What is a Doula?
A doula is a non-medical professional who provides emotional, physical, and informational support to people giving birth. Doulas are trained to help during pregnancy, childbirth, and after the baby is born. They are not medical providers, but they can make you feel comfortable and cared for. Some doulas may provide services during other reproductive and life changing moments such as during an abortion, fertility treatment, and even during the end of life. While DPH acknowledges the importance and role of all of these doulas, this site will provide information on the doulas that support the process of pregnancy, birth, and postpartum.
Doula Initiative Vision Statement
All Massachusetts pregnant and birthing people, caregivers, and families have access to high quality, affordable Doula services as part of a compassionate, respectful health care system.
Doula Initiative Purpose
DPH aims to improve the health of pregnant and postpartum people, caregivers, and families by encouraging the development of a high-quality and robust doula workforce and helping to integrate doulas into the health care and public health systems to ensure that doulas available to those who want them.
The Division of Pregnancy, Infancy, and Early Childhood (DPIE) within DPH is currently developing a voluntary certification of doulas that will be available early 2026. By offering a voluntary certification program for doulas, DPH is establishing minimum standards for education, training, and experience that it expects DPH-certified doulas to meet to ensure the integrity and competency of doula services in Massachusetts and promote health, wellness, and safety. The certification of doulas will allow for quality assurance for consumers and doulas.
Doula certification
Doula certification will be based on the six basic competencies identified by MassHealth:
- Maternal anatomy and physiology during the perinatal period, including basic fetal growth and development in each trimester of pregnancy
- Common medical interventions during pregnancy, childbirth, and the postpartum period
- Common potential complications associated with pregnancy, childbirth, and the postpartum period, including but not limited to:
- Pregnancy and infant loss
- Mental health conditions, including perinatal mood and anxiety disorders (PMADs)
- Substance use disorder (SUD)
- High blood pressure
- Labor and delivery comfort measures
- Best practices for supporting members in advocating for their needs and making informed decisions using a trauma-informed approach
- Basic newborn care, including the fundamentals of breastfeeding/chestfeeding
We currently do not offer Doula trainings. If you are looking to train as a doula, please contact the Massachusetts Doula Coalition or your local doula group to learn about options. DPH will be launching its doula certification program in early 2026.
If you are looking to hire a doula to support your pregnancy and birth journey, please visit these resources:
If you are a hospital or medical practice looking to integrate doulas into your team, please contact us at DPH-Doulas@mass.gov.
Doula Initiative Team
The Doula Initiative Team seeks to align efforts, identify strategic priorities, and promote collaboration to support and expand the doula profession across the Commonwealth.
Doula Initiative Leadership
- Maia Raynor, Maternal and Child Health Program and Policy Manager
Doula Initiative Internal Advisory Group Participants
- Roxanne Hoke-Chandler, MS, Early Childhood Systems Coordinator for Family Engagement & Training
- Hafsatou Diop, MD, Director, MCH Research and Analysis Division (DPAG)
- Rachel Colchamiro, Director, Nutrition Division (DPAG)
- Stephanie Doyle, Deputy Director of Strategy and Implementation (DPAG)
- Margi Coggins, CNM, MCH Clinical Coordinator (DPAG)
- Christine Silva, MPH, Director of MA Home Visiting Initiative (MIECHV)
- Larisa Mendez-Peñate, MEd, Assistant Director of Pregnancy, Infancy and Early Childhood (DPIE)
Doula Partner Advisory Group Participants (DPAG)
- Stephanie Crawford, Independent Doula
- Erika Laquer, Doula
- Lorenza Holt, MA Doula Association
- Joanne Dorgilus, Registered Dietician, Doula
- Viveka Prakash-Zawisza, MassHealth
- Dona Rodrigues, CNM, Director of Birth Sisters Program
- Josefa Scherer, Baystate Doula Program
- Joyce Clark, MA Doula Association
- James Wang, MA Chapter ACOG
- Amy Goh, CNM, Director, American Association of Birth Centers (AABC)
- Alexandra Levie, Massachusetts Hospital Association
- Pat Noga, Massachusetts Hospital Association
- Ellen Tolan, WIC Breastfeeding Coordinator
- Cara Brooks Safon, PhD Candidate at Boston University School of Public Health
- Darline Turner, MA Coalition of Black Birthworkers
- Sarah Krinksy, MassHealth, Senior Manager of Perinatal and Maternal Health Policy
- Virginia Ahearn, CPM, UMass School of Public Health Student
- Perpetual Honor, PhD Candidate at UMass Boston, Doula
- Jacqueline Ewuoso, Betsy Lehman Center
Doula Initiative Activities
Funding
In June 2021, DPH allocated Title V of the Social Security Act (Maternal and Child Health Block Grant) funding to hire 1 FTE for a Maternal Health Coordinator. This position was filled in November 2021 and this role is dedicated half time to the Doula Initiative and half time to the Maternal Mortality Review Initiative.
Cross-Agency Collaboration
In July 2021, DPH began conceptualizing how Doulas could be certified through DPH with sustainable financing. This included an environmental scan of national and international Doula training programs and free and low-cost trainings for Doulas, as well as key informant interviews with other states with Doula programs. Furthermore, as key collaborators from its inception, MassHealth continues to partner with DPH in working towards shared goals in establishing essential elements for providing high-quality doula services to Massachusetts families. In addition, DPH reached out to both the Betsy Lehman Center and the Health Policy Commission to learn more about their Doula work.
Internal Collaboration
In January 2022, DPH convened an internal Doula Advisory Team to support the process of establishing a state Doula certification pathway. Membership includes the Bureau of Community Health & Prevention Community Health Worker Office, and several subject matter experts within the Bureau of Family Health & Nutrition (BFHN). Priorities identified included hosting a Doula Listening Session and the establishment of a Doula Partner Advisory Group (DPAG) to ensure the voices of Doulas were included in all aspects of DPH planning for Doula certification.
BFHN scheduled a DPH Doula Listening Session for Wednesday March 9, 2022. The purpose of the DPH Doula Listening Session was to:
- Introduce DPH Doula Initiative Team members to the Doula community
- Ensure DPH transparency by providing an overview of DPH activities conducted specific to the DPH Doula Initiative
- Provide a forum for Doulas to share their thoughts about DPH kicking off a Doula Initiative
- Collect feedback from the Doula community and advocates that will help guide future decision making
- Acknowledge the value that Doulas bring to the perinatal field
Contact MassHealth about Doula Services Program
If you are a doula with questions about MassHealth’s Doula Services Program, please visit MassHealth Doula Services Program: Information for Doulas website. You can also contact the MassHealth provider support team at (800) 841-2900, TTD/TTY: 711 or provider@masshealthquestions.com.
If you are a MassHealth member with questions about MassHealth’s Doula Services Program, please call the MassHealth Customer Service Center at (800) 841-2900 or TDD/TTY: 711. You can also find information for pregnant MassHealth members at www.mass.gov/masshealthpregnancy.
Contact Doula Initiative
Any questions related to the MA Department of Public Health's Doula Initiative and efforts including but not limited to credentialing, hospital integration, workforce development, and other related topics should be directed to DPH-Doulas@mass.gov.