Host:
Melissa Harley, B.A., AdvCD/BDT(DONA), CLC, LCCE, FACCE
Guest:
Rose Archer, Doctoral Researcher, Birth Doula, Certified Chaplain
In this thoughtful and deeply grounded episode of the CCDS Doula Collaboration Podcast, host Melissa Harley sits down with researcher, birth doula, and Board Certified Chaplain Rose Archer, author of the paper “Surviving in the Midst of ‘Nowhere’: Disrupting the Conceptualization of a Maternity Care Desert,” to explore how community-centered research can reshape our understanding of maternity care deserts and inform doula practice.
Rose shares how her professional work as a chaplain and doula, alongside deeply personal experiences with pregnancy and postpartum complications, led her to pursue doctoral research focused on reproductive health inequities in Black birthing communities. Drawing directly from her published research on Gadsden County, Florida, Rose challenges dominant data-driven narratives and highlights how large-scale classifications often miss the lived realities of families navigating care.
Together, Melissa and Rose discuss the importance of centering community voices, honoring intergenerational knowledge, and recognizing doulas as trusted connectors who help bridge gaps in access, trust, and care. This episode offers doulas, educators, and advocates a grounded framework for translating research into meaningful, relationship-centered practice.
In this episode, you’ll learn about:
• What maternity care deserts are and how they are officially defined
• Why large data sets often fail to capture community realities
• How transportation, time, and trust shape access to care
• The role of community advisory boards in ethical research
• What “reproductive liberatory consciousness” means in practice
• How doulas function as trusted connectors within communities
Quotes from the Episode:
💬 “I can actually recall the night I knew I wanted to do research.” — Rose Archer
💬 “There’s a disconnect here between the narrative that we see on a large scale and the narrative that we’re living in community.” — Rose Archer
💬 “We don’t want to pathologize communities.” — Rose Archer
💬 “Doulas are often the trusted person that someone calls when something doesn’t feel right.” — Melissa Harley
Resources Mentioned in the Episode:
📌 Surviving in the Midst of ‘Nowhere’: Disrupting the Conceptualization of a Maternity Care Desert — Published in Sociology of Health & Illness (available via PubMed)@0/
📌 March of Dimes — Maternity Care Desert classifications
📌 Gadsden County Healthy Start Coalition
📌 Healthy Start Programs — Community-based maternal and infant health support
📌 Telehealth initiatives through state Departments of Health
About the Guest:
Rose Archer is a birth doula, Board Certified Chaplain, and doctoral student in African American Studies at Emory University, where she is also a McKnight Doctoral Fellow. Her research is deeply shaped by her professional work alongside birthing people and families, and focuses on the intersections of race, gender, and reproductive health.
Her recent scholarship examines how maternity care deserts are defined and experienced, centering the community-based strategies of African American birthing people living in rural communities. Her article, “Surviving in the midst of ‘Nowhere’: Disrupting the Conceptualization of a Maternity Care Desert,” published in Sociology of Health & Illness, has received national recognition. Using qualitative methods such as archival research and in-depth interviews, Rose explores how structural forces constrain reproductive autonomy and how communities actively disrupt and reimagine reproductive health inequities.
🎙 About the Host:
Melissa Harley, B.A., AdvCD/BDT(DONA), CLC, LCCE, FACCE is the founder of Capital City Doula Services and the CCDS Doula Collaboration, and has been a dedicated birth professional for over two decades as a birth doula, childbirth educator, and lactation counselor. A DONA-approved trainer since 2010, she has trained more than 1,500 doulas worldwide and served on the DONA International Board of Directors for seven years, including as DONA International President in 2020. In recognition of her lasting contributions to the doula profession, Melissa is the 2025 recipient of the Penny Simkin Award for Excellence in Doula Care.
In addition to her work with Capital City Doula Services, Melissa currently coordinates DONA’s conferences and webinars and remains deeply committed to education, mentorship, and strengthening the global doula community through her teaching, writing, advocacy work, and leadership.
To connect with Melissa, visit:
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