内容摘要：between maternity, parental and home care leave. The U.S. requires none.

between maternity, parental and home care leave. The U.S. requires none.

Hernández, Cuauhtemoc’s health director, said outside influences affect community vaccine views.“The Mennonite population has a lot of access to social media and family members in the U.S. and Canada, where there are a lot of myths that have taken hold and many more ‘anti-vaccine’ groups than we have in Mexico,” he said.

A tractor works a field belonging to members of the Mennonite community in Cuauhtemoc, Mexico, Thursday, May 1, 2025. (AP Photo/Martin Silva Rey)A tractor works a field belonging to members of the Mennonite community in Cuauhtemoc, Mexico, Thursday, May 1, 2025. (AP Photo/Martin Silva Rey)During nurse Aguirre’s vaccination drive, one man simply said people here “prefer to cure themselves in their own way.” A mother described getting sick with measles as a “privilege” and spoke of putting her unvaccinated 5- and 7-year-olds in a party so everyone could get sick and recover — a risky tactic doctors have long denounced.

Mexico’s lone death from measles was a 31-year-old Mennonite man in the settlement who had diabetes and high blood pressure, underlying conditions that often complicate sicknesses.People wait to get vaccinated for measles at a health center in Cuauhtemoc, Chihuahua state, Mexico, Wednesday, April 30, 2025. (AP Photo/Megan Janetsky)

People wait to get vaccinated for measles at a health center in Cuauhtemoc, Chihuahua state, Mexico, Wednesday, April 30, 2025. (AP Photo/Megan Janetsky)

Most people in Indigenous and other communities quickly agreed to vaccinate, officials told AP, but in Mennonite areas crews have to do more vigorous outreach — the door-to-door visits, follow-up calls and conversations, and involvement of local leaders.In the collaborative, hospitals get toolkits full of materials such as care guidelines in multiple formats, articles on best practices and slide sets that spell out what to do in medical emergencies, how to set up medical teams and what supplies to keep on the unit. The collaborative also tackles issues such as improving obstetric care by integrating midwives and doulas – whose services are covered by the state’s Medicaid program.

At first, some doctors resisted the effort, figuring they knew best, Williams said, but there’s much less pushback now that the collaborative has proven its value.MemorialCare Miller Children’s & Women’s Hospital Long Beach started participating around 2010. The collaborative helps “vet through all the research that’s out there,” said Shari Kelly, executive director of perinatal services. “It’s just so important to really understand how we as health care providers can make a difference.”

For example, if a woman loses a certain amount of blood after a vaginal delivery, “we know to activate what we call here a ‘code crimson,’ which brings blood to the bedside,” Kelly said. “We can act fast and stop any potential hemorrhage.”She said the collaborative has also helped reduce racial inequities — bringing down the rate of cesarean sections among Black moms, for example.