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Alliance for Innovation on Maternal Health Community Care Initiative (AIM CCI)

Through a cooperative agreement with the National Healthy Start Association (NHSA), AIM CCI supports safe maternal care to reduce severe maternal illness and deaths in outpatient clinical settings and community-based organizations. This work complements our AIM initiative by expanding the work to the community level.

Promoting Quality and Safety in Maternal Care

AIM CCI promotes safety and quality of care before delivery and after the period of giving birth. This work seeks to reduce disparities in health outcomes based on race and ethnicity. For example, Non-Hispanic Black women and American Indian/Alaska Native women are two to three times as likely to die of pregnancy-related causes as compared to their white, Asian Pacific Islander, and Hispanic counterparts.1

Promoting the Uptake of Safety Bundles

This effort promotes the development and uptake of “maternal safety bundles.” AIM bundles are sets of proven practices that improve patient outcomes and reduce severe illness and death. Research shows these practices are effective in improving health outcomes.

The NHSA convenes workgroups of community-focused public health and clinical experts to guide community-level interventions. Program activities include encouraging the adoption of this safety bundle:

Other activities include developing bundle resources:

The Reach of this Initiative

As of October 2022, there are 6 pilot sites located in:

  • Newark, NJ
  • Atlanta, GA
  • Grand Rapids, MI
  • New Orleans, LA
  • Tulsa, OK
  • Fresno, CA

Now, in year 4 of the funding cycle, AIM CCI is actively pilot testing the maternal mental health bundle and developing Intimate Partner Violence (IPV) and Co-Morbidity bundles. They will begin national expansion of AIM CCI to reach communities in 25 states by the end of the project period.

Funding Details

We invest $1.8 million in this work.

Current awardee and funding information:

AIM CCI in Further Context

AIM CCI is one investment among many we make to improve maternal health. We also invest in safety bundle implementation in hospital and clinical settings through AIM. We specifically invest in areas where the needs are greatest and where racial and ethnic disparities persist. Find all our maternal health investments on our Maternal Health Focus Area Webpage and our Mental and Behavioral Health Focus Area Webpage.


1. Pregnancy Mortality Surveillance System

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