Unequal Gains: Evaluating Alabama’s Infant Mortality Reduction Initiative by Race and Marital Status

Alabama has one of the highest infant mortality rates in the United States at 7.8 deaths per 1,000 live births, and the rate differs across certain racial and ethnic groups. The Alabama Department of Public Health developed a pilot program that improved the infant mortality rate for White mothers but worsened the rate for Black mothers. This article evaluates the initiative and shares public health implications.