors, maintaining appliances, and addressing leaks promptly are also effective strategies.

You can also hire a water damage specialist and have them take a look at your home to ensure nothing untoward is going on, especially if you notice a major change in your utility bills.

How Does Water Damage Interior Spaces?

Water damage can occur without the home dwellers noticing it. In some cases, the water damage to interior spaces is very apparent, as when the ceilings start sagging or the walls and ceilings develop water stains.

You might also notice the floors rotting or warping.

In addition to structural concerns, water damage can ruin personal belongings such as:

Furniture
Electronics
Important documents

The emotional and financial cost of replacing these items can be significant.

Nothing good comes out of water damage, but it’s highly preventable if you only take the steps mentioned above. Do not become lazy or complacent in this situation. It could be the difference between saving hundreds of dollars in water damage bills and not.

Protect Yourself From the Risks of Water Damage

Not everyone places such a priority on water management, and that’s a shame. It’s truly when you are dealing with water damage that you regret this decision.

Residential water management can save you hundreds or even thousands of dollars in bills in the future. It’s worth the time and resources you place upon it.

By staying vigilant and adopting proactive maintenance habits, homeowners can protect their properties and protect their investment from degrading into a money-sucking pile of stones.

Please check out related articles on our website for more interesting articles on a wide variety of subjects.

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Black Micro-Schools Deserve Recognition: NABML Creates National Standards and Resources

BLACKPRESSUSA NEWSWIRE: Black families are the fastest-growing demographic in alternative education. Discover how the National Association of Black Micro School Leaders is providing educators with resources, training, and certification to launch thriving microschools.

Published

5 days ago

April 16, 2026

Oakland Post

by Dawn Montgomery
BlackPressUSA Contributor

Public school advocates and politicians typically spearhead the attack on microschools, focusing on their perceived “lack of oversight and public accountability.” Yet Black families are the fastest-growing demographic in alternative education. This shift is driven by the recognition that traditional public education cannot change quickly enough to serve its children’s needs. The National Association of Black Micro-School Leaders is an organization working to counter this narrative and fill a critical gap. Nicole Stewart, the founder, told The Carolinian that “Black families are the fastest-growing group in alternative education, but Black microschool founders have had no national home, no unified voice, no shared resources, and no collective power.”

Nicole Stewart, a former educator with nearly 20 years of experience in public education, retired to start her education consulting company and later opened her own school. That experience led her to discover microschools. Stewart advocates for a balance between joy and rigor in education, designing learning experiences that honor identity, strength, and purpose. She understands that microschools can be tailored to address the specific needs of the families and communities they serve.

The oversight criticism is legitimate. This concern is precisely why NABML is establishing the national benchmark for community-led education. NABML’s certification is that seal of approval, signaling to families, funders, and policymakers that a school is not merely functioning but is outstanding. Additionally, the organization emphasizes the importance of legal structures, fiscal stewardship frameworks, and community involvement as foundational to sustainability and accountability.

NABML realizes this vision via four main support systems:

Community Design Day: NABML facilitates a process in which the neighborhood tells us what its children deserve. You get to explore new learning approaches and define educational priorities for your community. A community task force is then formed to implement these ideas, and NABML supports you along the way. This creates a space where you can be a part of the process as a founding member of a microschool.

Founders Launch Lab: This professional development experience equips Black microschool founders and educational leaders with the training, operational, and strategic skills to launch and sustain thriving schools. Participants gain the business acumen and pedagogical frameworks necessary to navigate the transition from traditional educator roles to entrepreneurial school leaders.

Membership (The Vault): Members gain instant, 24/7 access to proprietary legal templates, student handbook builders, fiscal stewardship frameworks, and zoning blueprints designed specifically for the microschool model. They also join a curated community of mission-aligned founders through monthly “Brilliance Circles” and a private digital forum. Membership unlocks the NABML Fund, a curated capital pool designed specifically for the network, removing a major barrier to school launch and sustainability.

Certification: This is the seal of approval that tells families, funders, and policymakers that your school isn’t just operating; it is also excelling. NABML is currently developing the national benchmark for community-led education, making sure that certified schools meet rigorous standards for student outcomes, community engagement, and fiscal responsibility.

Whether you’re a parent seeking educational alternatives, an educator ready to launch a microschool, or a policymaker committed to expanding equitable education options, NABML invites you to be part of this transformation.

Ready to start or support a microschool? Visit https://nabml.org/ to learn more, access resources, or join the Founders Launch Lab.

Want to invest in Black educational futures? Make a donation at https://secure.qgiv.com/for/naobml/ to support founders in building schools that serve their communities.

Every microschool launched is a community transformed. Every founder supported is a generation of Black children empowered to thrive.

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IN MEMORIAM: Rest in Power — Minnesota Loses a True Warrior in Yusef Mgeni

MINNESOTA SPOKESMAN RECORDER — Yusef Mgeni, a brilliant historian, community organizer, former St. Paul educator and fierce advocate for Black people, died on April 7, 2026, leaving behind a legacy that will echo through generations of Black Minnesota history and community building.

Published

6 days ago

April 15, 2026

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By MSR News Online

Minnesota and the world lost a powerful voice and a true warrior on April 7, 2026. Yusef Mgeni is gone, but his legacy will echo for generations.

Yusef was a brilliant historian, a community organizer, a former St. Paul educator, and a fierce advocate for Black people. He carried with him an extraordinary archive of speeches, books, articles, and photographs documenting the work of countless Black scholars and leaders. His knowledge was not just deep. It was generational. Talk to him about any subject concerning Black history, and he would give you a dissertation.

His roots in this community ran deeper than most people knew. Yusef was the grandnephew of Fredrick McGhee, the pioneering 20th-century civil rights activist and attorney who made his mark in St. Paul at the turn of the century. That lineage was not lost on Yusef. He carried it forward with pride and purpose, spending decades making sure the stories of Black Minnesotans were told, preserved, and passed on.

As a journalist, Yusef called NAACP leaders and community figures to identify the issues that mattered most to Black people and wrote about them in local newspapers. He was a contributor to the Minnesota Spokesman-Recorder, a platform he understood and respected deeply. As a former St. Paul NAACP vice president, he remained active and engaged well into his retirement, answering emails and voicemails for residents who were at their wits’ end, helping them navigate evictions, legal challenges, and systemic barriers.

“Generally, they contact us when they are at their wits’ end,” he once said. “They are going to get evicted; their car is getting repossessed. We assist in navigating the system.”

His work was always about access. Under his leadership and alongside other NAACP leaders, the St. Paul chapter helped establish a landmark covenant between the police and the St. Paul community in 2001, a model that contributed to dramatically lower excessive-force costs than in Minneapolis in the decade that followed.

Yusef was also a passionate champion of ethnic studies in Minnesota’s schools, understanding that education rooted in Black and Brown history was not a supplement to American history but central to it.

“Ethnic studies is also American history,” he said. “The fact that the legislature and the MDE have both endorsed ethnic studies requirements in schools is a real plus for giving people the opportunity to explore and learn more about American history, and more importantly, to see themselves reflected in that learning.”

In the 1970s and ’80s, Yusef worked alongside Mrs. Clarissa Walker at the Sabathani Community Center, where they poured their energy into uplifting and empowering the community. Their work helped shape the cultural and political landscape of South Minneapolis during a critical era. They were part of a generation that built institutions, nurtured young people, and fought for justice with unwavering commitment.

Yusef also played a key role in the early development of KMOJ Radio, helping to establish a platform that amplified Black voices long before it was common or convenient. His activism extended through education, the St. Paul NAACP, the Million Man March, and the Urban Coalition, always rooted in a deep and abiding love for his people.

He was also an interviewee in the Rondo neighborhood oral history project preserved by the Minnesota Historical Society, ensuring that the voices and stories of that community would never be lost.

Not long ago, a colleague was blessed to sit with Yusef at his home, where he reflected on his life and his legacy. He talked about his work in education, his activism, and his years of service to the community. But what stood out just as much was how he spoke about his family and his people, with warmth, with pride, and with purpose.

Today, we honor him not only for what he accomplished but for the spirit with which he did it.

A scholar. A builder. A warrior. A keeper of our stories.

Thank you, Yusef, for everything you gave and everything you sacrificed on behalf of Black people. Your legacy stands tall, and our community is better because of you.

Rest in Power, Yusef Mgeni.