History
It is important to consider women’s health care in Detroit, and to analyze it through class and racial lenses. We have examined how concentrated poverty and race in Detroit affects its residents’ health and care options, as housing segregation in Detroit has forced African-Americans to have restricted access to quality care. Women face specific health care needs, such as prenatal and maternal care, and those needs have been historically underserved in Detroit.
We can understand this through the history of Nancy Milio’s family planning and prenatal care center, the Moms and Tots Center, that opened up in the Kercheval neighborhood of Detroit in the 1960s. Milio considered the Kercheval neighborhood to be one of the most deprived areas of Detroit at the time, but the social changes occurring in the ‘60s set a stage for reform in women’s health care. At the clinic, Milio provided pre- and postnatal care that was previously unavailable in the area and made it accessible and understandable for the population. For example, in the photo below you can see that there were “plain language” posters at the clinic that advised women: “Keep healthy during your pregnancy… DO take your iron and vitamins.”

Low-income women in the area now had a clinic to attend that they did not have to travel far to, demonstrating one of the ways in which Milio responded to the community’s needs. Nancy Milio provided for women in the neighborhood not only by opening an accessible clinic for family planning, pre- and postnatal care, and sex education, but also by empowering those women to take control over their bodies and health. The clinic was also virtually untouched during the 1967 riots, which demonstrated the need for and acceptance of this care’s presence among the inner-city population.
DeGuzman, Pamela B, PhD, M.B.A., R.N., Schminkey, Donna L, PhD, M.P.H., C.N.M., & Koyen, E. A. (2014). "Civil unrest does not stop ovulation": Women's prenatal and family planning services in a 1960s detroit neighborhood clinic. Family and Community Health, 37(3), 199.
Staff, S. (2017, July 26). Energized by out-of-touch city leaders, black pastors redoubled activism efforts post-rebellion. Retrieved from http://michiganradio.org/post/energized-out-touch-city-leaders-black-pastors-redoubled-activism-efforts-post-rebellion.


Location of Nancy Milio's Moms and Tots Center
Detroit in July 1967