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* 1. First and Last Name

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* 2. Affiliation (where do you work)

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* 3. Email Address

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* 4. What are the factors driving African American inequities in infant mortality?

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* 5. What are the most promising interventions to reduce infant mortality from the following list: Group Prenatal Care; Preconception and Interconception Health; Fatherhood (partners) Initiatives; Home Visitation; Innovative Interventions: Doulas, Patient Navigator, Preterm Birth Strategies, Combining Social and Medical Interventions 

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* 6. What are the gaps in programs/services/interventions that would improve the African American infant mortality rate?

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