The project, titled "Access Starts at Home," targets five regions, including the Upper and Lower Delta and Northwest Arkansas. It aims to support 250 pregnant and postpartum women by integrating community-based doulas into the medical workflow. This deployment addresses a critical fragmentation in care, where doulas often hold vital health insights that fail to reach clinical providers in isolated regions.

The MySwaddle platform acts as the technical backbone, enabling real-time documentation and referrals even in low-bandwidth settings. By connecting doulas to clinical care teams, the program intends to catch complications earlier and maintain contact with patients who might otherwise drift out of the healthcare system. According to Liyah Wasson, Executive Director of the Doula Alliance of Arkansas, the funding provides the necessary infrastructure to properly compensate and train professionals who have historically served rural families with minimal resources.

This initiative is part of a broader $149.3 million rollout under the state's Rural Health Transformation Program. As Arkansas aims to distribute up to $1 billion over the next five years, findings from this pilot will inform long-term sustainability and potential reimbursement pathways under the state’s 2025 Certified Community-Based Doula Certification Act.