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Q&A

CM Narcisse on maternal mortality disparities and doula program

New York City Council · Jun 5, 2026 · starts 2:01:46 · 1 min 43 sec

Narcisse asks about maternal mortality disparities for Black and Latina women. Martin highlights the Citywide Doula Initiative with zero maternal deaths among participants, and notes mental health and substance use as leading causes of postpartum death.

Mercedes Narcisse

And quickly, black and Latino mothers continue to experience higher rates of maternal mobility and mortality than other groups.

Mercedes Narcisse

What is DOHMH doing to reduce the disparities?

Dr. Alistair Martin

Great.

Dr. Alistair Martin

We're going to take those one at a time.

Dr. Alistair Martin

I'm going to kick it to Aaron on the reimbursement, and then I'll take the second part of the question.

Aaron

Yeah, thanks for the question.

Aaron

So we certainly aim to ensure timely reimbursement for all of our providers, including these folks.

Aaron

If there are issues, we're always happy to work with them directly.

Aaron

And actually, our chief nonprofit officer position is there for exactly that type of work.

Aaron

So we're happy to have that.

Mercedes Narcisse

You can see that the timing things, even though we want to continue with the hearing.

Mercedes Narcisse

Go ahead.

Dr. Alistair Martin

Should I continue?

Mercedes Narcisse

No, finish.

Mercedes Narcisse

Finish the answer.

Dr. Alistair Martin

So, yeah, you're right.

Dr. Alistair Martin

So black and Latina women face up to four to five times the likelihood of dying from pregnancy in the city, and that's unacceptable.

Dr. Alistair Martin

We have a number of concrete initiatives that we leverage in a targeted way.

Dr. Alistair Martin

The first one that I'm most proud of is the Citywide Doula Initiative.

Dr. Alistair Martin

This is a program that pairs at-risk pregnant people with doulas.

Dr. Alistair Martin

to help them basically walk through the whole process of pregnancy with someone by their side.

Dr. Alistair Martin

We've had thousands and thousands and thousands of people who have been served by the CDI, the Citywide Dual Initiative.

Dr. Alistair Martin

We've had zero maternal deaths as part of this program.

Mercedes Narcisse

I love that improvement.

Dr. Alistair Martin

An astounding.

Mercedes Narcisse

Okay.

Mercedes Narcisse

Due to time in the chair, it seemed like we want to keep the time, so I'm going to pass it on back to you.

Linda Lee

Yeah, we'll definitely follow up for the rest of the questions that were not asked.

Linda Lee

And then, Phil, Councilmember, sorry, Phil, Councilmember Wong.