Campaign billboard featuring man and baby

Black Legacy Now

San Diego Perinatal Equity Initiative

The County of San Diego partnered with Civilian to increase awareness of the Black maternal and infant mortality crisis and other childbirth inequities rooted in systemic racism. Guided by a Community Advisory Board, our campaign supported Black mothers, fathers, and caregivers in advocating for healthy pregnancies and helped healthcare providers recognize and address racial bias in care. Check out the sizzle reel.

Campaign launch
Campaign website BlackLegacyNowSD.com

The Challenge

Black women and children in San Diego County and across the country suffer from higher rates of poor maternal and infant health outcomes, including low birthweight, preterm birth, and maternal and infant mortality. These inequities persist regardless of income, education, or access to care. They are driven by the cumulative effects of individual and institutional racism, including chronic stress, implicit bias, and unequal treatment in the healthcare system. The County of San Diego’s Perinatal Equity Initiative (PEI) partnered with Civilian to support Black mothers, fathers, and caregivers, increase awareness of harmful medical bias among healthcare providers, and promote initiatives that will contribute to the well-being of Black women and children.

Collage of campaign posters Print ads

Our Approach

To build an honest, authentic, and resonant campaign, we began by assembling a group of respected Black healthcare and community advocates to provide ongoing counsel as our 40-member Community Advisory Board (CAB).

Working with the CAB, we conducted a community listening tour with recent parents and pregnant women to understand the goals and experiences with the healthcare system and their hopes for the campaign. Our goals were twofold: 1) to publicly acknowledge that racism is at the root of the healthcare inequities experienced by Black Americans; and 2) to provide Black mothers, fathers, and caregivers with the information and support they need to have healthy pregnancies and advocate for themselves when they aren’t receiving appropriate care.

The community also helped shape how we told that story. Participants wanted the campaign to confront racism and bias without leaving people feeling shamed, angry, or hopeless. That led us to a creative approach we called “positive realism”: tell the truth about inequity while portraying the Black community as strong and beautiful and empowering everyone—families, providers, and the broader community—to help change it.

The education campaign also included healthcare providers, who are often unaware of systemic biases and how they may contribute to healthcare inequities. The campaign messaging focused on building trust by encouraging conversations about racism and bias between Black women and their healthcare providers.

The campaign was consistently guided by community input and participation. Portraits were captured by a nationally renowned Black photographer and featured local models, and we developed messaging to speak directly to the Black community. We focus-group tested our messaging, creative concepts, and marketing materials to ensure they were hitting the mark and made any needed adjustments. Community members even helped pressure-test media placements, adding local knowledge to our audience and geographic data.

Our integrated, culturally resonant campaign, called Black Legacy Now, includes the creation and deployment of various deliverables across paid, owned, and earned channels. Paid media tactics include digital display, paid search, and paid social, as well as billboards, bus shelters, direct mail, and posters. We are also using out-of-home in the areas surrounding health centers as well as geo-fencing to reach target audience members entering or leaving the area. Inside health centers, we are using in-clinic advertising, waiting room posters, and other educational materials. We developed and continue to maintain and update BlackLegacyNowSD.com to serve as an accessible and educational content hub.

Billboard
Story ads
Print collateral
Birth rights brochure
Social media posts
Posters

The Results

Black Legacy Now helped turn a difficult conversation about racism and maternal health into a campaign that deeply resonated with the community and built support for continued action.

The combination of the campaign’s voice and stunning creative work has been instrumental in driving awareness of and support for the issue of healthcare equality regionally, statewide, and nationally. The campaign also helped our client secure additional funding to continue educating and supporting Black families and healthcare providers—extending the impact of the work beyond the initial campaign.

Its creative work also earned a Silver American Advertising Award, reflecting the strength of a campaign shaped from the outset by the people and communities it was designed to serve.

It was a pleasure working with the Civilian team. For starters, they clearly demonstrated how much they cared about the issue of healthcare inequities and its impact on the Black community. They took the time to extensively involve healthcare advocates and community members in the development of the campaign. They brought in outside experts when needed to ensure that the work was hard-hitting and effective. Ultimately, Civilian delivered a culturally resonant campaign that reflects the strength and beauty of Black culture and that has helped us secure additional funding around this issue.
— Marilyn English, African American Wellness Center for Children and Families

The Awards

American Advertising Awards
American Adv Federation

SILVER