Racism a Major Barrier to Reducing Infant and Maternal Mortality in Ohio

A new study highlights Ohio’s ongoing struggle with infant and maternal mortality, tracing the issue to systemic challenges such as healthcare access, economic instability, and racism.
Conducted by Groundwork Ohio and CareSource, the study examines mortality rates, past efforts to reduce them, and potential solutions. Despite some progress, disparities persist—Black infants in Ohio continue to die at more than twice the rate of white infants, a statistic that underscores deep inequities in healthcare access and outcomes.
According to a 2024 March of Dimes report card, Ohio ranks 43rd in the nation for infant mortality, with a rate of 7.1 deaths per 1,000 births. Maternal mortality has also worsened, now standing at 24.5 deaths per 100,000 births.
Dayton and Montgomery County have some of the highest infant mortality rates in the state, with 9.8 deaths per 1,000 births in 2023, far above the state average. The study highlights economic instability, transportation challenges, food insecurity, and implicit bias within the health care system as key barriers for pregnant women, especially Black women.
Key recommendations from the study include:
- Expanding comprehensive healthcare access
- Strengthening assistance programs
- Increasing diversity in the healthcare workforce
- Improving childcare accessibility
- Supporting trauma-informed care systems
“Overcoming these obstacles requires trust, open communication, and a shared commitment to achieving common goals that prioritize the well-being of mothers and babies,” the study states. Advocates stress that addressing root causes like racism, poverty, and fragmented health systems is essential for meaningful change.