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accessHealth January 2022

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- 7 - accessHealthNews.net January 2022 Volume 8 | Issue No. 53 A new webinar series highlights how failing to address the historical exploitation and oppression of Black women, girls, and gender expansive people directly drives higher rates of deaths and near deaths. "The Intersection of Misogynoir, Obstetric Racism, and HIV," a three- part series featuring speaker Karen A. Scott, MD, MPH, FACOG, identifies how structural and societal power imbalances not only destroy self-worth but in doing so, negatively impact physical health. Dr. Scott is the chief Black feminist physician scientist, founding CEO, and owner of Birthing Cultural Rigor, LLC. Over the last 12 months, she acted as maternal quality improvement expert for the Black Mamas Matter Alliance, where she continued to learn how negative self-image and societal perceptions of Black women especially have helped create gaps in equitable sexual and reproductive health care. Throughout the series, Dr. Scott offers a deep dive into the history of Black women's reproductive and sexual health care and the role structures, systems, and social determinants of health play in preventing equitable care. "We as Black women, girls, and gender expansive people are not pathologically designed to die or nearly die from sex, reproduction, pregnancy, or childbirth," Dr. Scott said. "We must always trace back to the origins, which always go back to slavery." THE TREATMENT OF BLACK MOTHERS AND BIRTHING PEOPLE Part one of the series, "From Slavery to Sovereignty: Reclaiming our Time, Narratives, Bodies, Lives, Families, and Futures," explored how Black mothers and birthing bodies, as well as midwives and doulas, have been deemed unfit and in need of saving. The experience of one doula which she shared deemed the hospital a place that continues colonization of Black bodies, wombs, and breaths. The history of the medical industrial complex and the relationships between slave owners and medical practitioners to expand the slave economy and labor force directly impacts the disparate health care we see towards Black women and birthing people today. Dr. Scott encourages people to be especially curious about the role of white men OBGYNs and white women midwives within the context of controlling and eliminating Black bodies and births. "All HIV risk among Black women and people is not the result of individual behavioral risk. Even when the sexual behaviors are equal, the impact, the outcome, and experiences are unequal and inequitable."

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