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Date Available

4-23-2026

Year of Publication

2026

Document Type

Graduate Capstone Project

Degree Name

Master of Public Health (M.P.H.)

College

Public Health

Department/School/Program

Public Health

Faculty

Dr. Paula Arnett

Abstract

Prenatal and postpartum health care access is necessary for positive pregnancy and postpartum outcomes. Many rural areas in the United States are facing maternity care deserts, where there are no obstetric services available in their county. Maternity care deserts typically have higher rates in maternal mortality, low-birth weight, and pre-term births. Fleming County, Kentucky is a small rural community with a population of about 15,000 that is a maternity care desert. To improve prenatal and postpartum care access in this county, this program will use a mobile health clinic and community health workers (CHWs). The mobile health clinic will operate two days a week and staff a certified nurse midwife (CNM) and a nurse to offer care to women of child-bearing age in Fleming County. CHWs will lead group meetings one day a week to discuss pregnancy and post-partum topics. The group meetings will also focus on building community support and assisting participants in getting involved in other appropriate community resources.

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