Delaware County looks to boost maternal services in face of need

As the Delaware County Health Department recognized success over a year period, county officials also voiced work needed to be done particularly in light of infant and maternal outcomes.

“Unfortunately, in Delaware County, we do still have some issues with maternal and child health,” county Executive Director Barbara O’Malley said. “Between 2019 and 2023, 1.3% of our births were classified as ‘very low birthweight.’

“That’s actually higher than our neighboring suburban counties, which are all under 1%,” she explained. “And Philadelphia is at 1.6. So, we know we have work to do and that’s what our health department is here to do.”

O’Malley added that 15.6% of Delaware County residents received inadequate prenatal care, which is determined by when someone begins their prenatal care.

In addition, County Deputy Health Director Stephanie Reese said the disparity among communities of color has grown.

“While Pennsylvania’s Black and white infant mortality gap has narrowed in recent years, Delaware County’s gap has widened. Black infant mortality in Delco increased from 2.9 to 3.9 times that of whites,” she said.

That’s a factor driven by low birthweights linked to premature birth and preventable social and environmental factors.

Last week, Delaware County Council approved to advertise a request for proposals for an awareness and education campaign for the county health department’s Centralized Intake System and the Delco Doula Collaborative. This is funded through a U.S. Department of Labor grant.

This action will allow the DelcoDoula.org to go live once completed. This site for the Delco Doula Collaborative is a web-based registry of perinatal doulas offering doula information and matching services in Delaware County.

“We have so many resources available to people but they may just not be aware of how much we can do for people that are around maternal and child health issues,” O’Malley said.

She said the intake system would be a single point of entry for maternal and child health resources, including eligibility-based matching.

“Once we maybe learn about you, we can give you customized services and resources that you would qualify for,” O’Malley added.

The executive director explained why it’s critical to focus on these outcomes.

“We do know that maternal and child health is very important for so many reasons,” O’Malley said. “A healthy infant, a healthy pregnancy obviously gives people a healthy life, a great start in life, has better health outcomes, educational outcomes and better outcomes for the families.”

Doula programs can help, she explained.

“Research shows that doula programs such as the one that is supported by grant funding through the health department (and) through The Foundation for Delaware County … that there are lower rates of pre-term births, lower rates of low birthweight, lower rates of Caesarian section and higher rates of breastfeeding,” O’Malley said.

One way to support this is through increased awareness of these programs and initiatives, something O’Malley said is hoped to improve birth outcomes and advance health equity in Delaware County.

While the awareness campaign is coming, many of these programs already exist.

“People can avail themselves of them right away,” O’Malley said, directing the community to the health department website.

There, moms and moms-to-be can get support through virtual pre- and postnatal partum doula groups, where moms can learn how to care for their baby, free supplies including diapers and baby essentials, immunizations for infants as well as mental health support for new moms.

“It is critical that we get our Delaware County infants and youth off to the right start and taking care of their moms and families is the way to do it and we do have a lot of resources and we want to make sure that people take advantage of them,” O’Malley said.

Other health programs

Among some of the efforts the Delaware County Health Department have done include meeting with residents during February to offer free blood pressure screenings across the county, including Yeadon, Lansdowne, Chester and Springfield.

Through its Delco Revive! program, it also continues to offer free CPR classes with another one being held at the Yeadon Wellness Center at 125 S. Chester Road from 9 a.m. to 1 p.m. on Thursday, March 26.

“According to the American Heart Association, about 70% of cardiac arrests that happen outside the hospital occur in homes,” county Council Chair Richard Womack said. “Please take the opportunity to learn how to save a life by participating in one of these classes.”

The health department also released its 2025 Annual Report that focused on strengthening public health infrastructure, expanding equitable access to services, and deepening community partnerships across the county.

Some of the accomplishments included expanded doula services, maternal wellness programming, and youth health initiatives to support healthy families and improve early-life outcomes; comprehensive Back-to-School events and community-based education efforts, including the Lead Free in 1-2-3 campaign connecting residents to screenings, supplies and preventive services.

Over the last year, the department has also offered continued implementation of Delco Revive! by increasing community training, lifesaving supply distribution, and overdose response capacity while also strengthening data-driven monitoring and outbreak response to guide prevention strategies and protect residents from communicable diseases; and also expanded the public health kiosks.

The department is also responsible for conducting inspections, investigations and regulatory enforcement to safeguard food safety, monitor environmental hazards, respond to complaints, and prevent vector-borne disease.

The annual report stated that 83% of the department’s $11.4 million budget came from federal and state funding and that the remainder for that time period was funded through American Rescue Plan Act revenues.

“As we reflect on 2025, this report represents the dedication of our staff and partners who work every day to protect and promote the health of Delaware County residents,” county Health Director Lora Siegmann Werner said. “We remain committed to building a resilient, equitable public health system for the future.”

The full Delaware County Health Department annual report can be viewed at https://delcopa.gov/sites/default/files/2026-02/DCHD-2025-Annual-Report-Revised.pdf.