Arkansas is taking critical steps to address its high maternal mortality rate, especially among women of color.

In the Natural State, Black women are three times as likely to die from pregnancy-related causes than are white women.

Angela Duran, executive director with Excel by Eight, partners with families and communities to improve health and education outcomes for children up to age eight.

She said that as a result of focus groups and surveys, her organization has developed a new policy agenda that prioritizes maternal health.

"We are looking at is making sure that women have the right health insurance to cover them from prenatal to birth to postpartum," said Duran. "We have met some amazing doulas in the state of Arkansas, who have been very supportive to women, particularly some African American doulas, and been working with Black women around the state."

Duran said Arkansas now offers insurance to women up to 138% of the federal poverty level as a result of the Medicaid expansion.

She added that women at higher incomes can also access health insurance with low or no premiums, co-pays and deductibles.

Duran commended Gov. Sarah Huckabee Sanders' signing the executive order to address maternal mortality and increase access to doulas and various forms of health insurance.

Arkansas has a maternal mortality rate of approximately 44 deaths per 100-thousand live births.

Duran said her group's policy objective centers on examining populations that face disenfranchisement from systems for various reasons, hindering their ability to navigate existing structures effectively.

"In addition to maternal health, knowing that it has a stronger impact on Black women, we look at ALICE families - which stands for Asset-Limited Income Constrained and Employed," said Duran. "So, it's people that are working, doing the right thing, and still don't have enough income to meet their basic expenses."

Duran added that a prenatal care model called Centering Pregnancy helps to improves outcomes for Black and white women.

The University of Arkansas for Medical Sciences is launching a mobile version to reach underserved communities. It creates support groups for expectant mothers at similar stages.




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Cities and states, including Mississippi, are grappling with rising homelessness.

In Mississippi, 982 people experience homelessness daily, according to the National Alliance to End Homelessness.

Ledger Parker - the executive director of Mississippi United To End Homelessness - said its Continuum of Care program works with partner organizations and government agencies, to serve and house vulnerable populations in 71 counties across the state.

He said the program utilizes outreach teams that aim to build relationships with the unhoused.

"So those outreach teams, whenever they go, they get to know them," said Parker. "They do collect information, and they perform an assessment. That assessment that we do is to try to find out how vulnerable they are in their homelessness. Our goal is we want to limit the number of deaths in homelessness."

Meanwhile, the Jackson City Council has recently delayed a vote on a contentious ordinance that would ban sleeping on city property, and allow the removal of homeless encampments - which is sparking debate over the best approach to tackle the crisis.

Parker said the outreach teams are vital, and work in several urban areas such as Tupelo, Meridian, Hattiesburg, Starkville, and Columbus to assist with finding housing.

He added that the group provides resources for wraparound services - but there are some challenges, as many individuals lack identification, which is essential for signing leases and applying for jobs in Mississippi.

"Those outreach teams begin the process of making sure that person has the pieces they need to get into housing," said Parker, "but then also down the road to get an employment, health care, mental health care. We try to really encourage them to choose housing."

Parker added that initially it's had to persuade individuals to accept housing.

Once housed, the organization strives to provide comprehensive support services. However, a small percentage, likely around 10%, experience a return to homelessness.

This recidivism rate is not ignored as the organization actively works to re-house these individuals.




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La Niña is bringing a cooler, wetter winter to Oregon and likely driving up heating bills as systems work harder.

This is the third year of major price hikes for Pacific Power and Pacific Gas and Electric, with rates up by 40% from four years ago.

One report found nearly half of Americans struggle to pay their utility bills and last winter, a January ice storm and rate hikes saw power shut off for a record number of Oregon households due to lack of payment.

Jami Seymore, home energy expert for the Energy Trust of Oregon, said this winter, one way to save on energy bills is to lower the thermostat at night.

"Every degree you drop that thermostat, you can save about 3% on your energy bill," Seymore pointed out.

Seymore recommended setting the thermostat to around 67 degrees during the day and about 59 at night. If you have a heat pump, do not change the temperature more than a few degrees either way for maximum efficiency.

The most helpful way to save money is to keep the heat inside by insulating walls, attics and floors. Seymore noted filling in gaps around the home like door frames, windows and mail slots can save up to 20% on heating costs. She added Energy Trust of Oregon can help cut the costs of projects.

"Energy Trust offers higher incentives for people with lower to moderate incomes to be able to make some of those changes a little more affordable," Seymore emphasized.

One source of energy loss people may overlook is the air filter. Seymore recommends changing it about every three months, or every time the season changes.

"A dirty air filter, that actually slows all that airflow coming in," Seymore observed. "It's going to waste energy and it's going to cost you more money."

If you need help with utility bills, Seymour advised checking with your utility provider first, as most have assistance programs and payment plans. You can also apply for Home Electrification and Appliance Rebates, which offer assistance for installing high-efficiency electric appliances, along with insulation and air sealing measures.


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Temperatures are dropping in the Commonwealth and community action agencies said help is available for those struggling to pay their heating bills.

The federal Home Energy Assistance Program helps households making less than 60% of the state median income, which for a family of four is just under $95,000.

Liz Berube, executive director of the community action agency Citizens for Citizens, serving the Fall River and Taunton area, called the eligibility requirements very generous.

"These are clearly for people who work, or you were working and you're laid off, you're on worker's comp, people who slip through the cracks," Berube outlined. "This could be the program for you."

Berube pointed out the website HeatingHelpMA.org has information on heating and other energy savings programs, as well as a link to an online application portal.

The Department of Public Utilities recently approved natural gas rate hikes for National Grid and Eversource customers. Monthly bills could increase from 11% to 30%.

Sen. Joan Lovely, D-Salem, said she is already hearing from her constituents in the Second Essex District, wondering how they will make it through the winter.

"Every single day, the biggest call to our office is housing insecurity and how am I going to heat my home," Lovely reported. "How am I going to be able to stay in my home?"

Lovely is grateful for the federal, state and local partnerships making the heating aid program possible.

Joe Diamond, executive director of the Massachusetts Association for Community Action, a coalition of more than twenty community action agencies helping families apply for needed services, said keeping people warm is about more than lowering energy bills.

"It is a health program. It's a safety program. It's a housing preservation program," Diamond explained. "It is also a program that allows people to access other programs."

Diamond noted if households qualify for heating help, they automatically qualify for weatherization programs, which can include new insulation, appliances or heating systems. Public safety officials stressed the programs save both money and lives. They emphasized well-maintained heating equipment is much less likely to cause fire or carbon monoxide poisoning.


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