Date of Award

January 2025

Document Type

Open Access Thesis

Degree Name

Master of Public Health (MPH)

Department

School of Public Health

First Advisor

Kathleen O'Connore-Duffany

Second Advisor

Pernille Yilmam

Abstract

The U.S. maternal mortality rate has surpassed that of other high-income countries, with mental health conditions now among the leading causes of perinatal death. These challenges disproportionately affect Black and Brown women, who are less likely to receive adequate follow-up care. The Maternal Health Program for New & Expectant Black and Brown Mothers aimed to improve maternal mental health through psychoeducation, skill-building, financial literacy, and connection to local resources.

A mixed-methods evaluation was conducted using pre- and post-program survey data (N = 7) to assess changes in mental health symptoms, knowledge, self-care, and financial habits. Descriptive statistics were the primary analytic approach, with paired t-tests used to explore significance. Qualitative data from surveys and a focus group were analyzed using deductive coding based on research questions and the program’s logic model, which was informed by a Theory of Change approach.Statistically significant improvements were found in mental health literacy (p = 0.014), time spent on self-care (p = 0.021), and community engagement (p = 0.014). Mental health symptom scores varied widely and did not show statistically significant change, though average trends indicated improvement in overall well-being. All participants reported adopting new self-care strategies and attempting to implement financial practices learned through the program.

Qualitative findings reinforced the program’s value, particularly the impact of mental health education and community-building. Increased awareness may have contributed to more accurate or open reporting of distress. Participants also highlighted food and childcare provision as key areas for improvement.

Despite limitations—including small sample size, short follow-up, and limited funding—the program demonstrated potential as a low-cost, community-based intervention. Future iterations should explore sustainable funding strategies, integrate fidelity monitoring, and include longer-term follow-up to assess the durability of outcomes.

Comments

This is an Open Access Thesis.

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