内容摘要：The patient had the organ transplanted at a hospital in Ohio in December and died in January, Michigan Department of Health and Human Services spokesperson Lynn Sutfin said.

The patient had the organ transplanted at a hospital in Ohio in December and died in January, Michigan Department of Health and Human Services spokesperson Lynn Sutfin said.

Areana Coles listens to Healthy Start care coordinator Krystal Keener during a prenatal appointment at the Oklahoma State University obstetrics and gynecology clinic in Tulsa, Okla., on Tuesday, July 16, 2024. (AP Photo/Mary Conlon)Across the nation, programs at all levels of government — federal, state and local — have the same goals to reduce maternal mortality and erase the race gap. None has all the answers, but many are making headway in their communities and paving the way for other places.

Jackson’s project is one of more than 100 funded through Healthy Start, which gave out $105 million nationally in grants this year. Officials call Healthy Start an essential part of the Biden administration’sOther approaches to the crisis include California halving its maternal mortality rate through an organization that shares the best ways to treat common causes of maternal death and New York City expanding access to midwives and doulas two years ago. Several states passed laws this year aiming to improve maternal health, includingin Massachusetts. And last week, the U.S. Department of Health and Human Services announced more than $568 million in funding to improve maternal health through efforts such as home visiting services and better identifying and preventing pregnancy-related deaths.

Locally and nationally, “we need to really identify the birthing people who are at potentially the greatest risk,” New York City health commissioner Dr. Ashwin Vasan said, “and then wrap our arms around them throughout their pregnancies.”Besides coordinating prenatal and postpartum care — which experts say is crucial for keeping moms alive — local Healthy Start projects provide pregnancy and parenting education and referrals to services for things like depression or domestic violence. The local efforts also involve women’s partners and kids up to 18 months. And they focus on issues that influence health, such as getting transportation to appointments.

Corrina Jackson, who heads up a local version of the federal Healthy Start program, stands for a portrait outside her home. (AP Photo/Mary Conlon)

Corrina Jackson, who heads up a local version of the federal Healthy Start program, stands for a portrait outside her home. (AP Photo/Mary Conlon)His HIV became undetectable after he was connected with case managers. But over time, communication with the clinic grew less frequent, he said, and he didn’t get regular interpretation help during visits with his English-speaking doctor. An Amity Medical Group representative confirmed Hermida was a client but didn’t answer questions about his experience at the clinic.

Hermida said he had a hard time filling out paperwork to stay enrolled in the Ryan White program, and when his eligibility expired in September 2023, he couldn’t get his medication.He left the clinic and enrolled in a health plan through the Affordable Care Act marketplace. But Hermida didn’t realize the insurer required him to pay for a share of his HIV treatment.

In January, the Lyft driver received a $1,275 bill for his antiretroviral — the equivalent of 120 rides, he said. He paid the bill with a coupon he found online. In April, he got a second bill he couldn’t afford.For two weeks, he stopped taking the medication that keeps the virus undetectable and intransmissible.