West St. Paul, MN — Jennifer Almanza has spent the last 10 years understanding the scope of what a woman might encounter during birth, especially women of color. She researched the birthing experience of women living on Leech Lake Reservation, served as a preceptor and charge nurse in the Regions Hospital Birth Center, taught infant massage, and cross-trained in postpartum, newborn nursery and the newborn intensive care units. Now, with her Bush Fellowship, Jennifer intends to earn her doctorate of nursing practice in midwifery to increase the pool of culturally responsive providers to serve women of color in the metropolitan area. Her goal: more engaging care and better health outcomes for mothers and babies — at less cost.