Birthing Beautiful Communities (BBC) is a village of birth workers or doulas who primarily provide social support to pregnant women at highest risk for infant mortality during the perinatal period. Our mission is to address and improve the systemic and community structures that lead to poor birth outcomes by executing a multi-layered, holistic method which creates workforce and social opportunity for local women. The birth workers are highly trained and skilled in various areas, including labor support, stress management, emotional support, breastfeeding and contraception education. Our trained birth workers address the basic, grassroots issues of infant mortality, such as, isolation, instability, deficient education, underdeveloped parenting skills, risky behavior and lifestyle choices, and poor nutrition. BBC functions and serves the purpose of providing real time learning opportunities that will increase the understanding of how and why the social determinants of health affect unborn children, and what resources are available or need to be created, in order to increase the likelihood of infant survival at one year and beyond. In addition to the current services and training that BBC provides, it is part of our vision to develop an emergency shelter facility to address chronic homelessness of pregnant women, and open a birthing center in the City of Cleveland, that will provide expecting mothers with culturally sensitive birthing options.