At first glance, you may think of charitable giving as mostly an individual act. Certainly, most of the time, the actual money or asset that constitutes the charitable donation comes from a single person, couple, or entity. Beyond that, though, it likely makes sense to think of charitable giving as a collaborative endeavor. 

Here are three examples:

For many people, involving other family members in charitable giving is one of the most rewarding ways to instill philanthropic values and transfer these values across generations. And we have the tools to help! Whether you’re teaching young children about the importance of helping people in need, or joining with siblings to develop a grant-making strategy for a family donor advised fund at the Community Foundation, you’re experiencing the joy of working together to make a difference in the lives of others. 

Working with the Community Foundation is itself a collaborative activity. When you organize your giving through a donor advised or other type of fund, you are working with multiple professionals on our team to help you plan your annual gifts, evaluate impact, structure tax-savvy contributions of appreciated stock, and so much more. Plus, the Community Foundation team often works alongside your attorney, accountant, and financial advisor to ensure that both your financial and community goals are top of mind.

Kids Sport Team Gathering. Children Play Sports. Boys in Sports Jersey Uniforms Having Shout Team. Coach Giving Young Soccer Team Instructions. Youth Sports For Children. Young Boys Soccer Sportswear

Thanks to fundholders like YOU, since 1976 the Community Foundation has granted more than $40 million to a variety of local nonprofits addressing the region’s most pressing needs. And those needs are always changing. Thankfully, our Giving Tree grants are designed to meet the ever-evolving needs of our communities.

The Giving Tree is the Community Foundation’s signature grantmaking program.  Your gift into the fund is pooled together with others for greater impact. The Giving Tree is an investment in our future—a seed planted and nurtured by local community-minded people like you. Your gift will be magnified by the collective power of other gifts, allowing the Community Foundation to award grants to a variety of programs that improve communities, in perpetuity.

Thank you for the opportunity to work together to build stronger communities, and to make Arkansas a place where our kids will want to raise their kids.  If you’re not yet working with the Community Foundation, we look forward to exploring the options! It would be an honor and pleasure to work alongside you and your family on your charitable giving journey. 

Welcome to summer! We’ve put together six tips to keep in mind as you plan your charitable giving for the coming months, years, and even decades. As always, the team at the Community Foundation is happy to be a resource!

Donate appreciated stock to your fund at the Community Foundation.

Yes, yes, we absolutely understand how easy it is to write a check when you want to boost your donor advised or other type of fund at the Community Foundation. If you can remember to pause before you pull out your pen, though, it really does pay off to consider whether appreciated stock would be a better way to add to your charitable giving account. When you give shares of long-term appreciated stock, you can be eligible for a charitable tax deduction at the fair market value of the shares. Then, when the Community Foundation sells the shares and adds the proceeds to your fund, the fund–a 501(c)(3) charity–is not hit with capital gains tax. By contrast, if you were to sell those shares and give to your fund from the proceeds, you’d have a lot less cash to work with. Please reach out to the Community Foundation anytime to learn more about how easy it is to take advantage of this tax-savvy giving technique.  

Start paying attention now to the estate tax exemption sunset. 

The estate tax exemption–the total amount a taxpayer can leave to family and other individuals during their life and at death before the hefty federal gift and estate tax kicks in–is scheduled to drop, rather precipitously, after December 25, 2025. For 2024, the estate tax exemption is $13.61 million per individual, or $27.22 million per married couple, an increase over 2023 thanks to adjustments for inflation. Later this year, the IRS will issue inflation adjustments for 2025. For 2026, without legislation to prevent it, the exemption is scheduled to fall back to 2017 levels, adjusted for inflation, which would roughly total $7 million per person. That is quite a drop! This means a lot more people–maybe including you–could be subject to estate tax in the not-too-distant future. The team at the Community Foundation is happy to work with you and your advisors to explore how charitable giving techniques can help you avoid estate tax and leave a legacy for the community, especially if you start planning now.

If you can take advantage of the QCD, do it.

A Qualified Charitable Distribution (“QCD”) is a very smart way to support charitable causes. If you are over the age of 70 ½, you can direct up to $105,000 from your IRA to certain charities, including a field of interest, designated, unrestricted, or scholarship fund at the Community Foundation. If you’re subject to the rules for Required Minimum Distributions (RMDs), QCDs count toward those RMDs. Through a QCD, you avoid income tax on the funds distributed to charity. Our team can work with you and your advisors to go over the rules for QCDs and evaluate whether the QCD is a good fit for you.

Review your IRA beneficiary designations. 

As you review your assets and how they are titled, perhaps in connection with an annual financial and estate plan review, pay close attention to tax-deferred retirement plans such as 401(k)s and IRAs. Typically, you’ll name your spouse as the primary beneficiary of these accounts to provide income following your death or to comply with legal requirements. But as you and your advisors evaluate whom to name as a secondary beneficiary of these tax-deferred accounts, don’t automatically default to naming your children or your revocable trust. You and your advisors may determine that naming a charity, such as your fund at the Community Foundation, is by far the most tax-efficient and streamlined way to make gifts to your favorite causes upon your death and establish a philanthropic legacy. A bequest like this avoids not only estate tax, but also income tax on the retirement plan distributions. That’s why non-retirement fund assets may be better-suited to pass to children and grandchildren. 

Embrace a holistic approach to philanthropy.

When you work with the Community Foundation, charitable giving is easy, flexible, and rewarding. As the hub of your charitable giving, the Community Foundation offers a wide range of fund types, services, and ways for you and your family to get involved with the community you love. Many of our fund holders use a donor advised fund to organize annual giving to charities. We can also help you establish a designated or field of interest fund to complement the function of your donor advised fund. A designated fund allows you to support a specific charity over the long term, while a field of interest fund focuses your support on a particular area of community need by leveraging the Community Foundation’s expertise. We’d also be honored to work with you and your advisors to structure a bequest to the Community Foundation in your estate plan to support important causes, as well as the Community Foundation’s work, beyond your lifetime. We are here to help you make the most of your philanthropic intentions, and it is an honor to work together. 

Little Rock, Ark. (June 5, 2024)Arkansas Black Hall of Fame Foundation (ABHOF) awarded $50,000 in grants to projects benefiting minority and under-served communities in an online grant presentation May 30. These grants support projects focused on education, health and wellness, youth development, strengthening families and economic development in Arkansas.

“We are pleased to support the efforts of grassroots and other nonprofit organizations in Arkansas through our grant program,” said Charles Stewart, ABHOF Foundation chairman. “Their work validates the mission of Arkansas Black Hall of Fame Foundation. We are proud of our partnership with these great Arkansas institutions.”

Over the past 20 years, ABHOF has made $767,000 in grants to Arkansas nonprofits. This year’s grant recipients:

  • Arkansas Repertory Theater – Celebrating African Americans’ Journey Through an Artistic Lens This performance will incorporate classical literature, and music, along with other artistic contributions of African American artists and historical excerpts.
  • CASA of the Ouachita Region – Ouachita Children’s Coalition This organization serves abused and neglected children in Polk, Montgomery, Scott, and Sevier Counties. With this grant, they will offer bilingual advocates to help with resource navigation for their clients.
  • City Connections Operation Restore “Back to Work Kits”
    Operation Restore (OR) is a temporary employment agency serving those emerging from incarceration or drug/alcohol rehabilitation programs in central Arkansas.  
  • Conway Cradle Care – Adolescent Parent Mentoring Program This program focuses on educating young parents on child development, birth, and childcare as well as helping advance their education and potential through tutoring and individualized life plans.
  • Girls on the Run of Central Arkansas – Scholarships for Superstars This grant will enable Girls on the Run to deliver their after-school program to 15 girls at the Dalton Whetstone Boys and Girls Club.
  • Goodwill Arkansas Education Initiative – Excel Center The first and only tuition-free adult high school in the state, this grant will help students overcome the barriers they face to earn their high school diploma. Barriers like transportation and access to healthy food for children who are cared for in Goodwill’s childcare center.
  • Haven of Northeast Arkansas The only safehouse for victims of domestic abuse in Mississippi County, this organization collaborates with several programs in the community to initiate services to help their clientele.
  • Hispanic Community Services/El Centro Hispano – Emprendiendo, “Entrepreneurship” This is the second year of the 9-week bilingual course for Hispanic and immigrant individuals interested in opening businesses.
  • Jamison’s Center of Kindness – ENRICHing the Weak Links This project involves purchasing materials to expand the existing E.N.R.I.C.H. (Educate-Nurture-Reach-Instruct-Coach-Help) Community Garden with fresh fruits and vegetables. It serves the Pinehurst neighborhood, a low-income, food-insecurity community in Texarkana.
  • Lee Street Community Center This grant will be used to purchase supplies and pay a small stipend to tutors. Because of the distance from Elaine to school – 30 miles away – most students do not have an opportunity to attend after-school programs or participate in tutoring offered after school.
  • Life Skills for Youth – Summer STEAM Academy These funds will support the LSY STEAM Academy expanding to Harrison Elementary School in North Little Rock.
  • Little Rock Diamond Foundation – Kappa League/Huddle Up
    Hosting two main programs, the Little Rock Kappa League and HuddleUP, both programs are in Little Rock and primarily serve minority African American students from lower-income families.
  • OneCommunity – Feed Your Brain, Alimenta Tu Cerebro
    This organization offers a bilingual family literacy program designed to increase reading, reduce summer learning loss, and provide families with bilingual and culturally responsive books.
  • Prevention Education Programs – Grand Prairie Healthy Families
    Focusing on single, pregnant first-time mothers under the age of 25, this program enrolls mothers during the pre-natal period, or before their child is 3-months old. Once enrolled they continue to receive services until the child turns three. The program primarily serving residents who reside in Arkansas County or the southern area of Prairie County or Monroe County.
  • Second Baptist Church – Healthy Highrise
    This program was developed to address three key challenges faced by low-income residents in three downtown Little Rock high-rises close to the church. The goals are to improve access to healthy and diverse food options by providing transportation weekly to a grocery store; provide quarterly Lunch & Learn programming on health and wellness; and build connections to health-related community services and programs.
  • Village Place – The Experiential Learning Lab Serving the South End community and surrounding areas, the lab provides hands-on opportunities for middle and high school students to learn trade skills like carpentry, masonry, beekeeping, welding, farming, plumbing, electrical work, and HVAC repair, and pathways to trade careers.

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Arkansas Black Hall of Fame Foundation aims to provide an environment in which future generations of African American achievers with Arkansas roots will thrive and succeed. Arkansas Black Hall of Fame honors the contributions of African Americans through its annual Black Hall of Fame induction ceremony, and awards grants to support charitable endeavors in underserved communities. Learn more at www.arblackhalloffame.org.

Arkansas Community Foundation, a statewide nonprofit organization, provides resources, insight and inspiration to build stronger Arkansas communities – communities where our kids will want to raise their kids. The Community Foundation is the largest grantmaker in the state in the number of grants made each year. Since 1976, the Foundation has provided more than $460 million in grants to nonprofits. The Foundation staff works directly with donors, professional advisors and nonprofits to help strengthen Arkansas communities through strategic philanthropy and focusing on local needs. Its assets rank among the top 60 out of more than 900 community foundations in the United States. Serving statewide and local initiatives, the Community Foundation helps connect those who want to give to the causes they care about. Contributions to Arkansas Community Foundation, its funds and any of its 29 affiliates are fully tax deductible.

In the aftermath of the tornadoes that ripped through North Arkansas on May 26, Arkansans are doing what we do best- responding to the needs of our neighbors. Whether with chainsaws, hot meals, cold drinks or cell phone charging stations: this is what community looks like.

If you’d like to provide financial support to one of the many relief organizations on the ground, please consider using your donor advised fund at the Community Foundation to support one (or more) of the following*:

*This is a short list of national and/or state-wide relief organizations. We know there are countless groups, formal and informal, who are responding to the very unique needs in their community. Please support whichever organization(s) you know and trust that are responding in this time of need.

Our hearts go out to all of the people, businesses and communities who were impacted by the storms. Stay strong Arkansas.

Callie and Dustin Kellums had twins in 2020, a boy named Luke and a girl named Kate. Born prematurely, both newborns required care in the Neonatal Intensive Care Unit (NICU) at St. Bernards Medical Center in Jonesboro. After a week, Luke was diagnosed with bacterial meningitis, and it quickly became apparent that he needed more advanced care.

Luke was med-flighted to Arkansas Children’s in Little Rock, splitting the babies up between two hospitals, two hours apart.

“It wasn’t easy having one baby in Jonesboro and one baby in Little Rock,” said Dustin. “We were so lucky to have Callie’s parents near and a great group of friends to help us. Plus, this was during COVID so only one person at a time could visit the babies. That obviously made things more difficult.”

Luke Kellums

The couple also had a 2-year-old son, Ben, at home, which added to the complexities of caring for their family. “I received some good advice from a doctor at St. Bernards,” said Callie. “She told me that our newborns had excellent around-the-clock care in both hospitals. And it was okay to focus on Ben so things could be as normal as possible for him. I appreciated that advice.”

Fifteen days after the twins were born, Luke succumbed to bacterial meningitis and passed away.

“When Luke died, we wanted to do something positive with our grief,” said Callie. “We received such amazing care at St. Bernards in Jonesboro for both of our babies, we decided to help expand their NICU so that families in this area didn’t have to go hours away for better care. We raised nearly $100,000, and recently pledged another $70,000 to the NICU.”

A friend of the Kellums, Wade Bowen, suggested that Dustin and Callie use Arkansas Community Foundation to help manage the donations. The couple started the Luke Kellums NICU Fund – Benefiting St. Bernards.

“We saw a level of care in Little Rock that northeast Arkansas just didn’t have,” said Dustin. “We wanted to see that same level of staffing and equipment become available to families here. The latest expansion at St. Bernards is named after Luke. This keeps his memory alive and gives our children something to be proud of.”

“Our hope for the future is that if anyone else is faced with having a baby in the NICU,” Callie continued, “that they can be as close to their babies as possible, for as long as possible.”

Ujima Maternity Network trains birth professionals to address maternal health disparities

By Adena White

Maternal deaths from pregnancy-related causes continue to rise. From 2018 to 2021, for every 100,000 live births in Arkansas, 44 mothers died from pregnancy-related complications before their baby’s first birthday.

Socioeconomic and racial disparities exacerbate this crisis: Black, non-Hispanic mothers are twice as likely to die from pregnancy-related causes than white, non-Hispanic mothers.

One proven solution to the maternal health crisis is ensuring that all women have access to doula support. Doulas provide physical and emotional support to pregnant women during pregnancy and beyond and are different from midwives in that they give no medical care. Visionary doulas across Arkansas have come together to form a doula association, with technical assistance provided by Excel by Eight. The doulas’ vision is to advance the profession of birth work through advocacy and education, improve access to doula services, and ensure the consistency and quality of those services. In particular, doulas are advocating to have their services reimbursed by Medicaid and health insurance plans.

Nicolle Fletcher is one of the doulas leading this effort. When she completed her doula certification training in 2010, little was known about the nation’s growing rate of maternal deaths. She became a doula to help women “reclaim the power of birth,” providing guidance and support to women during labor as well as serving as a lactation counselor, childbirth educator, and an apprentice midwife.

“When it comes to the maternal health crisis,” Fletcher said. “Doula care should be accessible to the people who need it most, regardless of their socioeconomic status.”

Fletcher first noticed in 2017 that poor health outcomes for Black mothers began to grab national headlines. Around this same time, she was at a point in her career where she felt discouraged and considered quitting the profession altogether. But an increase in clientele — particularly among Black women who were concerned about the alarming statistics in the news — reminded her of her purpose.

Nicolle Fletcher, Executive Director and doula for Ujima Maternity Network.

“I’m here on purpose, and I think about so many lives that have been impacted by me following my purpose, which has opened doors for others to do the same.”

As one of the few Black doulas in Arkansas at the time, Fletcher recognized a need to train more Black women to become doulas to address these growing concerns. What was initially designed to be a one-time, weeklong training for aspiring doulas became the creation of a new nonprofit, Ujima Maternity Network.

Fletcher — along with doulas Sarita Hendrix, Amber White, Regina Chaten, Shenika Reed, Erika Davis, and Shakia Jackson — founded the nonprofit on December 28, 2018, the third day of the seven-day African American holiday of Kwanzaa. The principle of Ujima (pronounced oo-JEE-mah) is the focus that third day, which means “collective work and responsibility” in the Swahili language.

“Ujima is about collective work. We’re going to work collectively; we’re going to own our responsibility, and we’re going to bring about solutions,” Fletcher said.

Since it was established, Ujima Maternity Network has trained 25 doulas of diverse ethnic backgrounds in hopes of reaching more women across the entire state. Six women are currently enrolled in the training program, and the goal is to train 40 doulas across the state this year.

“It’s fundamental to have an advocate as far as doula support that looks like you and can meet you right where you are without having to explain certain things,” Fletcher said. “There is an uncommunicated understanding that exists.”

During the six-month certification program, doulas-in-training are required to read and report on at least five assigned books, attend at least three birth experiences, participate in monthly training sessions with other members of their cohort, and complete a research paper. The participants are paired with a mentor doula and attend outreach events, emphasizing the importance of communal care.

Since Ujima’s founding, Fletcher has witnessed a decrease in cesarean sections and an increase in birth satisfaction, resulting in mothers who feel educated, supported, and empowered during their birth experiences.

“People do a lot of missions overseas, but Arkansas is a mission field,” Fletcher said. “And I think we need to look at it that way.”

By Jessica Ford

Arkansas continues to face troubling challenges as it battles a persistently high infant mortality rate, with recent data painting a grim picture of the state’s struggle to safeguard its babies.

The Arkansas Department of Health defines infant mortality as a statistic that looks at the number of babies who die each year before they reach their first birthday. According to the Centers for Disease Control and Prevention (CDC) based on data from 2022, for every 1000 live births in Arkansas, there were 7.67 infant deaths — above the national average of 5.7 deaths per 1,000. This places Arkansas with the third-highest infant mortality rate in the nation.

Heidi Klappenbach, visiting nurse in Union County

Similar reports reveal a disproportionate burden of infant mortality among Black communities. According to the Arkansas Center for Health Improvement (ACHI,) deaths among Black infants remain the highest of all racial and ethnic groups, with 10.86 deaths per 1,000 births in 2022, compared to 4.52 deaths per 1,000 births among white infants.

Some efforts to combat infant mortality are underway. The University of Arkansas for Medical Sciences (UAMS) created the Following Baby Back Home program for families of infants after their discharge from a Neonatal Intensive Care Unit (NICU). The program sends healthcare providers to homes, especially in rural areas, to help provide support for new moms.

Newborns in the program often have specific needs at home to thrive, like preemie-sized equipment or other essentials. Some mothers have confided to the program’s nurses that they borrowed car seats, or they have to co-sleep because they don’t have a bassinet.

“Many women are reluctant to have home visits because they worry that the nurses will critique their parenting,” said Heidi Klappenbach, a visiting nurse in Union County. “But I love telling them that they’re doing a good job.”

Klappenbach brings a portable scale to check baby’s weight and talks with moms about signs of postpartum depression, growth and development, immunizations and even checking for smoke and carbon monoxide detectors in homes.

“We want to help,” she said. “I try to connect them to whatever resources they need.”

New nonprofit seeks to amplify the voices of families across Arkansas By Adena White

In early May of 2022, Ashley Bearden Campbell’s pregnancy took a sharp turn. She was admitted to the hospital in anticipation that she would remain on bed rest until her baby’s July 1 due date. Health complications necessitated an emergency cesarean section, and her daughter, Aubrey, entered the world at 28 weeks and five days, weighing a mere 2 pounds, 4 ounces.

“I had a wonderful pregnancy up until I didn’t,” Bearden Campbell said.

Ashley Bearden Campbell

During Aubrey’s 70-day stay in the neonatal intensive care unit, Bearden Campbell remained by her daughter’s side as much as possible. Her concern for the baby was all-consuming, causing the new mom to unconsciously neglect her own mental health. An attentive neonatal intensive care unit nurse recognized the signs of postpartum depression and anxiety in the new mom and urged her to seek help. That pivotal conversation led her to therapy, medication, and a newfound determination to ensure other mothers wouldn’t endure similar struggles alone.

“Had the nurse not pulled me aside, I don’t know where I would be today,” she said.

From that moment, the seeds of Arkansans for Improving Maternal Health (AIM) were sown. Founded in January 2024 and led by Bearden Campbell, AIM is a nonprofit organization with a mission to “raise public awareness, cultivate champions for change, and spur action around the issue of maternal health in Arkansas.” In 2018, 92% of maternal deaths were found to be preventable. Additionally, 48% of Arkansas counties are without an obstetric provider, and nearly half of the 75 counties do not have a birthing facility.

“Through AIM, we created a platform to raise awareness around maternal health and create a space for families who have been impacted by challenges in maternal health,” Bearden Campbell said. “We want to address gaps in the access, affordability, and quality of care for women and infants before, during, and after pregnancy.”

AIM’s immediate priority has been to create a safe space for moms and families to share their stories. Bearden Campbell said these stories — whether shared publicly through AIM’s website or in conversations among family and friends — are necessary to catalyze change. The most effective advocates for improving maternal health are Arkansans who have experienced challenges as a result of poor maternal health care.

“I’ve always believed that stories are powerful, and I’ve seen for myself that sharing my own experience has led to a domino effect of others sharing their experiences,” she said. “Together, our voices will serve as a call to action for policymakers to make maternal and infant health a priority.”

In March, Governor Sarah Huckabee Sanders signed an executive order to create the Arkansas Strategic Committee for Maternal Health. AIM for Arkansas will work alongside other members of this steering committee to improve health outcomes for mothers and babies across the state.

“We’re excited to be included in this mix of organizations that are helping raise awareness about this public health crisis,” Bearden Campbell said. “The governor’s executive order was a huge win for our state, and the positive response we’ve seen from families and other stakeholders shows us how critical this mission is to the future of Arkansas.”

Families who desire to share a video recording or written testimonial about their experiences with the maternal health crisis are invited to upload a story at aimforarkansas.org.

By Kim Dishongh

Allyson Cheatham was anxious when she went for prenatal care during her first pregnancy.

“I felt very judged,” said Cheatham, recently discharged from the U.S. Army in 2011. Young and newly pregnant, she returned home to Arkansas to be near family. “I felt rushed. I felt not heard. As a result, I lost my daughter.”

Cheatham’s experience is not uncommon in Arkansas. Aware that prenatal care in the first trimester is linked to healthier babies, Cheatham made an appointment immediately.

“They said, ‘So it’s just going to be you and this baby. That means you’re going to be on Medicaid, right?’ This is what the provider said to me. I said, ‘Actually, no ma’am, I’m a veteran so I have TRICARE insurance,” Cheatham said.

“They were very cold.”

Allyson Cheatham

No one explained to her why, five months into her pregnancy, she was given a vaginal exam.

“I now know that there was no reason for a vaginal exam to be done at that time, but at the time I didn’t know that,” she said. “I felt a pop and felt a little bit of pain, and I kind of jumped a little.”

Shortly after that, she was back in the doctor’s office. “I was leaking amniotic fluid,” she said. “I continued going to my doctor’s appointments, and they were just awful because they were doing ultrasounds to check my levels, and with every appointment the amniotic fluid was just getting lower and lower.”

She remembers the last ultrasound.

“It was just very quiet. The ultrasound tech said, ‘See her fluid level?’ It was literally sitting on top of her head,” said Cheatham.

Her questions about the possibility of an amniotic fluid transfusion were dismissed.

“I saw a nurse practitioner that day. She came in and sat down beside me, put her hand on my knee, looked at me and said, ‘I’m sorry. You are probably going to lose your baby over the weekend.’ Then she got up and walked out of the room and left me there by myself,” she said.

Cheatham named the daughter she was carrying Amani. “It means ‘faith,’ in Swahili, because I was standing on faith when they told me she wasn’t going to make it,” Cheatham said.

A few weeks later, around Christmas, Cheatham went into labor while visiting her grandmother in southwest Arkansas. Her family took her to the nearest rural hospital, which was ill-equipped to care for her when she began hemorrhaging. She was rushed by ambulance to a larger hospital an hour away. Data from the Center for Healthcare Quality and Payment Reform shows that 60 percent of Arkansas’ rural hospitals lack labor and delivery services.

Cheatham mourned her daughter and vowed to help other women avoid the heartbreak she experienced.

Kirsten Jones, too, made it her mission to support pregnant women. Jones’ son, Omari, was born in November. She is an outreach specialist with the Arkansas Birthing Project, and she serves as a “sister-friend” to other pregnant women in central Arkansas.

“They listen to me,” she said. “We share back and forth, and they will ask me how my baby’s doing and give me tips on breastfeeding and just encouraging words.”

Jones said there were parts of her well-researched birth plan the hospital where she delivered would not honor, and she was unprepared to contest those decisions while in labor. She advocates for other women in labor, hoping to instill in them confidence to speak up when needed.

“Doctors tell them they need a c-section, or they need to schedule one, and they don’t know why. A lot of people don’t challenge the medical system just because we may feel inadequate,” Jones said. “We think the doctors know better. We were raised to believe they’re here to help and heal us, save us, but everyone is different. We need to ask the right questions.”

Jones also talks with other new moms about balancing rest with never-ending childcare chores and about the importance of mental health.

Mental health needs are deeply important to Ashli Humphries-Headley.

Humphries-Headley’s husband, a major in the Army Reserves, was deployed to the Middle East shortly after the birth of their son, Beck, in August 2020.

Ashli Humphries-Headley and Family

She had a good family support system, and she had good insurance, as well. But her newborn son wanted to be held constantly and would only breastfeed.

“I would get maybe three hours of sleep, consecutively. I was by myself, and I had a 2-year-old,” she said. “I wasn’t eating enough, and I felt depleted all the time.”

When Beck was 4 months old, she dreamed she had to choose which of her children to save when a bridge collapsed, plunging their car into the water.

“I remember one night I had a dream that my son was suffocating. He was turning purple and blue, and I couldn’t save him,” she said. “I couldn’t wake up from it, and I was like, ‘That was weird.’ Those continued for about two weeks straight, dreams like that.”

Intrusive thoughts continued; she was exhausted and still her son cried and cried. She remembers putting him in his crib and closing herself in a closet to scream out her frustration. Humphries-Headley, a former pediatric therapist, saw a therapist once a week.

“I was not going to throw my son across the room, but I recognized that I was not OK,” she said. “I told myself, ‘You’re OK. It’s just a bad day, not a bad life.’ But it wasn’t getting better.”

Her therapist declared she had postpartum depression.

“I said, ‘But I’m not sad,’” she said. “I’m not unwell to the point of not being able to get out of bed; I’m not losing interest in things I like to do. I didn’t have the basic signs of depression.”

She sought help from other experts, one of whom diagnosed her with postpartum rage — but knew of no medication or therapy to tackle her problem.

“I needed to get better; I needed to raise my kids,” said Humphries-Headley. “I ended up doing a clinical trial in another state.”

She got better, but the ordeal stole precious time.

“I don’t remember my son crawling for the first time. I don’t remember him starting solid food. I don’t remember him rolling over or his first Easter,” she said. “My earliest memory is of him walking. It makes me feel guilty and sometimes I cry. I was in such a psychosis, but I was high functioning, and I had no clue.”

She knows other women are going through similar situations. “Most therapists don’t take insurance. What if I hadn’t had a therapist to guide me? Imagine the moms who are going through this, who are dying inside, because maybe they’re on Medicaid and their health care cuts off 60 days after they have their babies. I didn’t even know something was wrong for about four months.”

The Arkansas Maternal Mortality Review Committee recommends extending Arkansas Medicaid maternal coverage from 60 days to one year postpartum, “to monitor the mother’s physical and mental health, provide support during the transition, and ensure access to treatment.”

Cheatham has chosen to support women through her career. “That was my driving force to become an RN,” said Cheatham. “My daughter was my motivation for helping other women not go through what I went through.”

Through her work as a mother-baby nurse, she spoke up for one new mom who had had preeclampsia.

“Her blood pressure was through the roof — I’m talking stroke range — and it had been like that for three days,” said Cheatham. “She was going to be discharged the next day and go home.” Cheatham called the woman’s doctor.

“He kind of brushed me off, and I just kept calling him back,” she said. “I finally was like, ‘Listen, I’m scared she’s going to have a stroke and die if she goes home. We cannot send her home like this.’”

The doctor came in to see the woman, who remained hospitalized for four more days while her blood pressure issues resolved.

A 2023 legislative report by the Arkansas Maternal Mortality Review Committee found that hypertensive disorders of pregnancy are among the top underlying causes of pregnancy-related deaths in our state.

Also according to that report, “Ninety-two percent of pregnancy-related deaths were considered potentially preventable.”

Cheatham married her husband, Antonio, in 2018. They have a son, Maverick, 3.

Allyson, Antonio and Maverick

“He’s my miracle baby,” said Cheatham, diagnosed with an incompetent cervix during her second pregnancy.

She wonders if this complication was the result of injury caused during the vaginal exam she had in 2011.

“So, yes, I’m advocating for moms, for babies,” she said. “I didn’t have a voice, but there were lots of things that I saw, that I fought for with my patients.”

By Olivia Walton

What a difference a year can make.

Last spring, Arkansas reached an inflection point. We decided that our last-place finish in maternal outcomes was no longer acceptable. We decided that our mothers, our children and our families deserve more.

Through education and advocacy, there is now a swell of support for improving maternal healthcare, and universal agreement that taking care of moms matters.

Olivia Walton, Founder of Ingeborg Investments

A year ago, our sights were set on a 12-month Medicaid expansion for moms. Now in 2024, we have a signed executive order from Governor Sarah Huckabee Sanders that works smarter, not harder, to get women the care they need before, during and after birth.

I’m optimistic that the governor has lent her support to this critical issue, and I look forward to seeing this order in action — it’s pro-family. It helps ensure our kids can thrive in school, and it’s fiscally responsible.

Rather than creating redundancies in coverage, the plan will automatically enroll more eligible women in Medicaid, eliminate gaps and streamline access statewide. A groundbreaking pilot program will also target the five most at-risk counties to increase prenatal care.

Most importantly, the governor has requested that private stakeholders work alongside the state’s Department of Health, Department of Human Services, and surgeon general to develop a strategic plan for maternal health moving forward.

Over the coming months, this is where I see my organization, Ingeborg Initiatives, being most helpful.

At Ingeborg, we are on a mission to empower Arkansas moms by improving maternal health, advancing women’s economic opportunity and expanding access to quality care and early learning opportunities for children.

Our team, led by Harvard-trained perinatal epidemiologist and University of Arkansas professor Dr. Cara Osborne, will work with the recently established Arkansas Strategic Committee for Maternal Health on solutions.

Among our top priorities are those laid out in a new report by Heartland Forward. They include: advocating for more community health workers; expanding access to telehealth; addressing healthcare workforce shortages, including midwives; and increasing reimbursement rates and transparency on costs and data.

In other rural states across the country, these tried-and-true solutions are already in place and working.

In Arkansas, preventing just half of maternal deaths would save the state $872 million a year. This savings could underwrite 11,000 nursing scholarships or fund two new 500-bed hospitals.

As an adopted Arkansan, I’m proud to lend my voice and leadership to Crystal Bridges Museum of American Art, the Momentary and Heartland Summit.

But as a mom of three children, I became invested in the state when I founded Ingeborg Initiatives because it was personal for me. Even in the best of circumstances, motherhood is hard. For those without access to care and resources, it can feel impossible.

A year ago, most people either believed that maternal care in the state was adequate, or they didn’t think much about it at all.

Today, they understand that empowering mothers isn’t just a women’s issue. Ensuring that mom is healthy and economically secure is the most efficient, impactful intervention we can make for the strength of our families — and communities — as a whole.