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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

1 week 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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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

57 minutes 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.

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Revolve Fund to Provide $20,000 to Support Food Access Efforts in Alabama Black Belt

THE AFRO — “Revolve Fund complements its core mission of improving capital access for entrepreneurs by partnering with leading organizations that are addressing critical community needs,” said James Wahls, founder and managing director of Revolve Fund. “Like BBCF, Revolve understands at the most fundamental level, everyone should have access to healthy food.”

Published

1 hour ago

April 15, 2026

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By Revolve Fund | The AFRO

SELMA – As over 40 million Americans grappled with the reality of not being able to feed themselves or their families due to SNAP delays, Revolve Fund is seeking to help. Revolve Fund has announced a $20,000 community grant to the Black Belt Community Foundation as part of the duo’s continued partnership. The grant will increase the foundation’s capacity to execute programs and fundraise to support food access efforts in the Alabama Black Belt region.

“Revolve Fund complements its core mission of improving capital access for entrepreneurs by partnering with leading organizations that are addressing critical community needs,” said James Wahls, founder and managing director of Revolve Fund. “Like BBCF, Revolve understands at the most fundamental level, everyone should have access to healthy food.”

“BBCF is deeply grateful for the Revolve Fund’s grant to underwrite direct food support in the Black Belt during the current disruption of SNAP benefits, continuing high food costs and unprecedented strain on our local food banks,” said Christopher Spencer, president and CEO, Black Belt Community Foundation. “As BBCF mobilizes resources and community partners during this time, Revolve is one of the first philanthropic organizations to step forward to support our Food for Families in the Black Belt Campaign. We look ahead to our productive, continued partnership with them to positively impact and transform the Black Belt region of Alabama.”

“While our communities need and deserve so much more, we hope our contribution will support the foundation’s ability to work with other philanthropic partners, individual donors, charities, and public partners,” Wahls added.

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Mamdani Plans City Grocery Store in East Harlem

NEW YORK CARIB NEWS — The store will be located at La Marqueta, a historic marketplace beneath the elevated Park Avenue tracks. The project is expected to cost approximately $30 million and is slated to open next year, utilizing currently vacant space within the city-owned facility. Operating rent-free, officials say the model is intended to lower overhead and pass savings on to consumers.

Published

2 hours ago

April 15, 2026

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New York Carib News

New York City Mayor Zohran Mamdani has announced plans to establish the city’s first municipally owned grocery store in East Harlem, a flagship initiative aimed at addressing rising food costs and improving access to affordable essentials.

The store will be located at La Marqueta, a historic marketplace beneath the elevated Park Avenue tracks. The project is expected to cost approximately $30 million and is slated to open next year, utilizing currently vacant space within the city-owned facility. Operating rent-free, officials say the model is intended to lower overhead and pass savings on to consumers.

Mamdani unveiled the plan during an event marking his first 100 days in office, reaffirming a campaign pledge to build a network of five city-owned grocery stores, one in each borough, by the end of his first term in 2029.

“During our campaign, we promised New Yorkers that we would create a network of five city-owned grocery stores,” Mamdani said. “Today, we make good on that promise.”

The mayor positioned the initiative as a direct response to surging grocery prices, noting that food costs in New York City rose by nearly 66% between 2013 and 2023, significantly outpacing the national average. He argued that the city-run stores would provide fair pricing, improve worker conditions, and ease the financial burden on low-income households.

“We’re going to make it easier for New Yorkers to put food on the table,” Mamdani said, adding that staples such as eggs and bread would be more affordable.

However, the proposal is already drawing scrutiny. The estimated cost of the East Harlem store would consume nearly half of the $70 million budget initially outlined for the entire five-store program. Despite this, Mamdani remains confident that the initiative will deliver long-term benefits and help reshape access to affordable groceries across the city.

The announcement also drew political attention, with U.S. Senator Bernie Sanders making a surprise appearance at the event in support of the mayor’s broader economic agenda.