Dignity in Pregnancy and
Childbirth Project

Project Description

Diversity Science and project director, Rachel Hardeman, PhD, MPH, developed an interactive training course and resources for perinatal providers focused on implicit bias and reproductive justice.

These resources are developed in accordance with the training requirements outlined in the California Dignity in Pregnancy and Childbirth Act (Senate Bill 464) which went into effect in January 2020.

This project was funded by the California Health Care Foundation in response to strong evidence of racial inequalities in perinatal care and outcomes.

The course is accredited for 1 hour of CME (AMA PRA Category 1 CreditsTM) or 1 hour of ANCC CEU credits for a small fee though our accrediting partner, Amedco.

Project Director, Rachel Hardeman, PhD, MPH

Dignity in Pregnancy and Childbirth Course

Dignity in Pregnancy and Childbirth Online Training Course

Start learning today with our interactive e-learning course for perinatal providers focused on implicit bias and reproductive justice.

Resources to Advance Health Equity

A set of resources for leaders and clinicians to advance health equity in their clinical practice and organizational strategy.

Course Information Flyer 

A one page summary of the course and project resources for you and your colleagues.

Learn More 

Frequently Asked Questions

Get answers to common questions

What resources will be available?

Three types of resources are available:

  1. An online training course that will empower perinatal care providers through 1) Deeper insight into the ways structural racism and implicit racial biases undermine the quality of perinatal care, 2) Specific, feasible, evidence-based strategies for providing high quality, respectful and patient-centered care to Black patients and 3) Tools for protecting their patients from the impact of racism. The 3 modules together will cover all of the learning requirements for an evidence-based implicit bias program per California Senate Bill 464 (Section 123630.6). This course will be approximately 60 minutes in length and composed of three parts.
  2. Downloadable print resources with essential information and recommended actions for organizational leaders. (available May 2021)
  3. Downloadable print resources for internal trainers and change agents.

How can individuals complete the eLearning?

Individuals will have free open access on Diversity Science Academy.  They will receive a printable Certificate of Completion and an email documenting their achievement. This option is open to anyone, anywhere.

How can organizations provide e-Learning to their staff?

Healthcare organizations will have three options:

1: Organizations that have an existing LMS for eLearning delivery may prefer to access the e-Learning modules in SCORM (Shareable Content Object Reference Model) and xAPI formats. These formats are compatible with the vast majority of LMS.

How Will We Track Completion/Document Compliance?
Organizations will independently track learner progress per the requirement of SB 464 for facilities to certify completion of the training.

2: Organizations may wish to have their employees complete the eLearning experience on the diversityscienceacademy.org learning platform.

How Will We Track Completion/Document Compliance?
There are two options:
i) Ask employees to self-register and, after successful completion of the course, provide you with a copy of their printable electronic Certificate of Completion.

ii) You may prefer to work with us to register and track your employees’ completion. In this option, we provide completion reports or you designate a course manager (from your organization) to monitor completion. This service is paused and unavailable until February 1, 2022. Individual course access is still available during this time. After February 1, 2022 there will be a small fee for this service


How will stakeholders be included?

We are committed to the inclusion of all interested stakeholders and perspectives. Rather than use traditional approaches for stakeholder engagement that include some but exclude others, we will provide open access to all interested stakeholders to review objectives and content and provide either public or private feedback. The more common approach (e.g., advisory groups) inevitably limits inclusion. This approach encourages any individual or group that self-identifies as having a stake in this project to have an opportunity for participation.

When will these resources be available?

All three parts of the online training course are currently available.
You can enroll as an individual and complete the course today.
You can register as an organization to complete the course as a group or access the course files.

Are these resources for California only?

These resources are NOT limited to California.
Anyone, anywhere can self-register and complete the e-Learning experience for free. Upon successful completion, they will receive an electronic printable Certificate of Completion.

How much time will the e-Learning training modules take?

The entire online training course will take around 60 minutes. Following best practices, the 60 minutes will be broken up into three parts, each 15-30  minutes each. We acknowledge that a 60-minute training is insufficient, on its own, to overcome structural racism. These e-Learning modules are understood to be a starting point from which deeper organizational and systems change can build. As with all our learning experiences, we will focus on strategies to inspire motivation for and interest in deeper learning and change.

How will these learning modules make a difference?

Through this training, healthcare professionals have the opportunity to deepen their understanding of the impact of structural racism on the health and healthcare of Black patients. They will learn strategies to interrupt institutional racism and racial bias and protect the health and well-being of Black mothers and birthing people.

The learning modules will also serve as a starting point for many organizations in addressing health equity and structural racism organizationally. A common knowledge base and language can serve as common ground for future dialogue, advocacy, training, capacity building, and policy changes that will ultimately create the institutional change needed to improve the health and well being of all patients, especially Black mothers and birthing people.

Can I earn CME or CEU?

Yes, we provide CME and CEU for this course  through our accrediting partner, Amedco.

The Dignity in Childbirth & Pregnancy course is eligible for:

  • Physicians (ACCME) Credit Designation: 1.0 AMA PRA Category 1 CreditsTM
  • Nurses (ANCC) Credit Designation: 1.0 ANCC contact hours.

While the course is provided for free, there is a fee of $20.00 to complete the exam and earn 1 hour of CME/CEU credit, accessible at www.diversityscienceacademy.org 

This course was entirely funded by the California Health Care Foundation and Diversity Science. No commercial interests provided funding or in-kind support for this course.

For more information: Learner Notification Regarding CME CEU for the Dignity in Childbirth & Pregnancy Course

How can I get more information?

Signup for our mailing list!  You will receive project updates, or visit our stakeholder resource page. You can contact the project team at: [email protected].

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If you have questions, contact [email protected]

Stakeholder Resources 

Information, resources and tools related to the project

Meet the Team

We would also like to honor the valuable contributions of many Diversity Science staff. Learn more about our team here.


Thank you for your generous contributions to this project and your continued support for the work of eliminating inequities in perinatal health care.

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