Set against the backdrop of increasing national attention to health disparities and infant/maternal mortality and near misses, as well as local coverage of Pittsburgh’s stark and shameful racism and gender inequities, it is timely that we initiate a call to action by providing education, diverse perspectives and an opportunity for solutions-based dialog. Pittsburgh has world class educational, medical and technology systems and infrastructure—yet Black women face the compounding effects of the intersectionality of racial and gender-based discrimination leading to substandard care and outcomes. This symposium will highlight local, regional and national strategic efforts to address inequities in birth outcomes impacting black women and women of color, with an emphasis on how they can be implemented within local context.