The infant mortality rate among African Americans in Genesee County for the period 1996-1998 was more than twice the rate for European Americans. Our community action plan targets four postal zip code areas with the highest rates, and especially African American preteens, teens, and adults in these areas. Its theoretical foundations are ecological, grounded in the philosophy of public health as social justice, and based on the understanding that culture can be both protective and harmful. No single intervention is likely to eliminate racial disparities. Interventions must include, precede, and follow the period of pregnancy.
All interventions reinforce themes of cultural appropriateness and anti-racism.
To heighten awareness of the disparity in African American infant mortality. To increase the ability of community residents to discuss the disparity and related issues, such as racism. To identify ways to reduce the disparity. To assess current attitudes and programmatic curriculum. To promote an awareness of the expertise that resides in the community.