a. Identify and describe three actions you can take as an NP to mitigate the social impacts
on marginalized women and children.
Marginalized women and children are deprived of quality care due to discrimination, lack
of adequate resources, poor health quality, cost, inadequate insurance coverage, and laws that
violate women's rights (Sacks & Peca, 2020). In the United States, maternal mortality is
increasing, and women of color have a high risk for poor birth outcomes. Increase maternal
mortality and poor birth outcomes due to the lack of patient-centered treatment, discrimination,
cost and lack of access to care.
As an NP, to mitigate the social impacts on marginalized women and children, first, it is essential
to provide individualized women-centered treatment (Altman et al., 2020). Allowing women to
participate in the treatment, respecting their decision, treating without judgment, and maintaining
trustful relations. In this way, we can improve the quality of care.
The second method will spread awareness in the community about the importance of
maternal and children's health. In many rural neighborhoods, due to the lack of education, people
avoid prenatal visits, which is seriously affecting the health of mothers and children. People
avoid regular prenatal screening, exercise, and immunization. As a result of this, there is an
increased risk of maternal death and preterm birth. So, community awareness is needed to
improve maternal and children's health.
The third method to mitigate social impacts on marginalized women and children will be
providing adequate resources and information about maternal and child care to improve access to
care. In Ohio, several organizations include The Ohio Council to Advance Maternal Health and
Maternal Infant Wellness program. These programs help mothers focus on their physical and
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mental health and provide a collaborative approach to improving their health conditions
(Maternal Infant Wellness, 2019).
b. Discuss the role of federal, state, and local health policy in the marginalization of women,
children, and childbearing families.
The role of the federal in health policy for marginalized women and children is to provide
quality health care, nutrition, and education for pregnant and breastfeeding women. The federal
government has launched several programs for marginalized women and children. Special
Supplement nutritional program for women, infants, and children. This program grants the state
supplemental food, health care referrals, and nutrition education for pregnant breastfeeding
women and children under five at risk for nutritional deficiency (USDA, 2023). Similarly, other
programs like the Affordable Care Act have significantly increased women's health by providing
affordable insurance and improving the quality of women's health (Affordable Care Act
Improves Women's Health | Womenshealth.gov, 2017).
Different states have launched programs to improve the health of marginalized women
and children at the state level. In Ohio, a Reproductive health and wellness program, The Martha
S Pitzer Center for Marginalized Women, infants, and children, focuses on improving the health
of women and children through health promotion activities and risk reduction (The Martha S.
Pitzer Center for Women, Children and Youth, n.d.)
Community mobilization programs are used locally to improve the health of marginalized
women and children. This program is globally successful in improving the of women and
children. Utilizing the local force through community participation, educating them, and
respecting their culture will help promote the health of marginalized women and children (Gram
et al., 2019).
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