Community Innovation Pool - Black Maternal Health Design Challenge

WORKSHOP DATES AND TIMES

Colorado Access is organizing a group of mothers and families, community organizations and leaders, medical providers, and others for a four-part series of innovation workshops:

Workshop #1 Monday, July 26th 1:00-4:00pm *Meeting will be held virtually	Workshop #2 Thursday, September 9th 2:00-5:00pm *Meeting will be held virtually
Workshop #3 Tuesday, October 5th 9:30-12:30pm *Not yet determined if in-person or virtual	Workshop #4 Monday, November 1st 11:00am-2:00pm *Not yet determined if in-person or virtual

The goal is to co-create, design and fund solutions to overcome inequities in the health and wellness of black mothers during pregnancy, childbirth and new motherhood.

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* 1. Your interest level

I am very interested in participating - sign me up!

I am interested but am not sure I can make all the workshops.

I am interested but would need some accommodations to make that possible.

I have questions and need more information.

Other (please specify)

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* 2. What perspectives do you represent?

Personal perspective - I identify as Black and am currently pregnant or have had a child (children) within the last five years.

Community and family perspective - I have an understanding of the concerns from a variety of experiences of Black women and families.

Medical and healthcare perspective - I have an understanding of medical services and supports that are provided to pregnant women and new moms.

Policy perspective - I am able to discuss how policies are impacting pregnant Black women and new moms.

Other (please specify)

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* 3. OPEN HOUSE - On Wednesday, June 30th, 4:00-5:30 PM, and Tuesday, July 13th, 12:00 - 1:30 PM. Colorado Access will host a virtual Q&A session where you can pop on at any time to learn more about the workshop series and ask your questions.

I'd like to attend the Open House - please send me the information to join.

I cannot make this date and time, but I have questions and would like someone to follow up with me.

I will not be attending the Open House, but don't have any questions at this time.

Other (please specify)

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* 4. Recruitment: Do you have ideas how we can continue to get the word out? Do you know of others who might be interested in participating?

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* 5. What else would you like us to know?

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* 6. Contact Information

Name

Organization and Job Title (if applicable)

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number