%PDF-1.3
%
4 0 obj
<>>>/BBox[0 0 612 792]/Length 53>>stream
xs
w3T0WI2P0T5T R
Ɩf
!\!Y\ !p
o
endstream
endobj
1 0 obj
<>>>/BBox[0 0 612 792]/Length 53>>stream
xs
w3T0WI2P0T5T R
Ɩf
!\!Y\ !p
o
endstream
endobj
3 0 obj
<>>>/BBox[0 0 612 792]/Length 53>>stream
xs
w3T0WI2P0T5T R
Ɩf
!\!Y\ !p
o
endstream
endobj
6 0 obj
<>>>/BBox[0 0 612 792]/Length 53>>stream
xs
w3T0WI2P0T5T R
Ɩf
!\!Y\ !p
o
endstream
endobj
7 0 obj
<>>>/BBox[0 0 612 792]/Length 53>>stream
xs
w3T0WI2P0T5T R
Ɩf
!\!Y\ !p
o
endstream
endobj
5 0 obj
<>>>/BBox[0 0 612 792]/Length 53>>stream
xs
w3T0WI2P0T5T R
Ɩf
!\!Y\ !p
o
endstream
endobj
9 0 obj
<>stream
Arbortext Advanced Print Publisher 9.0.114/W
2021-11-10T14:59:38-08:00
2021-02-18T17:36:10+05:30
application/pdf
JWH-2020-8882-ver9-Perry_3P 230..235
Acrobat Distiller 8.1.0 (Windows); modified using iText 4.2.0 by 1T3XT
uuid:9d812ec4-4ac2-423e-86d7-67b772663c0f
uuid:732a4c4a-3709-45ca-b0fa-6fe8133c412e
endstream
endobj
10 0 obj
<>stream
x+ |
endstream
endobj
11 0 obj
<>stream
xS**T0T0 Bi yA$
endstream
endobj
12 0 obj
<>stream
x+ |
endstream
endobj
13 0 obj
<>stream
xS**T0T0 Bi yS&
endstream
endobj
14 0 obj
<>stream
x+ |
endstream
endobj
15 0 obj
<>stream
xS**T0T0 Bi y8#
endstream
endobj
16 0 obj
<>stream
x+ |
endstream
endobj
17 0 obj
<>stream
xS**T0T0 Bi yJ%
endstream
endobj
18 0 obj
<>stream
x+ |
endstream
endobj
19 0 obj
<>stream
xS**T0T0 Bi ye(
endstream
endobj
20 0 obj
<>stream
x+ |
endstream
endobj
21 0 obj
<>stream
xS**T0T0 Bi y\'
endstream
endobj
23 0 obj
<>stream
/GS1 gs
BT
/F4 1 Tf
9.843 0 0 9.843 59.7543 725.1588 Tm
0 0 0 rg
0 Tc
0 Tw
[(demonstrate)-293.3(the)-292.6(role)-287.9(of)-290.2(SDOH)-289.1(as)-291.1(signicant)-289.8(drivers)-291(of)-290.2(pop-)]TJ
0 -1.1174 TD
[(ulation)-377.9(health)-372.1(inequities.)-380(Unfortunately,)-378.4(however,)-377.2(the)-373.2(term)]TJ
0 -1.1116 TD
[(has)-338.3(lost)-338.5(meaning)-333.9(within)-341.9(systems)-338(of)-336.2(care)-336.2(because)-340.5(of)-336.2(misuse)]TJ
T*
[(and)-298.2(lack)-300.6(of)-295.9(context,)-296(and)-298.2(large)-295.9(social)-297(gradients)-300.3(in)-296.1(health)-297.2(and)]TJ
T*
[(clinical)-289.3(outcomes)-283(persist.)]TJ
1.0137 -1.1174 TD
-.0164 Tc
[(Takin)5.5(g)-317(s)5.7(o)-.2(ci)5.4(al)-311.4(factor)5.6(s)-316.8(i)5.4(nto)-311.2(a)-1.4(cco)5.5(unt)-311.4(is)-311(ess)5.7(e)-1.4(nt)5.4(ial)-311.4(t)-.3(o)-311.2(i)-.3(mpr)5.6(ovi)5.4(ng)]TJ
-1.0137 -1.1116 TD
[(bot)5.3(h)-386.2(primar)5.5(y)-386.2(and)-386.2(s)-.1(econ)5.4(dary)-386.2(preven)5.4(tio)5.4(n)-386.2(a)-1.5(nd)-386.2(t)5.3(h)-.3(e)-387.4(t)-.4(reat)5.3(men)5.4(t)-386.3(o)-.3(f)]TJ
T*
-.0166 Tc
[(acu)5.3(te)-462.4(and)-461.2(c)4.2(hr)5.4(oni)5.2(c)-462.4(i)-.5(l)5.2(l)-.5(ness)-461(because)-456.6(s)-.2(oci)5.2(a)-1.6(l)-455.6(c)-1.6(on)5.3(tex)5.3(t)-.5(s)-461(a)4.2(ffect)-461.3(t)5.2(h)-.4(e)]TJ
0 -1.1174 TD
-.0184 Tc
[(de)-3.4(livery)-244.1(and)-244.1(o)3.5(utcome)-3.4(s)-243.9(o)3.5(f)-244.1(h)-2.2(ea)-3.4(lth)-244.1(c)-3.4(are.)-246.5(How)-245(h)3.5(e)-3.4(a)-3.4(l)3.4(th)-238.4(c)-3.4(a)-3.4(r)3.6(e)-245.3(s)-2(yste)-3.4(ms)]TJ
0 -1.1116 TD
-.0157 Tc
[(can)-489.1(inte)5.1(gr)6.3(ate)-496(s)6.4(oci)6.1(a)-.7(l)-495(c)5.1(are)-496(\()]TJ
/F8 1 Tf
10.8398 0 TD
-.0179 Tc
(i.e)Tj
/F4 1 Tf
.9273 0 TD
-.0175 Tc
[(.,)-499(s)4.6(e)-2.5(rv)4.4(ices)-496.5(that)-496.8(ad)4.4(dress)-496.5(healt)4.3(h)-1.3(-)]TJ
-11.7671 -1.1116 TD
-.0169 Tc
[(rel)4.9(a)-1.9(ted)-213.8(s)-.5(o)5(c)-1.9(i)4.9(a)-1.9(l)-214(r)5.1(isk)-208.1(f)-.7(acto)5(rs)-213.6(and)-208.1(s)-.5(oc)]TJ
12.608 0 TD
[(ial)-208.2(n)-.7(eeds\))-208(i)-.8(n)5(t)-.8(o)-213.8(c)3.9(lin)5(ical)-214(p)5(r)-.7(actice)]TJ
-12.608 -1.1174 TD
-.0165 Tc
[(and)-357.4(w)-1.2(hat)-363.3(t)-.4(y)5.4(p)-.3(es)-357.2(of)-363.1(i)5.3(nfrastr)5.5(u)-.3(ct)5.3(ure)-358.6(are)-358.6(n)-.3(eeded)-363.2(t)-.4(o)-357.4(f)-.3(acili)5.3(tat)5.3(e)-364.3(su)5.4(ch)]TJ
0 -1.1116 TD
[(act)5.3(ivi)5.3(ties)-282.3(a)4.3(re)-277.9(major)-276.7(a)-1.5(r)5.5(eas)-276.6(in)-276.8(d)5.4(e)-1.5(velop)5.4(m)-1.5(ent.)]TJ
1.0137 -1.1116 TD
-.0153 Tc
[(A)-385.9(r)-15.3(e)10.2(cent)-390.9(r).9(epo)-15.3(r)11.3(t)-385.1(f).9(r)-15.3(o)11.3(m)-386.2(t).8(h)-15.3(e)-375.8(Nati)-15.3(o)11.2(n).9(al)-390.9(Acade)-15.3(m)8.9(ies)-384.8(o)-15.3(f)-374.6(S)1(ci)-15.3(e)10(n).9(ce,)]TJ
-1.0137 -1.1116 TD
-.0158 Tc
[(E)-15.8(n)9.6(gine)-15.8(e)8.5(r).4(in)-15.8(g)10.8(,)-226.6(an)-15.8(d)-219.6(M)-.5(edic)-15.8(i)9.5(n).4(e)-231.2(\().4(N)-15.8(A)9.1(SEM\))]TJ
7.3823 0 0 6.5614 205.3984 576.1132 Tm
0 Tc
(4)Tj
9.843 0 0 9.843 211.181 571.7479 Tm
[(i)16.1(d)16.2(en)25.4(t)16.1(i)16.1()0(e)25.6(d)-214.2()16.3(v)16.2(e)-215.4(e)15(ss)27(e)15(n)16.2(ti)26.3(a)15(l)]TJ
-15.3842 -1.1174 TD
[(ac)24.3(t)16.1(i)16.1(v)16.2(it)26.3(i)16.1(e)15(s)-202.5(f)16.2(or)-186.5(t)16.1(h)0(e)-187.7(i)16.1(nt)26.5(e)15(g)16.2(ra)25.5(t)16.1(i)16.1(o)16.2(n)-202.7(o)16.2(f)-202.7(s)16.4(o)16.2(c)0(i)25.3(a)15(l)-202.8(n)16.2(e)15(e)15(d)16.2(s)-202.5(i)16.1(nt)26.5(o)-196.9(h)0(e)25.4(a)15(l)16.1(t)0(h)-186.6(c)15(a)15(r)0(e)25.5(:)-202.8(\()16.2(1)16.2(\))]TJ
0 -1.1116 TD
-.0158 Tc
[(a)-15.8(w)8.8(aren)-15.8(e)9.6(ss,)-186.3(\(2\))-183.9(a)-15.8(d)9.6(jus)-15.8(t)10.9(ment)-15.8(,)-170.2(\(3)-15.8(\))-173.5(a)-.8(ssi)-15.8(s)10.9(t).3(an)-15.8(c)9.6(e)-.8(,)-180.5(\()-15.8(4)10.8(\))-183.9(ali)-15.8(g)10.7(nment)-15.8(,)-170.2(an)-15.8(d)-173.5(\(5\))]TJ
T*
0 Tc
[(ad)25.4(v)16.2(o)16.2(c)15(ac)24.3(y)16.2(.)-326(G)15.3(i)16.1(v)16.2(e)15(n)-323.6(t)0(h)26.5(e)-324.8(s)16.4(i)16.1(lo)26.5(i)16.1(n)16.2(g)-323.6(o)0(f)-313.2(S)16.3(D)15.3(O)15.3(H)-324.5(fr)26.7(o)16.2(m)-324.9(c)15(l)0(i)26.3(n)16.2(i)16.1(c)15(al)-314.5(d)16.2(e)15(t)16.1(e)15(rm)25.4(i)16.1(-)]TJ
0 -1.1174 TD
-.0159 Tc
[(n)-15.9(a)9.5(nts)-15.9(,)-319.7(t)-15.9(h)10.6(e)-334.9(NASE)-15.9(M)-325.5(repo)-15.9(r)10.7(t)-333.9(pro)-15.9(v)10.7(i).2(de)-15.9(s)-324.3(i).2(mpo)-15.9(r)10.7(tant)-339.7(guid)-15.9(a)9.5(nce)-334.9(a)-.9(b)-15.9(o)10.7(ut)]TJ
0 -1.1116 TD
-.0153 Tc
[(h)-15.3(o)11.3(w)-195.8(t)-15.3(o)-184.7(a)-.3(d)-15.3(d)11.3(res)-15.3(s)-184.1(s)-15.3(o)11.5(cial)-200.8(nee)-15.3(d)10.1(s)-194.8(i)-15.3(n)-184.7(t).8(h)-15.3(e)-185.7(co)-15.3(n)11.3(t).8(ext)-200.8(o).9(f)-200.7(h).9(eal)-15.3(t)11(h)-200.7(care)-201.9(s)1.1(erv)-15.3(i)11.2(ce)]TJ
T*
-.0159 Tc
[(p)-15.9(r)10.7(ovi)-15.9(s)10.8(i).2(on)-15.9(.)-239.3(F).4(ir)-15.9(s)10.9(t).2(,)-255.5(a)-.9(war)-15.9(e)9.6(ness)-252.9(i)-15.9(n)10.6(dica)-15.9(t)9.4(e)-.9(s)-253(t).2(he)-254.3(ne)-15.9(e)8.4(d)-253.1(for)-253.1(scr)-15.9(e)9.6(eni)-15.9(n)10.6(g)-253.1(for)]TJ
0 -1.1174 TD
-.0158 Tc
[(S)-15.8(D)10.1(OH,)-295.7(and)-293.4(a)-.8(dj)-15.8(u)10.7(s).6(tme)-15.8(n)9.6(t)-293.5(i).3(ndi)-15.8(c)9.5(a)-.8(tes)-293.2(t)-15.8(h)10.7(e)-294.5(need)-293.4(to)-293.4(ta)-15.8(i)9.5(l).3(or)-293.3(s)-15.8(e)9.8(rvic)-15.8(e)8.5(s)-293.2(t).2(o)]TJ
0 -1.1116 TD
[(r)-15.8(e)9.7(sol)-15.8(v)10.7(e)-461.6(t).3(h)-15.8(e)-451.1(nega)-15.8(t)9.5(i).3(ve)-467.3(deter)-15.8(m)9.6(inan)-15.8(t)10.7(s)-460.2(an)-15.8(d)-450(s).6(u)-15.8(p)10.8(por)-15.8(t)-450.1(t).3(he)-467.3(posi)-15.8(t)10.5(ive.)]TJ
T*
-.0159 Tc
[(N)-15.9(e)8.7(xt,)-238.2(a)-.9(ss)-15.9(i)10.8(s).5(ta)-15.9(n)9.5(c)-.9(e)-237(a)-.9(nd)-235.9(a)-15.9(l)9.4(ign)-15.9(m)9.5(ent)-236(mean)-235.9(b)-15.9(o)10.7(th)-235.9(st)-15.9(r)10.6(e)-.9(ng)-15.9(t)10.6(h).3(eni)-15.9(n)10.6(g)-235.9(s).5(oc)-15.9(i)9.4(a)-.9(l)]TJ
0 -1.1174 TD
-.0157 Tc
[(s)-15.7(u)11.1(ppo)-15.7(r)10.9(t).4(s)-310.3(a)-.7(nd)-310.5(red)-15.7(e)9.7(sig)-15.7(n)10.9(ing)-310.5(h).5(ea)-15.7(l)9.6(t).4(h)-310.5(s).7(er)-15.7(v)10.9(i).4(ces)-310.3(to)-310.5(meet)-310.7(th)-15.7(e)-295.5(n).5(e)-15.7(e)8.6(ds)-310.3(of)]TJ
0 -1.1116 TD
[(t)-15.7(h)10.8(e)-432.7(publi)-15.7(c)9.6(.)-428.1(F).6(i)-15.7(n)10.8(all)-15.7(y)10.8(,)-428.1(a)-.7(dv)-15.7(o)10.9(cacy)-431.5(in)-15.7(c)9.7(l).4(ud)-15.7(e)9.7(s)-431.3(making)-431.5(u).5(s)-15.7(e)-416.3(o)-15.7(f)-415.3(l)-15.7(o)10.8(cal,)]TJ
T*
-.0159 Tc
[(s)-15.9(t)10.8(ate)-15.9(,)-269.3(and)-276.2(f)-15.9(e)9.6(d).3(er)-15.9(a)9.6(l)-276.3(go)-15.9(v)10.7(e)-.9(rn)-15.9(m)9.5(e)-.9(nts)-281.7(t).2(o)-276.2(s)-15.9(u)10.9(ppo)-15.9(r)10.7(t)-276.3(p)-15.9(u)10.7(bli)-15.9(c)-267.1(hea)-15.9(l)9.4(th)-276.2(e)-15.9(f)9.6(for)-15.9(t)10.6(s)]TJ
T*
-.0158 Tc
[(i)-15.8(n)-369.5(addr)-15.8(e)9.7(ssi)-15.8(n)10.7(g)-379.8(SD)-15.8(O)9.1(H)-380.6(con)-15.8(s)11(ist)-15.8(e)9.5(nt)-379.9(wi)-15.8(t)10.5(h)-379.8(cli)-15.8(n)10.7(ical)-385.6(care)-380.9(w)-15.8(i)9.8(t).3(hi)-15.8(n)-369.5(t).3(he)]TJ
0 -1.1174 TD
[(c)-15.7(o)9.7(ntex)-15.7(t)-271.5(o).5(f)-281.7(t).4(he)-282.9(commu)-15.7(n)10.9(iti)-15.7(e)9.6(s)-281.5(wher)-15.7(e)-266.7(t)-15.7(h)10.8(e)-282.9(care)-282.9(i).4(s)-281.5(p).5(r)-15.7(o)10.9(vid)-15.7(e)9.7(d.)]TJ
1.0137 -1.1116 TD
.0129 Tc
[(Th)-5.5(is)-598.5(a)-6.6(ppr)-5.4(oa)-6.6(ch)-598.7(is)-598.5(u)-5.5(s).5(e)-6.6(ful)-598.9(n)-5.5(o).3(t)-598.9(o).3(n)-5.5(l).2(y)-598.7(f)-5.4(or)-598.7(un)-5.5(de)-6.6(rs)-5.3(tan)-5.5(d).3(i)-5.6(n).3(g)]TJ
-1.0137 -1.1116 TD
.017 Tc
[(SDOH,)-360.8(b)4.4(ut)-358.6(al)4.3(so)-358.5(i)4.3(n)-364.2(mo)4.4(vi)4.3(ng)-358.5(even)-364.2(f)4.4(a)-2.5(r)4.4(t)4.3(her)-364.2(u)4.4(ps)4.6(t)4.3(r)-1.3(eam)-359.7(t)4.3(owar)4.4(d)]TJ
0 -1.1174 TD
.0129 Tc
[(i)-5.6(d).3(e)-6.6(n).3(ti)-5.6(fy)-5.5(in)-5.5(g)-374.1(t)-5.6(he)-381(str)-5.4(u).3(c)-6.6(t).2(u)-5.5(r).3(al)-380(de)-6.6(te)-6.6(rmi)-5.6(n).3(a)-6.6(n).3(ts)-379.7(o)-5.5(f)-374.1(he)-6.6(al)-5.6(th)-5.5(:)-374.2(c)-.9(u)-5.5(l).2(t)-5.6(u).3(r)-5.4(a)-.9(l)]TJ
0 -1.1116 TD
[(n)-5.4(o).4(r)-5.3(m)-.8(s,)-359(p)-5.4(o).4(li)-5.5(ci)-5.5(es)-5.2(,)-353.3(i)-5.5(ns)-5.2(tit)-5.5(ut)-5.5(io)-5.4(ns)-5.2(,)-353.3(a)-.8(n)-5.4(d)-356.7(pr)-5.3(ac)-6.5(tic)-6.5(es)-356.5(t)-5.5(h).4(a)-6.5(t)-356.8(de)-5.2(n).4(e)-357.9(t)-5.5(he)]TJ
T*
.0177 Tc
[(di)5(st)5(ri)5(bu)5.1(t)5(i)-.8(o)5.1(n)-190.7(\(o)5.1(r)-196.5(mald)5.1(i)-.8(s)5.3(t)5(ri)5(bu)5.1(ti)5(on)5.1(\))-190.7(o)-.7(f)-190.7(S)5.2(DOH.)-187.3(Th)5.1(ese)-191.9(s)-.5(t)5(r)5.1(uctu)5.1(res)]TJ
0 -1.1174 TD
.0128 Tc
[(a)-6.7(n).2(d)-236(s)-5.4(ys)-5.4(tem)-6.8(s)-235.8(da)-6.7(te)-237.1(ba)-6.7(ck)-236(t)-5.7(o)-236(the)-237.1(f)-5.5(ou)-5.6(nd)-5.6(ing)-236(o)-5.6(f)-235.9(t).1(h)-5.6(i).1(s)-235.8(n)-5.6(ati)-5.7(o).2(n)-236(a)-6.7(nd)-236(i)-5.7(t).1(s)]TJ
0 -1.1116 TD
.013 Tc
[(e)-6.5(c)-.8(o)-5.4(nom)-6.6(y)-316.4(o)-5.4(n)-316.4(p)-5.4(ri)-5.5(nc)-6.5(ipl)-5.5(e)-.8(s)-322(o).4(f)-322.1(r)-5.3(aci)-5.5(al)-5.5(,)-318.7(c)-.8(l)-5.5(a)-.8(s)-5.2(s).6(,)-318.7(a)-6.5(nd)-322.2(gen)-5.4(d).4(e)-6.5(r)-316.4(h)-5.4(i).3(e)-6.5(r).4(a)-6.5(r).4(-)]TJ
T*
.019 Tc
[(ch)6.4(y.)]TJ
7.3823 0 0 6.5614 77.1023 334.9983 Tm
.0222 Tc
[(5)7.7(11)]TJ
9.843 0 0 9.843 94.3937 330.633 Tm
.0131 Tc
[(T)-6.5(h).5(ey)-201.1(s)-5.1(h).5(ap)-5.3(e)-196.5(t)-5.4(he)-202.3(di)-5.4(st)-5.4(ri)-5.4(bu)-5.3(tio)-5.3(n)-201.1(o).5(f)-201.1(p).5(o)-5.3(w)-.4(er)-201.1(an)-5.3(d)-201.1(r).5(es)-5.1(ou)-5.3(rc)-6.4(es)]TJ
-3.5192 -1.1116 TD
.0178 Tc
[(acro)5.2(ss)-276.8(th)5.2(e)-284(p)5.2(op)5.2(ul)5.1(ati)5.1(o)-.6(n)5.2(,)-279.4(en)5.2(gen)5.2(d)]TJ
12.4122 0 TD
.0147 Tc
[(ering)-285.9(h)-3.7(ealth)-285.9(inequitie)-4.8(s)-279.9(a)-4.8(l)2(ong)]TJ
-12.4122 -1.1174 TD
.0129 Tc
[(r)-5.4(a)-.9(c)-6.6(i).2(al)-5.6(,)-284.3(c)-.9(la)-6.6(ss)-5.3(,)-278.5(a)-6.6(nd)-281.9(g)-5.5(e)-.9(nd)-5.5(er)-281.9(l)-5.6(i).2(n)-5.5(e)-.9(s)-281.7(a)-6.6(nd)-281.9(in)-5.5(te)-6.6(rs)-5.3(ect)-5.6(io)-5.5(ns)-5.3(.)]TJ
1.0137 -1.1116 TD
0 Tc
[(The)-184.2(purpose)-181.4(of)-180.7(this)-183(review)-188.4(is)-180.7(to)-180.9(describe)-185(the)-183.1(current)-188.7(state)-180.7(of)]TJ
-1.0137 -1.1116 TD
[(maternal)-370.9(health)-360.5(in)-365.2(the)-361.7(United)-366(States,)-363.6(using)-362.5(Black)-366.1(maternal)]TJ
0 -1.1174 TD
[(health)-343.3(as)-343(an)-337.4(exemplar)-341.9(to)-342.1(understand)-341.6(the)-338.7(path)-339.8(toward)-342.8(eradi-)]TJ
0 -1.1116 TD
[(cation)-199.3(of)-198(health)-199.3(inequities.)-201.4(We)-195.7(highlight)-200.5(emergent)-197.9(theoretical)]TJ
T*
[(frameworks)-343.5(for)-343.1(broader)-338.3(exploration)-9(s)-335(o)0(f)-342(SDOH)-340.9(and)-338.5(include)]TJ
0 -1.1174 TD
[(the)-523(terms)-526.2()50.8(structural)-527.2(determinants)-525(of)-520.5(health)47.3()-525.2(and)-522.8()50.8(root)]TJ
0 -1.1116 TD
[(causes)-274.7(of)-267.1(inequities)48.6()-266(a)0(s)-268.1(w)0(e)-269.2(assess)-267.3(the)-269.5(current)-269.3(understanding)]TJ
T*
[(of)-370.8(this)-373.1(topic.)-373.2(We)-374.2(conclude)-375.3(by)-370.8(emphasizing)-374(existing)-373(policy)]TJ
0 -1.1174 TD
[(and)-401.9(practice)-405.3(solutions)-407.3(to)-399.7(promote)-401.9(maternal)-405.4(health)-400.9(and)-401.9(ad-)]TJ
0 -1.1116 TD
[(vance)-285.5(maternal)-284.5(health)-279.9(equity.)]TJ
/F3 1 Tf
8.9663 0 0 8.9663 59.7543 171.6094 Tm
[(Theoretical)-335.4(Considerations)-343.1(Specic)]TJ
0 -1.2203 TD
[(to)-336.6(the)-334.6(U.S.)-336.6(Context)]TJ
/F4 1 Tf
9.843 0 0 9.843 69.7323 144.2267 Tm
[(When)-336.1(considering)-337(maternal)-336.3(health,)-335.2(application)-338.7(of)-330.5(the)-332.9(re-)]TJ
-1.0137 -1.1116 TD
[(productive)-652.9(justice)-643.8(frameworka)-652.3(framework)-653.6(created)-646(by)]TJ
T*
[(women)-406.2(of)-399.6(colorprovides)-399(us)-405.2(with)-397.2(some)-404(guidance)-404.1(for)-394.9(ac-)]TJ
0 -1.1174 TD
[(knowledging)-250.6(an)19.7(d)-237.2(a)0(d)13.9(d)0(r)20.9(e)0(s)19.9(s)0(i)20.9(n)0(g)-226.8(s)0(t)20.9(r)0(u)15.1(c)0(t)19.5(u)0(r)20.9(a)0(l)-228.1(d)0(e)19.7(t)0(e)19.6(r)0(m)19.6(i)0(n)20.7(a)0(n)19.7(t)0(s)-232.5(o)0(f)-226.8(h)0(e)19.7(a)0(l)19.5(t)0(h)]TJ
0 -1.1116 TD
[(in)15(eq)19.7(ui)20.7(ti)20.6(es)19.9(.)]TJ
7.3823 0 0 6.5614 99.6094 104.7685 Tm
-.0162 Tc
(12)Tj
9.843 0 0 9.843 109.474 100.4031 Tm
0 Tc
[(Re)18.6(pr)15.1(od)20.8(uc)19.7(ti)20.6(ve)-256.8(ju)20.7(st)20.9(ic)19.6(e)-267.2(r)0(e)19.7(f)0(e)19.7(r)0(s)-255.4(t)0(o)-255.8(t)0(h)20.7(e)-267.2(hu)20.8(ma)18.4(n)-266(r)0(i)20.7(g)0(h)20.8(t)-266.2(to)]TJ
-5.0513 -1.1116 TD
[(pe)19.7(rs)15.3(on)20.8(al)-233.9(bo)20.8(di)20.7(ly)-232.7(au)19.7(to)20.7(no)20.8(my)-233.8(no)20.8(t)-243.1(t)0(o)-232.7(h)0(a)19.7(v)0(e)-233.7(a)-244.2(ch)19.7(il)20.6(d,)-234.9(to)-227(ha)13.9(ve)-228(a)-244.2(c)0(h)19.7(i)0(l)20.6(d)0(,)]TJ
0 -1.1174 TD
[(an)19.7(d)-254.5(t)0(o)-238.5(r)0(a)19.7(i)0(s)20.9(e)-249.9(a)-249.9(c)0(h)13.9(i)0(l)20.6(d)-248.8(in)-238.5(a)-249.9(s)0(a)19.9(f)0(e)-245.2(a)0(n)19.7(d)-248.8(su)21(st)20.9(ai)13.8(na)19.7(bl)20.7(e)-249.9(c)0(o)19.7(m)0(m)18.4(u)0(n)20.8(i)0(t)20.6(y)0(.)-240.7(T)0(h)19.6(i)0(s)]TJ
0 -1.1116 TD
[(fr)15.1(am)18.5(ew)18.8(or)20.9(k)-191.2(c)0(a)18.5(l)0(l)20.6(s)-191(fo)20.9(r)-191.1(p)0(r)20.9(o)0(g)20.8(r)0(a)19.7(m)-192.4(an)19.7(d)-185.4(p)0(o)15.1(l)0(i)20.6(c)0(y)-181.9(r)0(e)19.7(c)0(o)19.7(m)0(m)18.4(e)0(n)19.7(d)0(a)19.7(t)0(i)20.6(o)0(n)20.8(s)-191(th)20.7(at)]TJ
T*
[(di)14.9(sm)19.8(an)19.7(tl)20.6(e)-261.4(a)-261.4(b)0(e)19.7(l)0(i)20.6(e)0(f)-251(i)0(n)-250(a)-261.4(hi)20.7(er)19.7(ar)19.7(ch)19.7(y)-260.3(o)0(f)-249.8(h)0(u)20.8(m)0(a)18.4(n)-260.3(va)19.7(lu)20.7(e.)]TJ
7.3823 0 0 6.5614 250.7527 60.9449 Tm
-.0173 Tc
[(11)-17.3(,13)]TJ
9.843 0 0 9.843 269.518 56.5795 Tm
0 Tc
[(It)-250(sh)15.3(if)20.7(ts)]TJ
4.1988 67.9242 TD
[(ac)18.5(co)19.7(un)20.8(ta)19.5(bi)20.7(li)20.6(ty)-255.8(fr)20.9(om)-256.9(in)20.7(di)20.7(vi)20.7(du)20.8(al)19.5(s)-265.9(t)0(o)-250(s)0(y)15.3(s)0(t)20.9(e)0(m)18.5(s)-260.1(by)-255.6(ac)18.5(kn)20.8(ow)20(le)19.6(dg)20.8(in)20.7(g)]TJ
0 -1.1174 TD
[(th)20.7(at)-297.2(th)20.7(e)-307.5(c)0(o)19.7(n)0(t)20.7(e)0(x)19.7(t)-306.5(of)-295.9(pe)19.7(op)20.8(le)19.5(s)-295.7(li)20.6(ve)19.7(s)-306.2(d)0(e)19.7(t)0(e)19.5(r)0(m)19.6(i)0(n)20.7(e)0(s)-296.9(t)0(h)20.7(e)0(i)19.6(r)-306.3(he)19.7(al)19.5(th)-296.1(an)19.7(d)]TJ
0 -1.1116 TD
[(th)20.7(at)-349.1(bl)20.7(am)18.5(in)20.7(g)-358.2(i)0(n)15(d)0(i)20.7(v)0(i)20.7(d)0(u)20.8(a)0(l)19.5(s)-358(fo)20.9(r)-363.9(h)0(a)19.7(v)0(i)20.7(n)0(g)-347.8(p)0(o)20.8(o)0(r)-347.7(h)0(e)19.7(a)0(l)13.8(t)0(h)-347.9(o)0(r)-347.8(c)0(r)19.7(e)0(d)19.7(i)0(t)20.6(i)0(n)20.7(g)]TJ
T*
[(th)20.7(em)-258(fo)15.1(r)-266(g)0(o)15.1(o)0(d)-255.6(h)0(e)19.7(a)0(l)19.5(t)0(h)-261.5(i)0(s)-261.3(t)0(h)20.7(e)0(r)19.7(e)0(f)14(o)0(r)20.9(e)-267.2(in)14.9(ap)19.7(pr)20.9(op)20.8(ri)20.7(at)19.6(e.)]TJ
7.3823 0 0 6.5614 495.7794 696.6423 Tm
-.0162 Tc
(14)Tj
9.843 0 0 9.843 320.8251 681.3352 Tm
.0126 Tc
[(I)5.8(n)0(d)5.7(i)-.1(v)5.7(i)-.1(du)5.7(al)5.6(s)-460.6(a)4.6(re)-456.2(un)5.7(lik)5.7(el)5.6(y)-460.8(t)5.6(o)-460.8(b)5.7(e)-462(a)4.6(bl)5.6(e)-462(t)5.6(o)-460.8(c)4.6(on)5.7(tro)5.7(l)-460.9(d)5.7(i)-.1(r)5.8(e)-1.2(ctl)5.6(y)]TJ
-1.0137 -1.1174 TD
.0124 Tc
[(man)5.5(y)-311.2(of)-311.2(th)5.5(e)-318.2(u)5.5(ps)5.7(tream)-312.5(d)5.5(et)5.4(er)5.6(mi)5.4(nan)5.5(t)-.3(s)-311(o)-.2(f)-311.2(h)5.5(ealth)5.5(:)-311.4(gov)5.5(er)5.6(nance,)]TJ
0 -1.1116 TD
.0131 Tc
[(p)6.2(o).5(l)6.1(i).4(cy)6.2(,)-255.3(a)5.1(nd)-252.9(c)5.1(u).5(l)6.1(t).4(u)6.2(r).5(al)-247.3(or)-252.9(so)6.2(ci)6.1(et)6.1(al)-253.1(n)6.2(orm)5(s)-252.7(a)5.1(nd)-252.9(v)6.2(a)-.7(lu)6.2(es)-252.7(t)6.1(h).5(a)5.1(t)-253.1(sh)6.2(ape)]TJ
T*
-.0252 Tc
[(w)-32.9(h)-37.8(o)-256.7(h)-32.1(a)-39(s)-256.5(ac)-4.4(cess)-221.9(t)2.4(o)-222.1(h)-3.3(ealth-promoting)]TJ
13.927 0 TD
-.0225 Tc
[(reso)5.2(ur)5.2(ces)-219.2(a)4(nd)-213.7(op)5.2(po)5.2(rt)5.1(un)5.2(it)5.1(ies)]TJ
-13.927 -1.1174 TD
-.0229 Tc
[(and)-265.9(w)3.9(ho)-265.9(d)4.8(o)-1(es)-265.7(no)4.8(t.)-268.2(Begi)4.7(nn)4.8(in)4.8(g)-265.9(f)-.9(r)4.8(o)-1(m)-267.1(t)4.7(hi)4.7(s)-271.5(v)4.8(ant)4.7(a)-2.1(g)4.8(e)-267.1(po)4.8(in)4.8(t)-266(a)-2.1(l)4.7(l)-1.1(o)4.8(w)-1.8(s)-265.7(a)3.6(n)]TJ
0 -1.1116 TD
-.0275 Tc
[(un)-5.6(de)-6.7(rs)-5.4(ta)-6.7(nd)-5.6(in)-5.6(g)-316.6(o)-5.6(f)-316.5(w)-6.4(hy)-322.3(so)-5.6(ci)-5.7(al)-322.5(de)-6.7(te)-6.7(rmi)-5.7(n).2(a)-6.7(n).2(t)-5.7(s)-316.4(a)-6.7(r).2(e)-323.5(b).2(o)-5.6(r).2(n)-322.3(f).2(r)-5.5(o).2(m)-323.6(s).4(t)-5.7(r).2(u)-5.5(c)-1(-)]TJ
T*
0 Tc
[(t)27.6(u)21.9(r)27.7(a)20.8(l)-433.2(determinants)-461.6(and)-459.5(cannot)-458.3(be)-458.4(addressed)-462.2(separately.)-468.4(In)]TJ
0 -1.1174 TD
[(other)-312(words,)-309.1(no)-307.5(matter)-315.7(how)-309.4(empowered,)-312.7(knowledgeable,)-317.3(or)]TJ
0 -1.1116 TD
[(willing)-228(someo)-7.7(ne)-228(is)-232.5(to)-227(change)-234.7(their)-231.5(behavior,)-233.5(they)-230.3(may)-230.3(not)-233.8(be)]TJ
T*
[(able)-410(to)-405.5(do)-405.4(so)-410.9(because)-409.6(of)-405.3(structural)-416.7(determinants)-409.8(of)-405.3(health)]TJ
T*
(inequities.)Tj
1.0137 -1.1174 TD
[(Re)18.6(ce)18.5(nt)-405.5(ef)19.7(fo)20.9(rt)20.7(s)-415.6(t)0(o)-405.5(i)0(d)15(e)0(n)19.7(t)0(i)20.6(f)0(y)-405.3(r)0(o)20.9(o)0(t)-405.5(c)0(a)18.5(u)0(s)15.3(e)0(s)-406.3(o)0(f)-405.3(m)0(a)18.4(t)0(e)19.5(r)0(n)20.9(a)0(l)-406.7(h)0(e)19.7(a)0(l)19.6(t)0(h)]TJ
-1.0137 -1.1116 TD
[(in)20.7(eq)19.7(ui)20.7(ty)-198.2(ha)19.7(ve)-205(hi)20.7(gh)20.8(li)20.6(gh)20.8(te)19.5(d)-208.4(h)0(o)20.8(w)-209.3(a)-215.4(f)0(o)20.9(c)0(u)19.7(s)-208.3(on)-198(in)20.7(di)20.7(vi)14.9(du)20.8(al)19.5(s)-208.2(a)0(n)19.7(d)-208.4(th)20.7(ei)19.5(r)]TJ
T*
[(ex)19.7(pe)19.7(ri)20.7(en)19.7(ce)18.5(d)-220(r)0(i)20.7(s)0(k)-209.3(f)0(a)19.7(c)0(t)19.5(o)0(r)20.9(s)0()19.9(c)0(l)19.5(i)0(n)15(i)0(c)19.5(a)0(l)19.5(,)-216.5(be)19.7(ha)19.7(vi)20.7(or)15.1(al)19.5(,)-216.5(a)0(n)19.7(d)-214.2(ev)13.9(en)-205(so)21(ci)19.6(al)]TJ
0 -1.1174 TD
[(de)19.7(te)19.6(rm)19.6(in)20.7(an)19.7(ts)15.1()15.1(r)0(e)13.9()0(e)19.8(c)0(t)-245.4(a)0(c)18.5(t)0(i)20.6(o)0(n)20.8(s)-254.3(of)-244.1(th)20.7(e)-255.7(i)0(n)20.7(d)0(i)20.7(v)0(i)20.7(d)0(u)20.8(a)0(l)-245.4(r)0(a)19.7(t)0(h)20.7(e)0(r)-245.2(t)0(h)14.9(a)0(n)-239.5(t)0(h)14.9(e)]TJ
0 -1.1116 TD
[(hi)20.7(st)20.9(or)20.9(ic)19.6(al)13.8(,)-199.3(s)0(y)21(s)0(t)20.9(e)0(m)18.5(i)0(c)19.6(,)-205(st)20.9(ru)20.9(ct)19.5(ur)15.1(al)19.5(,)-199.3(a)0(n)19.7(d)-202.7(po)20.8(li)20.6(ti)20.6(ca)18.5(l)-202.8(f)0(o)20.9(r)0(c)19.7(e)0(s)-193.2(t)0(h)20.7(a)0(t)-193.6(c)0(r)19.7(e)0(a)18.5(t)0(e)19.5(d)]TJ
T*
[(th)20.7(em)18.4(.)-314.4(D)0(e)18.8(v)0(e)19.7(l)0(o)20.7(p)0(e)19.7(d)-317.9(by)-307.5(Ro)19.8(ac)18.5(h)-312.1(i)0(n)-307.6(2)0(0)20.8(1)0(6)20.8(,)-320.2(th)20.7(e)-313.3(R)0(e)18.6(s)0(t)15.1(o)0(r)20.9(i)0(n)20.7(g)-317.9(Ou)20(r)-312.1(O)0(w)19.1(n)]TJ
0 -1.1174 TD
[(Th)19.6(ro)20.9(ug)20.8(h)-600.1(T)0(r)19.7(a)0(n)19.7(s)0(f)21.1(o)0(r)20.9(m)0(a)18.4(t)0(i)20.6(o)0(n)-589.7(\()0(R)19.8(O)0(O)19.1(T)0(T)18.5(\))-600.1(th)20.7(eo)19.7(re)19.7(ti)20.6(ca)18.5(l)-600.2(f)0(r)20.9(a)0(m)18.4(e)0(w)18.8(o)0(r)20.9(k)]TJ
0 -1.1116 TD
[(el)19.5(uc)19.7(id)20.7(at)19.5(es)-227.8(th)20.7(e)-238.4(w)0(e)18.8(b)-231.5(of)-226.8(ca)18.5(us)21(at)13.8(io)20.7(n)-231.5(b)0(e)19.7(t)0(w)14.1(e)0(e)18.5(n)-231.5(st)20.9(ru)15.1(ct)19.5(ur)20.9(al)-228.1(an)19.7(d)-231.5(S)0(D)20.1(O)0(H)]TJ
T*
[(an)19.7(d)-329.4(w)0(e)18.8(l)0(l)20.6(n)0(e)13.9(s)0(s)-318.6(\()0(F)21(i)0(g)20.7(.)-331.7(1\))15.1(.)]TJ
7.3823 0 0 6.5614 396.7369 477.4676 Tm
(15)Tj
9.843 0 0 9.843 407.2818 473.1022 Tm
[(Th)19.6(is)-324.7(fr)20.9(am)18.5(ew)18.8(or)20.9(k)-335.2(i)0(d)20.7(e)0(n)19.7(t)0(i)20.6()0(e)19.8(s)-335(th)20.7(e)-330.6(s)0(o)21(c)0(i)19.6(a)0(l)]TJ
-9.7973 -1.1174 TD
[(de)19.7(te)19.6(rm)19.6(in)20.7(an)19.7(ts)-399.6(of)-399.6(Bl)19.7(ac)18.5(k)-404.3(m)0(a)18.4(t)0(e)19.6(r)0(n)20.9(a)0(l)-400.9(h)0(e)19.7(a)0(l)19.5(t)0(h)20.7()0(e)18.6(d)0(u)20.8(c)0(a)18.5(t)0(i)14.8(o)0(n)20.8(,)-406.6(in)20.7(co)19.7(me)18.4(,)]TJ
0 -1.1116 TD
[(ne)19.7(ig)20.7(hb)20.8(or)20.9(ho)20.8(od)-307.5(ch)19.7(ar)19.7(ac)18.5(te)19.6(ri)15(st)20.9(ic)19.6(s,)-303.8(ho)20.8(us)15.3(in)20.7(g,)-304(ac)18.5(ce)18.5(ss)-307.1(to)-301.8(ca)18.5(re)19.7(,)-314.5(s)0(a)14.1(f)0(e)19.7(t)0(y)20.7(,)]TJ
T*
[(an)19.7(d)-294.8(f)0(o)20.9(o)0(d)-284.4(s)0(t)20.9(a)0(b)19.7(i)0(l)14.8(i)0(t)20.6(y)0()19.7(a)0(n)19.7(d)-294.8(ho)20.8(w)-295.7(t)0(h)20.7(e)0(i)19.5(r)-294.8(av)19.7(ai)19.5(la)13.8(bi)20.7(li)20.6(ty)-284.5(to)-284.6(Bl)19.7(ac)18.5(k)-294.8(f)0(a)19.7(m)0(i)19.5(-)]TJ
T*
[(li)20.6(es)-164.4(ha)19.7(s)-179.5(b)0(e)19.7(e)0(n)-164.6(d)0(i)20.7(c)0(t)19.5(a)0(t)13.8(e)0(d)-164.6(b)0(y)-163.5(t)0(h)20.7(e)-180.8(ve)19.7(ry)-163.4(st)20.9(ru)15.1(ct)19.5(ur)20.9(e)-175.1(o)0(f)-163.4(A)0(m)18.7(e)0(r)13.9(i)0(c)19.6(a)0(n)-164.6(s)0(o)21(c)0(i)19.5(e)0(t)19.5(y)]TJ
0 -1.1174 TD
[(fr)20.9(om)-262.6(th)20.7(e)-267.2(t)0(i)14.8(m)15(e)-273(o)0(f)-261.4(s)0(l)20.9(a)0(v)19.7(e)0(r)19.7(y)0(.)]TJ
1.0137 -1.1116 TD
-.0216 Tc
[(Struct)-5.5(ural)-391.4(rac)-6.6(i).2(sm)-392.5(and)-391.3(i).2(nst)-5.6(ituti)-5.5(onal)-391.4(poli)-5.6(c)-.8(ies)-391.1(a)-.8(nd)-391.3(pra)-6.6(c)-.8(tices)-5.2()]TJ
-1.0137 -1.1116 TD
[(Jim)-306.2(C)-.8(row)-6.4(,)-301.6(the)-306.2(G)-.6(I)-305(B)-.8(i)-5.7(ll,)-301.6()46.4(re)-6.7(dlinin)-5.5(g)52.1()-305(\().3(h)-5.5(o).2(me)-306.2(mortga)-6.7(ge)-306.2(denial)-305.2(on)]TJ
0 -1.1174 TD
[(the)-254.2(b)-5.4(asis)-258.6(of)-253.1(r)-5.4(ace)-254.2(and)-258.8(gove)-6.6(rnment-)-5.4(b).3(acked)-258.8(disi)-5.5(nvest)-5.6(ment)-253.2(i)-5.6(n)-253.1(non-)]TJ
0 -1.1116 TD
[(White)-599.7(nei)-5.5(ghbor)-5.3(hoods)-5.1(\),)-595.1(ma)-6.5(ss)-598.4(incar)-5.3(cerat)-5.4(ionare)-599.7(h)-5.3(istor)-5.3(i).3(cally)]TJ
T*
[(base)-6.5(d)-327.9(f)-5.3(eatur)-5.3(es)-333.4(of)-333.6(an)-333.6(over)-5.3(tly)-333.6(opp)-5.3(ress)-5.1(ive)-334.8(U)-.4(.S.)-330.2(s)-5.1(ociet)-5.4(y)-333.6(that)-333.7(have)]TJ
0 -1.1174 TD
[(endur)-5.3(ed)-299.1(and)-299.1(a)-.7(dap)-5.3(t).3(ed)-299.1(over)-299(t).3(i)-5.4(m)-.8(e)-300.2(a)-.7(nd)-299.1(conti)-5.5(nue)-300.2(to)-299.1(sha)-6.5(p).4(e)-300.2(c)-.7(ontem-)]TJ
0 -1.1116 TD
[(pora)-6.6(r).4(y)-328(acce)-6.6(ss)-327.8(to)-333.7(healt)-5.5(h).3(-pro)-5.4(moting)-333.7(r).4(esou)-5.4(rces)-333.5(and)-328(opp)-5.4(ortun)-5.4(ities)]TJ
T*
-.0209 Tc
[(necessary)-436.7(for)-436.7(optimal)-431.1(Black)-430.9(ma)-5.9(terna)-5.9(l)-431.1(and)-436.7(i).9(nfant)-431.1(h)-4.7(ealth)-436.7(out-)]TJ
T*
-.0195 Tc
(comes.)Tj
7.3823 0 0 6.5614 337.2661 324.0566 Tm
-.0239 Tc
[(16)7.6(19)]TJ
9.843 0 0 9.843 358.866 319.6913 Tm
-.0204 Tc
[(Work)-418.9(that)-419(see)-5.4(k)1.5(s)-418.7(t)1.4(o)-424.7(f)1.6(urther)-418.9(elucidate)-420.1(t)1.4(he)-425.8(web)-418.9(o)1.5(f)]TJ
-4.8785 -1.1174 TD
-.0208 Tc
[(causation)-315.6(b)1.1(etween)-315.6(the)-316.8(s)-4.4(tructural)-315.8(a)0(nd)-315.6(SDOH)-316.5(for)-315.6(B)-5.6(lack)-315.6(women)]TJ
0 -1.1116 TD
-.0216 Tc
[(and)-316.4(o).3(th)-5.4(er)-316.4(dise)-6.6(nfran)-5.4(c)-.8(hise)-6.6(d)-310.7(g)-5.4(roups)-322(has)-316.2(t).2(he)-317.6(po)-5.4(tenti)-5.6(a)-.8(l)-316.6(t).2(o)-316.4(f).4(aci)-5.6(litate)]TJ
T*
[(the)-282.9(i).3(dent)-5.4(icat)-5.5(ion)-281.8(o).4(f)-276(i)-5.5(nterv)-5.3(e)-.7(ntion)-5.3(s)-275.8(a)-6.5(n).4(d)-276(p)-5.3(olici)-5.5(e)-.7(s)-275.8(t)-5.5(hat)-281.9(can)-281.8(remedi-)]TJ
0 -1.1174 TD
[(ate)-282.9(a)-.7(nd)-281.8(elimi)-5.4(n).4(ate)-282.9(i).3(neq)-5.3(u).4(alit)-5.4(ies)-281.6(i).3(n)-281.8(h).4(ealt)-5.5(h)-276(a)-6.5(c)-.7(ross)-281.6(th)-5.3(e)-277.2(p)-5.3(opulat)-5.5(ion.)]TJ
/F3 1 Tf
8.9663 0 0 8.9663 310.8472 248.3716 Tm
0 Tc
[(Health)-332.8(Systems)-334.1(Considerations)-336.8(as)-337.6(Structural)]TJ
0 -1.2266 TD
[(Determinants)-337.6(of)-330.2(Maternal)-336.7(Health)]TJ
/F4 1 Tf
9.843 0 0 9.843 320.8251 220.9322 Tm
[(Health)-228.9(policy)-232.7(researchers)-236.3(have)-225.6(identied)-231.3(four)-234.7(key)-229.1(features)]TJ
-1.0137 -1.1116 TD
[(of)-330.5(the)-338.7(U.S.)-332.3(health)-337.5(care)-336.2(system)-331.3(that)-339.9(result)-330.4(in)-336.4(a)-330.6(health)-337.5(disad-)]TJ
T*
[(vantage)-189.9(for)-187.5(individuals.)]TJ
7.3823 0 0 6.5614 403.1432 203.4141 Tm
(20)Tj
9.843 0 0 9.843 412.3275 199.0488 Tm
[(First,)-193.1(the)-188.9(U.S.)-182.6(health)-193.5(system)-187.3(suffers)]TJ
-10.3099 -1.1174 TD
[(from)-397.2(nancial)-404.1(barriers)-402.6(to)-394(care,)-403(a)-399.7(shortage)-402.7(of)-393.8(primary)-401.8(care)]TJ
0 -1.1116 TD
[(providers,)-446.4(and)-442.2(important)-444.6(gaps)-443.1(in)-440.1(quality)-447(of)-445.7(care.)-443.3(Second,)]TJ
T*
[(many)-260.2(Am)24.5(er)25.5(ic)25.3(an)25.4(s)-254.3(l)16.1(iv)26.5(e)-249.9(i)0(n)-238.5(s)16.4(tr)20.7(u)16.2(c)0(t)25.3(u)0(r)26.6(e)0(d)-239.5(e)15(nv)26.6(ir)26.5(on)20.8(m)15(e)15(n)0(t)20.7(s)-248.6(t)16(h)0(a)25.4(t)-248.9(pr)26.6(od)26.6(uc)19.7(e)]TJ
T*
[(a)-169.3(h)16.2(ig)26.5(he)25.4(r)-173.9(p)16.2(re)25.5(va)25.4(le)25.3(nc)25.4(e)-169.3(o)0(f)-157.7(c)15(er)19.7(t)16.1(a)0(i)25.3(n)-168.1(un)26.6(he)25.4(al)25.3(th)20.7(y)-168.1(b)16.2(eh)25.4(av)25.4(io)26.5(rs)-157.5(th)26.5(an)-158.9(i)16.1(n)-168.1(ot)26.5(he)25.4(r)]TJ
0 -1.1174 TD
[(d)16.2(e)0(v)25.4(e)0(l)25.3(o)0(p)26.6(e)0(d)-222.2(c)0(o)25.4(u)0(n)26.6(t)0(r)26.5(i)0(e)25.3(s)-237(\()16.2(c)0(o)25.4(n)0(s)26.8(u)0(m)25.4(p)0(t)26.5(i)0(o)26.5(n)-237.2(o)16.2(f)-231.5(mo)25.4(re)-222.2(c)15(a)0(l)25.3(o)0(r)26.6(i)0(e)25.3(s)-237(p)16.2(e)0(r)-222.2(c)15(ap)25.4(it)26.3(a,)]TJ
0 -1.1116 TD
[(h)16.2(i)0(g)26.5(h)0(e)25.4(r)-214.2(ra)25.5(te)25.3(s)-214(o)16.2(f)-214.2(p)0(r)26.6(e)0(s)25.6(c)0(r)25.5(i)0(p)26.5(t)0(i)20.6(o)16.2(n)-214.2(a)15(nd)-198(il)26.3(li)26.3(ci)19.5(t)-208.6(d)0(r)26.6(u)0(g)-198(m)0(i)25.2(s)0(u)26.8(s)0(e)19.9(,)-210.8(m)15(o)0(r)26.6(e)-215.4(t)16(r)0(a)25.5(f)0()21(c)]TJ
T*
[(a)15(c)0(c)24.3(i)0(d)26.5(e)0(n)25.4(t)0(s)-180.7(i)0(n)26.5(v)0(o)26.6(l)0(v)26.5(i)0(n)26.5(g)-191.2(al)19.5(c)15(o)0(h)26.6(o)0(l)26.5(\))0(.)-177.3(T)0(h)25.4(i)0(r)20.7(d)16.2(,)-193.5(r)16.2(el)25.3(at)25.3(iv)26.5(e)-192.3(t)0(o)-180.9(o)0(t)26.5(h)0(e)25.4(r)-191.1(de)25.4(ve)25.4(lo)26.5(pe)25.4(d)]TJ
0 -1.1174 TD
[(c)15(o)0(u)26.6(n)0(t)26.5(r)0(i)20.7(e)15(s,)-194.4(t)16.1(h)0(e)-193.4(U)0(n)20(i)16.1(te)25.3(d)-208.4(S)16.3(ta)25.3(te)25.3(s)-208.3(l)0(a)25.3(g)0(s)-192.1(i)0(n)-192.4(e)0(d)25.4(u)0(c)25.4(a)0(t)25.3(i)0(o)20.7(n)16.2(al)-193.6(at)25.3(ta)25.3(in)26.5(me)24.2(nt)26.5(,)-205(a)0(n)25.4(d)]TJ
0 -1.1116 TD
[(v)16.2(a)0(s)25.6(t)-346.8(i)16.1(n)0(c)19.7(o)16.2(m)15(e)-347.8(i)16.1(n)0(e)25.4(q)0(u)26.6(a)0(l)19.5(i)16.1(ty)-330.6(ha)25.4(s)-346.5(r)16.2(es)25.6(ul)20.7(t)16.1(e)0(d)-331.7(i)0(n)-330.6(a)-342.1(co)25.4(nc)25.4(en)19.7(t)16.1(r)0(a)25.5(t)0(i)26.3(o)0(n)-330.5(o)0(f)-330.5(r)0(e)25.5(-)]TJ
T*
[(s)16.4(o)0(u)26.6(r)0(c)19.7(e)15(s)-191(a)15(mo)25.4(ng)-175(a)-192.3(s)16.4(ma)24.2(ll)-175.2(se)25.6(gm)25.4(en)25.4(t)-191.3(o)16.2(f)-191.1(t)0(h)26.5(e)-192.3(p)16.2(o)0(p)26.6(u)0(l)26.5(a)0(t)25.3(i)0(o)26.5(n)0(,)-177.3(w)0(i)25.6(t)0(h)-175.1(a)0(d)25.4(v)0(e)25.4(r)0(s)21.1(e)]TJ
0 -1.1174 TD
[(i)16.1(m)0(p)25.4(l)0(i)26.3(c)0(a)24.3(t)0(i)26.3(o)0(n)20.8(s)-404.1(f)16.2(o)0(r)-393.8(p)16.2(op)20.8(u)16.2(l)0(a)25.3(t)0(i)26.3(o)0(n)-393.9(h)16.2(ea)24.3(lt)26.3(h)-404.3(a)0(n)25.4(d)-410(h)16.2(e)0(a)24.3(l)0(t)26.3(h)-404.3(in)26.5(eq)25.4(ui)26.5(ti)20.6(e)15(s)0(,)-390.2(i)0(n)26.5(-)]TJ
0 -1.1116 TD
[(c)15(l)0(u)26.5(d)0(i)26.5(n)0(g)-272.9(m)0(a)24.2(t)0(e)25.3(r)0(n)26.6(a)0(l)-274.2(a)0(n)25.4(d)-283.3(in)26.5(fa)19.7(n)16.2(t)-283.5(mo)25.4(rt)26.5(al)25.3(it)20.6(y)16.2(.)]TJ
7.3823 0 0 6.5614 458.5322 71.8866 Tm
-.0169 Tc
(21,22)Tj
9.843 0 0 9.843 477.4676 67.5212 Tm
0 Tc
[(Fo)26.8(ur)26.6(th)26.5(,)-285.7(A)0(m)24.5(e)0(r)25.5(i)0(c)25.3(a)0(n)25.4(s)]TJ
-16.9278 -1.1116 TD
[(l)16.1(i)0(v)26.5(e)-347.8(i)16.1(n)-340.9(a)-342.1(b)0(u)20.8(i)16.1(lt)-330.8(e)15(n)0(v)26.6(i)0(r)20.7(o)16.2(nm)25.4(en)25.4(t)-341(t)0(h)26.5(a)0(t)-331.8(d)0(o)26.6(e)0(s)-331.5(n)16.2(ot)-330.6(en)25.4(co)25.4(ur)26.6(ag)25.4(e)-347.8(p)16.2(hy)26.6(si)26.7(ca)24.3(l)]TJ
/F3 1 Tf
8.9663 0 0 8.9663 59.7543 749.7069 Tm
[(DETERMINANTS)-340.4(OF)-337.5(MATERNAL)-331.9(HEALTH)-340.1(INEQUITIES)-27017.5(231)]TJ
ET
endstream
endobj
32 0 obj
<>stream
/GS1 gs
BT
/F4 1 Tf
9.843 0 0 9.843 62.022 275.8676 Tm
0 0 0 rg
0 Tc
0 Tw
[(ac)24.3(ti)26.3(vi)26.5(ty)-491.9(a)15(n)0(d)-491.8(l)0(i)26.3(v)0(e)-492.9(i)16.1(n)-502.2(m)0(o)25.4(r)0(e)-492.9(r)16.2(ac)24.3(ia)19.6(l)16.1(l)0(y)-491.9(s)16.4(eg)25.4(re)25.5(ga)19.7(t)16.1(e)0(d)-492.9(c)15(om)25.4(m)15(u)0(n)20.8(i)16.1(ti)26.3(es)]TJ
0 -1.1116 TD
[(\(l)26.5(ar)25.5(ge)25.4(ly)-255.8(a)-267.2(r)0(e)25.5(s)0(u)26.8(l)0(t)-255.9(o)0(f)-255.6(r)0(e)25.5(d)0(l)26.5(i)0(n)26.5(i)0(n)26.5(g)0(\))26.6(.)]TJ
7.3823 0 0 6.5614 176.2015 269.2913 Tm
-.0162 Tc
(23)Tj
9.843 0 0 9.843 72 253.9842 Tm
0 Tc
[(Overlaying)-394.6(these)-387.9(features)-392.3(with)-391.4(the)-390.5(upward)-388.8(trend)-392.7(in)-388.2(ma-)]TJ
-1.0137 -1.1174 TD
[(ternal)-354.7(mortality)-352.6(and)-350(morbidity,)]TJ
7.3823 0 0 6.5614 186.9165 247.4078 Tm
(2)Tj
9.843 0 0 9.843 194.0598 242.9858 Tm
[(one)-350(may)-351.3(infer)-352.3(that)-351.4(diverse)]TJ
-13.4144 -1.1116 TD
[(pregnant)-489.3(women)-486.8(may)-483.8(have)-490.5(encountered)-489.2(barriers)-489(to)-480.4(well-)]TJ
T*
[(woman)-198.8(care,)-195.6(which)-203.5(may)-195.8(lead)-196.9(them)-197(to)-198.2(delay)-198(getting)-193.6(care)-197.9(when)]TJ
T*
[(they)-259.1(need)-265.9(it)-261.6(the)-258(most.)-262.4(Th)19.6(e)-249.9(s)0(h)21(o)16.2(rt)20.7(ag)19.7(e)-249.9(o)0(f)-238.3(p)0(r)20.9(i)0(m)19.5(a)0(r)19.7(y)-248.8(c)15(a)0(r)19.7(e)-249.9(pr)20.9(ov)20.8(id)20.7(er)19.7(s)]TJ
0 -1.1174 TD
(\()Tj
/F8 1 Tf
.3225 0 TD
[(e.)23.1(g)]TJ
/F4 1 Tf
1.1635 0 TD
[(.,)-294.8(nu)20.8(rs)21.1(e)-307.5(m)0(i)19.5(d)0(w)25.7(i)0(v)20.7(e)0(s)19.9(,)-308.7(ob)26.6(st)20.9(et)19.5(ri)20.7(ci)19.5(an)19.7(s,)-292.3(nu)20.8(rs)21.1(es)19.9(\))-306.3(p)0(u)20.8(t)0(s)-290.1(d)0(i)20.7(v)0(e)19.7(r)0(s)21.1(e)-307.5(wo)20(-)]TJ
-1.486 -1.1116 TD
[(me)18.4(n)-214.2(a)15(t)-214.3(r)0(i)20.7(s)0(k)-203.6(f)0(o)20.9(r)-214.2(th)20.7(e)-209.6(d)0(e)19.7(l)0(a)19.6(y)-214.2(or)-198(om)19.6(is)20.9(si)20.9(on)-203.8(of)-203.8(t)16.1(w)0(o)-204.7(e)0(s)19.9(s)0(e)19.9(n)0(t)20.7(i)0(a)19.6(l)-208.6(ac)18.5(ti)20.6(vi)20.7(ti)20.6(es)]TJ
T*
[(du)20.8(ri)20.7(ng)-313.2(th)20.7(e)-324.8(p)0(e)19.7(r)0(i)20.7(n)0(a)19.7(t)0(a)19.6(l)-323.8(pe)19.7(ri)20.7(od)20.8(:)-323.8(s)0(e)19.9(e)0(k)19.7(i)0(n)20.7(g)-323.6(ca)18.5(re)-314.4(at)-314.5(an)-320.1(ea)24.3(rl)20.7(y)-329.4(s)0(t)20.9(a)0(g)25.4(e)-330.6(in)]TJ
0 -1.1174 TD
[(pr)20.9(eg)19.7(na)19.7(n)16.2(c)0(y)-291.3(a)0(n)19.7(d)-294.8(bu)20.8(il)20.6(di)20.7(ng)-284.4(tr)20.7(us)21(t)-295(w)0(i)19.8(t)0(h)-290.3(p)16.2(ro)20.9(vi)20.7(de)19.7(rs)21.1(.)-297.2(T)0(h)19.6(i)0(s)-284.4(r)0(i)20.7(s)0(k)-290(i)0(s)-284.4(a)0(m)18.5(-)]TJ
0 -1.1116 TD
[(pl)20.7(i)20.9(ed)-228(fo)20.9(r)-237.2(w)0(o)20(m)0(e)18.4(n)-237.2(wh)20(o)-237.2(h)0(a)19.7(v)0(e)-233.7(p)16.2(re)19.7(ex)19.7(is)20.9(ti)20.6(ng)-226.8(co)19.7(nd)20.8(it)20.6(io)20.7(ns)-226.6(wh)20(en)-228(th)20.7(ey)]TJ
T*
[(be)19.7(co)19.7(m)15(e)-434.2(p)16.2(r)0(e)19.7(g)0(n)20.8(a)0(n)19.7(t)-427.4(or)-416.9(wh)20(o)-427.3(d)0(e)19.7(v)0(e)19.7(l)0(o)20.7(p)-427.3(co)19.7(m)15(o)0(r)20.9(b)0(i)20.7(d)0(i)20.7(t)0(i)20.6(e)0(s)-417.9(d)0(u)20.8(r)0(i)20.7(n)0(g)-416.9(t)0(h)20.7(e)]TJ
0 -1.1174 TD
[(pe)19.7(ri)20.7(na)19.7(ta)25.3(l)-415.9(p)0(e)19.7(r)0(i)20.7(o)16.2(d.)-401.9(Th)19.6(is)-405.3(c)15(o)0(m)19.6(b)0(i)20.7(n)0(a)19.7(t)0(i)20.6(o)0(n)-399.6(o)0(f)-399.6(m)0(u)19.6(l)0(t)20.6(i)0(l)20.6(e)0(v)19.7(e)15(l)-415.9(f)0(a)19.7(c)0(t)25.3(o)0(r)20.9(s)-415.6(in)20.7(-)]TJ
0 -1.1116 TD
[(cr)19.7(ea)18.5(se)19.9(s)-340.7(t)0(h)20.7(e)-347.8(ri)20.7(sk)-330.3(of)-336.2(ma)18.4(te)19.5(rn)26.6(al)-337.6(mo)19.6(rb)20.9(id)26.5(it)20.6(y)-346.7(a)0(n)19.7(d)-340.9(mo)19.6(rt)20.7(al)19.5(it)20.6(y)-340.9(a)0(n)19.7(d)-346.7(re)19.7(-)]TJ
T*
[(e)19.8(ct)19.5(s)-185.2(m)15(or)20.9(e)-186.6(f)0(u)20.9(n)0(d)20.8(a)15(me)18.4(nt)20.7(al)-176.3(c)15(a)0(u)19.7(s)0(e)19.9(s)-185.2(an)19.7(d)-179.6(d)0(i)20.7(s)0(i)20.9(n)0(v)20.8(e)0(s)19.9(t)0(m)19.5(e)15(nt)20.7(s,)-177.1(su)21(c)15(h)-185.4(as)-176(\(1)20.9(\))]TJ
T*
[(pu)20.8(bl)20.7(ic)-285.7(he)19.7(al)19.6(th)-290.3(de)19.7(pa)25.4(rt)20.7(me)18.4(nt)20.7(s)-300.4(t)0(h)20.7(a)15(t)-300.7(n)0(o)-290.2(l)0(o)20.7(n)0(g)20.8(e)0(r)-285.6(p)0(r)20.9(o)0(v)20.8(i)0(d)20.7(e)-301.8(di)20.7(re)25.5(ct)-291.5(me)18.4(d-)]TJ
0 -1.1174 TD
[(ic)19.5(al)-170.5(ca)18.5(re)]TJ
7.3823 0 0 6.5614 93.9401 93.9401 Tm
-.0162 Tc
[(24)-16.2(,)11.9(2)-16.2(5)]TJ
9.843 0 0 9.843 110.0409 89.5748 Tm
0 Tc
[(;)-179.8(\()0(2)20.9(\))-185.4(th)20.7(e)-180.8(s)0(h)21(o)0(r)20.9(t)0(a)19.6(g)0(e)-170.4(o)0(f)-175(o)16.2(bs)21(te)19.6(tr)20.7(ic)19.6(ia)19.6(ns)21(,)-182(n)0(u)20.8(r)0(s)21.1(e)-180.8(mi)19.5(dw)25.7(iv)20.7(es)19.9(,)]TJ
-4.8785 -1.1116 TD
[(an)19.7(d)-317.9(w)0(e)18.8(l)0(l)20.6(-)0(w)25.8(o)0(m)19.6(e)0(n)-308.6(n)0(u)20.8(r)0(s)21.1(e)0(s)-308.4(i)0(n)-307.6(l)0(o)20.7(w)0(-)20(i)0(n)20.7(c)15(om)19.6(e)-319(c)0(o)19.7(m)0(m)24.1(u)0(n)20.8(i)0(t)20.6(i)0(e)19.6(s)-317.7(th)20.7(at)-308.8(ar)19.7(e)]TJ
T*
[(pr)20.9(ed)19.7(om)25.4(in)20.7(an)19.7(tl)20.6(y)-323.6(r)0(a)19.7(c)0(i)19.5(a)0(l)19.5(l)0(y)-313.3(a)0(n)19.7(d)-323.6(et)19.5(hn)20.8(ic)19.6(al)19.5(ly)-313.3(di)20.7(ve)19.7(rs)21.1(e)]TJ
7.3823 0 0 6.5614 240.0377 72.0567 Tm
(26)Tj
9.843 0 0 9.843 247.2377 67.6913 Tm
[(;)-329.5(a)15(nd)-319(\(3)20.9(\))-323.6(d)0(a)19.7(t)0(a)]TJ
-18.817 -1.1174 TD
[(co)19.7(ll)20.6(ec)18.5(t)16.1(i)0(o)20.7(n)-271.8(ef)19.7(fo)20.9(rt)26.5(s)-271.6(t)0(h)20.7(a)0(t)-256.9(v)0(a)19.7(r)0(y)-261.3(a)0(c)24.3(r)0(o)20.9(s)0(s)-261(c)0(o)19.7(u)0(n)20.8(t)0(y)-255.8(a)0(n)19.7(d)-266(st)20.9(at)19.6(es)-262.4(li)20.6(n)16.2(e)0(s)19.9(.)]TJ
7.3823 0 0 6.5614 284.485 61.0583 Tm
-.0162 Tc
[(24)-16.2(,)11.9(2)-16.2(5)]TJ
/F3 1 Tf
8.9663 0 0 8.9663 313.0582 276.548 Tm
0 Tc
[(Overview)-337.8(of)-330.2(Existing)-337(Policies)-337.2(and)-331.9(Practices)]TJ
0 -1.2267 TD
[(to)-336.6(Address)-337.9(Structural)-337(and)-331.9(Social)-335.6(Determinants)]TJ
0 -1.2203 TD
[(of)-336.6(Maternal)-336.7(Health)]TJ
/F4 1 Tf
9.843 0 0 9.843 323.0361 238.1668 Tm
[(Addressing)-410.2(the)-402(deeply)-406.5(rooted)-411(causes)-407.1(of)-405.3(maternal)-405.4(health)]TJ
-1.0137 -1.1116 TD
[(inequities)-215.3(will)-213(require)-217.5(multiple)-213.3(and)-211.8(sustained)-213.7(interventions)-212.8(at)]TJ
0 -1.1174 TD
[(every)-422.5(level.)-420.5(P)-18.2(a)-25.3(s)-18.2(s)-23.9(a)-19.5(g)-24.1(e)-440(o)-18.4(f)-438.8(e)-19.5(v)-24.1(i)-18.5(d)-24.1(e)-19.5(n)-24.1(c)-19.5(e)-19.5(-)-24.1(b)-18.4(a)-25.3(s)-18.2(e)-25.3(d)-438.8(p)-18.4(o)-24.1(l)-18.5(i)-24.3(c)-19.5(i)-24.3(e)-19.5(s)-438.6(t)-18.5(h)-24.1(a)-19.5(t)-439(u)-24.1(p)-18.4(-)]TJ
0 -1.1116 TD
.0187 Tc
[(h)-5.4(o).3(l)-5.6(d)-397.1(t)-5.6(h).3(e)-404(t).2(e)-6.6(n).3(e)-6.6(t).2(s)-402.7(o).3(f)-402.8(r)-5.4(ep)-5.4(ro)-5.4(duc)-6.6(ti)-5.6(ve)-404(ju)-5.4(st)-5.6(ic)-6.6(e)-398.3(m)-6.7(ay)-402.9(be)-6.6(gin)-402.9(t)-5.6(o)-397.1(r)-5.4(e-)]TJ
T*
[(d)-5.4(u).3(c)-6.6(e)-300.3(t)-5.6(h).3(e)-300.3(d)-5.4(is)-5.2(pr)-5.4(op)-5.4(or)-5.4(ti)-5.6(on)-5.4(at)-5.6(e)-300.3(e)-.8(x)-5.4(p).3(e)-6.6(r).4(i)-5.6(e)-.8(nc)-6.6(e)-300.3(o)-5.4(f)-299.1(a)-.8(d)-5.4(v).3(e)-6.6(r).4(s)-5.2(e)-300.3(ma)-6.6(te)-6.6(rn)-5.4(al)]TJ
0 -1.1174 TD
[(h)-5.5(e)-.9(a)-6.7(l).1(t)-5.7(h)-351.1(ou)-5.5(tc)-6.7(ome)-6.7(s)-350.9(am)-6.8(on)-5.5(g)-351.1(s).4(o)-5.5(c)-.9(i)-5.7(a)-.9(l)-5.7(l).1(y)-351.1(m)-1(a)-6.7(r).3(g)-5.5(i).1(n)-5.5(a)-.9(l)-5.7(i).1(z)-6.7(e)-.9(d)-351.1(g)-5.5(ro)-5.5(ups)-5.3(.)-353.5(I).3(n)]TJ
0 -1.1116 TD
.0232 Tc
[(th)4.8(is)-323.3(st)4.7(ud)4.8(y,)-320(we)-324.6(hi)4.7(g)4.8(h)-.9(l)4.7(i)-1.1(g)4.8(h)-.9(t)-323.6(s)-.7(ever)4.9(al)-323.6(po)4.8(li)4.7(cy)-329.2(and)-323.5(p)4.8(ract)4.7(ice)-324.6(s)-.7(o)4.8(l)-1.1(u)4.8(-)]TJ
T*
.0225 Tc
[(ti)4(on)4.1(s)-375.8(t)4(hat)-370.4(m)-2.9(ay)-370.3(help)-370.3(t)4(o)-370.3(ad)4.1(vance)-371.4(h)-1.6(ealt)4(h)-376(eq)4.1(ui)4(ty)4.1(,)-372.6(d)-1.6(en)4.1(e)3(d)-376(a)3(s)]TJ
T*
.023 Tc
[()50.7()-1.1(ass)4.8(u)-1.1(r)4.7(a)-2.3(n)4.6(c)-2.3(e)-457.3(o)4.6(f)-461.9(t)4.5(he)-457.3(con)4.6(d)-1.1(i)4.5(t)-1.3(i)4.5(o)4.6(ns)-456(fo)4.6(r)-461.9(o)4.6(p)4.6(t)-1.3(i)4.5(m)-2.4(al)-456.3(heal)4.5(th)-456.1(f)4.7(o)-1.1(r)-456.1(a)-2.3(l)4.5(l)]TJ
0 -1.1174 TD
.0186 Tc
[(p)-5.5(e)-.9(o)-5.5(p).2(l)-5.7(e)-214(by)-212.9(va)-6.7(lu)-5.5(in)-5.5(g)-212.9(a)-.9(l)-5.7(l)-207.3(p)-5.5(o).2(p)-5.5(u).2(l)-5.7(a)-.9(t)-5.7(i).1(o)-5.5(n).2(s)-212.7(e)-6.7(qua)-6.7(ll)-5.7(y,)-215.2(re)-6.7(co)-5.5(gn)-5.5(izi)-5.7(n).2(g)-212.9(a)-6.7(nd)]TJ
0 -1.1116 TD
.0231 Tc
[(rect)4.6(if)4.8(yi)4.6(ng)-479.1(h)4.7(i)-1.2(s)4.9(t)-1.2(o)4.7(r)-1(i)4.6(c)-2.2(al)-479.2(in)4.7(ju)4.7(st)4.6(ices,)-481.4(a)3.6(n)4.7(d)-479.1(pr)4.8(ov)4.7(id)4.7(in)4.7(g)-479.1(r)-1(eso)4.7(u)-1(r)4.8(c)-2.2(es)]TJ
T*
.0245 Tc
[(ac)5(co)6.1(rd)6.1(in)6.1(g)-276.1(t).2(o)-276.1(n)6.1(ee)5(d.)58()]TJ
7.3823 0 0 6.5614 396.17 122.0031 Tm
.0299 Tc
(27)Tj
/F9 1 Tf
8.9663 0 0 8.9663 313.0582 94.9039 Tm
0 Tc
[(Paid)-338.8(family)-331.8(leave)]TJ
/F4 1 Tf
9.843 0 0 9.843 323.0361 78.463 Tm
[(A)-318.7(lack)-312.1(of)-319(paid)-311(family)-320.3(leave)-314.4(is)-313.2(consid)-7.7(ered)-312(a)-319(public)-313.3(health)]TJ
-1.0137 -1.1116 TD
[(crisis)-243.8(in)-238.5(the)-240.7(U.S.)-234.4(conte)-8(xt.)]TJ
7.3823 0 0 6.5614 412.1006 71.8866 Tm
(28)Tj
9.843 0 0 9.843 421.7952 67.5212 Tm
[(Previous)-240.1(studies)-244.9(have)-237.1(shown)-242.3(that)]TJ
-11.0471 -1.1116 TD
[(time)-208.6(off)-204.8(after)-203.7(birth)-207.3(to)-203.9(recover)-207(and)-206.1(transition)-202.5(without)-204.8(worrying)]TJ
ET
q
490.48 0 0 363.685 62.022 368.561 cm
/Im1 Do
Q
BT
/F5 1 Tf
9.845 0 0 9.845 62.022 351.7794 Tm
[(FIG.)-273.4(1.)]TJ
/F4 1 Tf
4.054 0 TD
[(ROOTT)-274.8(Theoretical)-276.4(Framework.)]TJ
7.3837 0 0 6.5625 233.1212 356.2015 Tm
(15)Tj
9.845 0 0 9.845 243.2125 351.7794 Tm
[(This)-275.8(gure)-270.8(depicts)-274.3(the)-275(theoretical)-281.2(framework)-272.4(developed)-277.5(by)-272.6(ROOTT)]TJ
7.3837 0 0 6.5625 513.6943 356.2015 Tm
(15)Tj
9.845 0 0 9.845 523.7857 351.7794 Tm
[(used)-269.9(to)]TJ
-46.9033 -1.0077 TD
[(identify)-268.8(structural)-277.5(and)-269(social)-267.6(determinants)-276(of)-266.9(maternal)-272.1(and)-269(infant)-272.4(mortality)-271.1(in)-267(the)-269.2(United)-273.2(States.)-270.8(Structural)-271.7(determinants)-276(are)]TJ
0 -1.0135 TD
[(those)-432.3(depicted)-437.9(in)]TJ
/F8 1 Tf
7.6013 0 TD
(boxes)Tj
/F4 1 Tf
2.7123 0 TD
[(connected)-439.9(by)]TJ
/F8 1 Tf
5.9428 0 TD
[(dashed)-433.1(lines)]TJ
/F4 1 Tf
5.1597 0 TD
[(,)-435.3(which)-433.3(in)-434(turn)-430.3(shape)-439(the)-430.5(distribution)-438.7(of)-433.9(social)-434.6(determinants)-437.3(\(those)]TJ
-21.416 -1.0135 TD
[(depicted)-317(in)]TJ
/F8 1 Tf
4.8141 0 TD
(circles)Tj
/F4 1 Tf
2.9887 0 TD
[(and)-309.3(connected)-313.2(by)]TJ
/F8 1 Tf
7.4516 0 TD
[(solid)-316.1(lines)]TJ
/F4 1 Tf
4.1577 0 TD
[(\).)-309.6(The)-316.3(multiple)-310.4(and)-315.1(interconnected)-313.9(pathways)-316.3(between)-316.6(structural)-312(and)-315.1(social)]TJ
-19.4121 -1.0077 TD
[(determinants)-477.6(lead)-472.9(to)-474.4(increased)-480(maternal)-473.6(and)-476.3(infant)-473.9(mortality)-472.6(rates)-473.7(and)-476.3(socially)-477.1(dened)-474.5(inequities)-473.4(in)-474.4(these)-473.7(outcomes.)]TJ
0 -1.0135 TD
[(ROOTT,)-335.8(Restoring)-339.5(Our)-332(Own)-332.8(Through)-336.3(Transformation.)]TJ
/F3 1 Tf
8.9663 0 0 8.9663 62.022 749.6502 Tm
(232)Tj
43.7925 0 TD
[(CREAR-PERRY)-339.4(ET)-338.7(AL.)]TJ
ET
endstream
endobj
34 0 obj
<>stream
Adobe d C
s !1AQa"q2B#R3b$r%C4Scs5D'6Tdt&
EFVU(eufv7GWgw8HXhx)9IYiy*:JZjz ? Nlٳf͛6lٳf͛6lٳf͛6lٳf͛6lٳf͛6lٱb&MBj˯*ԭk,QFd8
vq\\J4%0{e8wU4k($T+ JOA{g;x`*UXƾF$MZEpNRzk0U~6wBX&[RB|83(DY#`ªAl6(iH?tlF'c3ṊG=X/
͞V[Ϩb/z}T%O˗ᆠ*7͈BK蛘^\)ZRR6TzjZlUQK1
*v ⾄zl_ZvYX L'uW)wimn"Fl1,Pd8
vq]Z`%0jWƇ5/qn7*w'WK ?b\|Z#)$=]XoﬥҊ9%+m-2ʐ9uaYknXjT s['8}l:0daU`j=qJ"xSJFΡzlMqlٳf͛6lٳf͛6lٳf͛6lٳf͛6lٳf͛6lٳf͛6lٳf͛6lٳf͛6lٳf͛6lٳf͛6lٳf͞+ '玝4Sa7cέ 9uq?c
O0^[P"_J 4|'߁kɄWi #S#^rV'zH64.T$N' 94Һ<sqt fEox >?:7uҟ\6ս5$Ԓby^H KkWP!^pxzHIZ\f{Y9,{KS
di?[5.2CX\LG9B]x(;o=#` ow9巹#:nj=Zп dђ}{̍mLxXv*ΦBR)/,yϟ__]k-J3[NJ۫o :*kΕ 9GV6˿ij%i^ff_2Wꞧ
;%9_Wqt_#QSG_U)^~w淚?9Ca) 1InnhRߘ#Uu+; 3ha]dR;~V ȸTO