Reflection on Women's Health, Safety, and Rights

May 19, 2022

Written by Jessica Collins, Executive Director and Attorney Liz Dineen, Board Member and CEO of YWCA of Western MA

Debates about Roe v. Wade (the 1972 Supreme Court ruling that enabled abortion rights) are roiled with hurt, hate, religious and political proselytizing, bitter dividedness, and most importantly, the tremendous risk to individuals who are pregnant. Pregnancy can often be a life and death situation, both in becoming pregnant and giving birth. Recent public health data show alarming inequities in both sexual violence and maternal health. Limiting abortion will have negative impacts, on the immediate and the long-term decisions that come with having a child: whether those decisions are related to health, finances, or social and emotional well-being.


PHIWM, in partnership with organizations like the YWCA of Western Massachusetts, released a report in 2019 on Sexual Violence Towards Girls and Women in Hampden County. In our report, we shared that sexual violence is a widespread public health problem that is often overlooked and underreported. In addition to the physical and emotional traumas of sexual violence, experiences of sexual violence are strongly associated with other types of violence, as well as a variety of negative sexual, mental, and physical health outcomes, including unintended pregnancies. Adolescent girls and young women, arguably, carry the greatest burden of sexual violence. 

Data regarding maternal health is stark when viewed through an equity lens. The risk of pregnancy-related deaths for black women is three to four times higher than those of white women[i]. Similarly, infant mortality rates among black people are more than double those of white people.[ii]


For these two public health reasons and because we stand firmly behind a policy that upholds human rights, we feel it is important to highlight what is going on in our country and our Commonwealth to ensure the reduction of inequities and the protection of rights to safeguard safety and wellbeing for all. For most of our country’s history, women led on the care of both pregnancy and childbirth. In the latter part of the 20th century, these became medicalized and politicized, and though this country had provided laws to protect women’s rights, we are going backward with tremendous risk to women’s and family’s health.


In light of this national debate, it is important to understand the implications for people here in Massachusetts with regard to this health and safety issue. Restricting abortion access will not stop abortions, rather it will result in people seeking out unsafe abortion care. That is why Massachusetts lawmakers are preparing to both secure women’s rights here in MA and to support women who may come here from other states.


The Democrat-controlled Legislature passed the ROE Act in 2020 to codify and expand access to the abortion procedure over a veto from Governor Charlie Baker. Abortions are legal up to 24 weeks of pregnancy and are allowed afterward in cases of fatal fetal anomaly or to preserve a pregnant person’s health. Individuals as young as 16 years old can seek the procedure without consent from a parent or judge. If the Supreme Court strikes down Roe v. Wade and decisions around abortion become state ruled, then Massachusetts, like other states, could be safe harbors for people seeking the procedure.


Currently, advocates are asking for Massachusetts legislators to think about everything possible to protect people— from funding to provider protections, to patient protections, to expanded access. Massachusetts House lawmakers already passed $500,000 to expand abortion access in their budget to support people from out of state, while the Senate included $2 million.


When policymakers debate policy and law that can result in the intensification of health inequities, it is imperative that they understand health data, patterns of social strife, and injustices. 

 

[i] MA Department of Public Health. Maternal Mortality and Morbidity Initiative. https://www.mass.gov/service-details/maternal-mortality-and-morbidity-initiative Accessed 5/17/22.

[ii] Kaiser Family Foundation. Infant Mortality Rate by Race/Ethnicity, 2019. https://www.kff.org/other/state-indicator/infant-mortality-rate-by-race-ethnicity/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D Accessed 5/17/22

share this

Related Articles

October 28, 2026
We are pleased to announce that the Youth Health Data Hub of Western Massachusetts is now live! The Hub is designed to help communities better understand youth experiences, learn from one another, and turn information into action. The Hub was shaped by prevention coalitions, schools, community organizations, public health professionals, legislators, young people, and many other partners across Western Massachusetts. We are deeply grateful to the countless individuals who shared their time, expertise, and perspectives throughout its development. The idea for the Hub emerged several years ago through our work on the Western MA Youth Mental Health Roadmap , when young people and community partners identified a need for better access to data, evidence-based strategies, and examples of work happening across the region. In response, the Public Health Institute of Western Massachusetts, with support from The Irene E. & George A. Davis Foundation, convened a regional advisory group and worked collaboratively to bring this vision to life. The Hub brings together interactive data, research, prevention and promotion strategies, and examples from across the region. We view it as a living resource and will continue to expand it over time. We hope it becomes a shared space for learning, collaboration, and collective action that helps all young people in Western Massachusetts thrive. Learn the many ways you can get involved. Explore the Hub: YouthHealthDataHub.org
October 28, 2026
SPRINGFIELD, MA — The Public Health Institute of Western Massachusetts (PHIWM) is pleased to announce a new $300,000 investment from Sanofi to expand its work improving respiratory health across Western Massachusetts. Building on years of work through the Healthy Air Network and Pioneer Valley Asthma Coalition , PHIWM has launched a new Respiratory Health Advisory Board , bringing together resident leaders, community organizations, healthcare providers, community health workers, and other stakeholders to advance solutions that promote healthier lungs and healthier communities. The Advisory Board includes Resident Advisors from communities most impacted by respiratory health inequities, ensuring that residents help shape priorities, strategies, and solutions. Respiratory health inequities are driven by a range of factors, including environmental exposures, substandard housing conditions, barriers to healthcare access, and limited awareness of strategies that can prevent emergencies and hospitalizations that increase healthcare costs and economic burdens on families and communities. “We are grateful for Sanofi’s partnership as we deepen our coalition’s work to implement successful strategies and build more linkages to healthcare providers in Springfield, Chicopee and Holyoke,” said Jessica Collins, Executive Director of PHIWM . “With the involvement of people who experience respiratory health issues and key partners, we can reduce inequities and help more people live healthier lives.” The funding will support existing and new approaches to respiratory health that combine community engagement, healthy homes interventions, education, policy advocacy, and healthcare partnerships. Over the next three years, Sanofi's investment will support efforts to: Convene and expand a regional respiratory health coalition and advisory board to guide the work. Expand and strengthen the Healthy Homes initiative by working with healthcare and Revitalize CDC to provide education and home-based interventions to improve indoor air quality, connect residents with healthcare and community resources, and strengthen referral pathways supported by Community Health Workers. Partner with statewide coalitions to advance respiratory health policies and systems changes which include : Securing potential new bond funding for the Massachusetts Healthy Homes Program --currently being considered by the MA Legislature’s conference committee for the environmental bond bill; Implementing hopeful new policies (also in that conference committee) to better track and mitigate both indoor and outdoor air quality; and Identifying sustainable financing approaches to support the work of Community Navigators and Community Health Workers.  Expand respiratory health communications and education to help residents recognize symptoms earlier, better manage respiratory conditions, and access available resources. Information will be shared through community workshops, partner networks, Resident Advisors, PHIWM’s website, and the AirWatch app, covering topics such as asthma and COPD management, indoor and outdoor air quality, tobacco and vaping cessation, lung cancer screening, and other respiratory health resources. "At Sanofi, we believe some of the most promising solutions to local health challenges come from the communities closest to them. By working with community-based stakeholders, like PHIWM and including organizations, patients, providers, and legislative leaders, we aim to support those solutions," said Tanisha M. Sullivan, Head of External Engagement and U.S. Health Equity Strategy at Sanofi . “As a company with deep Massachusetts roots, our commitment to this work goes beyond a single program to lasting relationships and sustainable policy solutions designed to help improve respiratory health in Springfield, Holyoke, Chicopee, and across the state." This funding from Sanofi comes at a critical time as communities across Western Massachusetts face growing respiratory health challenges driven by climate-related impacts and changes in healthcare access and insurance coverage that make it more difficult for some residents to access preventive care and treatment. Statements of Support “Western Massachusetts communities suffer from some of the highest rates of asthma in the nation. My office has long supported efforts to address the environmental, housing, and healthcare factors that contribute to this inequity,” said Attorney General Andrea Joy Campbell . “I’m grateful to Sanofi for their contributions to improve respiratory health in the area, including supporting increased access to medical care and education.” “Springfield’s history as an environmentally overburdened community has contributed to respiratory disease rates among the highest in the nation. Sanofi’s investment is both timely and greatly appreciated, as it strengthens our collective efforts to confront these inequities and advance meaningful health improvements across the Hampden District,” said State Senator Adam Gómez. “Their partnership demonstrates what is possible when we work together to support healthier homes, healthier air, and healthier lives.” “Massachusetts has some of the highest rates of adult and childhood asthma in the country, with Springfield, Holyoke, and Chicopee ranking near the top for the state,” said Robbie Goldstein, MD, PhD, Commissioner of the Massachusetts Department of Public Health . “This new funding will help to urgently address respiratory health in the region, and will support work the Department does in schools and communities to reduce asthma triggers. These types of partnerships – bringing communities and health care together – are exactly what we need to make our homes and schools healthier.” ABOUT THE PUBLIC HEALTH INSTITUTE OF WESTERN MASSACHUSETTS The Public Health Institute of Western Massachusetts supports communities in their efforts to become measurably healthier and more equitable through community engagement, collaborative partnerships, communications, data analysis, research and evaluation, and policy advocacy. PHIWM is committed to continuous learning, fostering collaboration, and amplifying the voices of those we serve. For more information, visit PublicHealthWM.org.