The number of virtual appointments provided by SisterWeb doulas has fluctuated over the past several months, reflecting shifts in client preferences, doula availability, and operational focus. During periods of lower in-person capacity or when public health guidance changed, virtual appointments became a key way to maintain continuity of care. However, offering more virtual visits has also been challenged by varying levels of comfort with technology among both clients and doulas, scheduling constraints, and the preference for in-person interaction when possible. As demand continues to shift, virtual appointments remain an important supplemental tool, especially for clients balancing childcare, work, and transportation barriers.

Internal program staff and lead doulas have played a vital role in coordinating virtual visits, ensuring clients are scheduled efficiently and have the necessary technology support. SisterWeb has also benefited from partnerships with clinical sites and community-based organizations that emphasize flexibility and client-centered care. Potential future partners include digital health platforms or public health agencies offering telehealth infrastructure or training support. These partnerships could help expand access and improve the quality of virtual care provided by doulas.

Tools that streamline communication—like HIPAA-compliant video platforms and automated appointment reminders—have made it easier to schedule and conduct virtual sessions. Offering flexible hours and ensuring doulas are trained in telepresence and online engagement also supports quality virtual care. Nationally, community health worker and peer-support models that integrate telehealth have shown success in improving client retention and reducing missed appointments. Scalable strategies include bundled care models that mix virtual and in-person visits, and providing clients with step-by-step tech access guides in their preferred language.

To strengthen and expand virtual appointments, SisterWeb can prioritize offering hybrid care options that balance flexibility with client preference. Building systems for consistent follow-up—especially for postpartum clients—can help identify when a virtual appointment is the most accessible option. Training doulas in effective virtual engagement and ensuring each team has tech troubleshooting protocols in place will support quality of care. Lastly, SisterWeb could seek out funding or partnerships to improve digital access for clients and invest in scheduling tools that make virtual appointments easier to track and manage across teams.