MFHS RHMC Application

Thank you for your interest in joining the Regional Maternal Health Coalition, an initiative of Maternal and Family Health Services (MFHS)!

MFHS is developing a regional maternal health coalition (RMHC) in a 14-county service area, using the CDC’s State Strategies for Preventing Pregnancy-Related Deaths. MFHS is also using principles of community engagement to select, implement, and evaluate the 2024 Pennsylvania Maternal Mortality Review Committee recommendations for improving maternal health outcomes, promoting maternal health equity, and reducing health disparities.

This group of community members and professionals will represent diverse interests related to the promotion of maternal health and prevention of pregnancy-related deaths. Care providers will include professionals in maternal fetal medicine and obstetrics/gynecology, midwifery and registered nurses, psychiatry and addiction medicine, emergency medicine, family medicine, anesthesiology, community health, social work, violence prevention, health statistics, coroners and medical examiners, and government agencies. Our goal is to improve maternal health outcomes, with a continuous focus on equity and inclusion.

Click here to learn more.

Please note that this is an application to be considered for the coalition. Completion of this form does not guarantee acceptance, because we are working to ensure that the individuals selected represent a wide variety of demographic and occupational characteristics.

In addition to coalition members, MFHS is enlisting subject matter experts as well as individuals with lived experiences to participate in subgroups and focus groups.

We are seeking participation from a highly diverse group of people - especially those with lived experiences. It is extremely important to us to be as inclusive as possible to adequately represent the region and to ensure services truly address all needs.

Data collected through this form will be kept strictly confidential. Your data will never be sold, and identifying information will not be shared with anyone outside the project team.

Question Title

* 1. Please share your name and contact information.

Name

Email Address

Phone Number

Question Title

* 2. Which of the following most applies to you?

I am an individual with lived experience (which may include but is not limited to postpartum depression, intimate partner violence, sexual assault, implicit bias, receipt of mental health support).

I am a service provider who works in health care, social services, or an adjacent field.