Client-reported confidence in navigating the healthcare system with support from their SisterWeb doula has remained exceptionally high over time. Most quarters show 100% of respondents affirming this outcome, with only minimal variation—such as a slight dip to 94.2% in one reporting period. This consistency highlights the effectiveness of SisterWeb’s approach in providing culturally congruent care that centers empowerment, health literacy, and systems navigation. These results suggest that SisterWeb doulas are not only building trust but also equipping clients with the tools and language to advocate for themselves in medical settings.

Doulas are the primary agents of this outcome, supported by lead mentors, program coordinators, and trainers who ensure they are prepared to educate clients on their rights and how to communicate with providers. Clients are also central partners in this process—engaging in care planning, asking questions, and providing feedback that guides program improvements. External partners, including hospital staff, interpreters, and public health educators, further shape the context in which clients exercise their rights and confidence.

Key practices that contribute to this outcome include structured prenatal education around birth options, guided preparation for hospital interactions, and personalized coaching in decision-making. SisterWeb’s trauma-informed, justice-rooted model empowers doulas to normalize self-advocacy and offer language clients can use in clinical conversations. Doulas also model these skills during labor, helping clients observe and adopt confident communication in real time. The organization’s emphasis on culturally and linguistically appropriate care ensures that these messages resonate and are accessible to all clients served.

To sustain these strong results, SisterWeb can continue prioritizing systems navigation in both doula training and supervision. Collecting qualitative data about specific moments when clients felt empowered—or unsure—can help refine messaging and support. Strengthening collaboration with hospital partners may also help reinforce rights-based care across settings. Lastly, disaggregating data by program or community group can help ensure this level of confidence is consistent across all client populations and identify areas for targeted support if needed.