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Nine of Wisconsin’s 72 counties are “maternity care deserts”: no hospitals and birth centers offering obstetric care and no obstetric providers such as obstetricians.

The nine, according to the latest March of Dimes report (2024), are largely rural: 

Adams, Douglas, Forest, Kewaunee, Lafayette, Marquette, Oconto, Pepin and Rusk.

Maternal care deserts drive maternal mortality rates, which generally are higher for Black women and women in rural areas, according to a 2025 study by Brown University researchers.

Individuals in states with a high prevalence of maternity care deserts had 34.2% greater risk of maternal mortality and 18.3% greater risk of infant mortality, Yale University researchers found in 2025.

The Wisconsin Office of Rural Health at the University of Wisconsin-Madison recommended extending pregnant women’s Medicaid coverage to 12 months postpartum, from two months, to improve care and hospital finances.

Gov. Tony Evers recently signed legislation for that extension.

This fact brief is responsive to conversations such as this one.

Sources

• March of Dimes: Maternity Care Desert
• Journal of the American Board of Family Medicine: Maternity Care Deserts: Key Drivers of the National Maternal Health Crisis
• AJPM Focus: State-Level Prevalence of Maternity Care Deserts: Association With Healthcare Access, Utilization, and Outcomes Among Medicaid Recipients
• Wisconsin Office of Rural Health: Obstetric Delivery Services and Workforce in Rural Wisconsin Hospitals 2024
• Milwaukee Journal Sentinel: Lawmakers vote to extend postpartum Medicaid coverage to a full year
• The Commonwealth Fund: Positive Outliers: How Some Rural Communities Maintain Access to Labor and Delivery Services
• National Rural Health Association: Maternal health in rural America
• University of Wisconsin-Madison Collaborative for Reproductive Equity: New CORE brief explores Dobbs decision’s impact on the ob-gyn workforce in Wisconsin
• PBS Wisconsin: Maternal health care in Wisconsin and the future of Medicaid

Do some Wisconsin counties have no maternal health care providers? is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.

Riley has been rooted in agriculture for generations, embodying the resilience and dedication that define the farming community. Yet, like so many in the industry, they have experienced firsthand the immense pressures that come with farming. In 2024, their beloved Jimmy lost his struggle to maintain mental health, leaving behind a grieving wife and five young children determined to turn their loss into hope for others. In response to their personal loss, Riley has committed to supporting mental health awareness and access to resources for farm families nationwide. 

“Our family understands the struggles that so many in agriculture face, and we want Jimmy’s story to raise awareness and be a beacon of hope, encouraging others to seek help when they need it. Asking for help is a sign of strength, not weakness—it does not define who you are, but rather shows your courage to keep going,” said Riley Boschma. “Through this gift, we hope to ensure that farm families have access to the mental health support they need and to reduce the stigma that prevents many from seeking help.” 

The Farm Family Wellness Alliance, an initiative of Farm Foundation in partnership with most major agricultural organizations in the US, including 4H, American Farmer Bureau Federation, FFA, Farmers Union, and others, provides farm families with free, confidential access to mental health support through an online peer-to-peer community, professional resources, and crisis intervention services. Since its national launch in 2024, the program has expanded to serve farmers and agricultural communities across 47 states, offering a safe space for connection and healing through TogetherAll, an online mental health support community exclusively for American farm family members aged 16 and above. 

“The generosity of Riley Boschma and her children will have a lasting impact on the lives of so many in agriculture,” said Shari Rogge-Fidler, CEO of Farm Foundation. “This gift not only honors Jimmy’s legacy but also strengthens our ability to reach more farm families with critical mental health resources. We are grateful for their commitment to creating meaningful change in the industry.” 

Farmers are the backbone of our nation, yet they often carry an invisible burden. As economic pressures, unpredictable weather, and the weight of legacy continue to challenge those in agriculture, access to mental health support is more vital than ever. Riley’s contribution underscores the urgent need for expanded resources in rural communities and serves as a call to action for others to invest in the well-being of those who feed the nation. Learn more about the Boschma farm at www.boschmafarms.org   

The post The Gift of Hope: Dedication to Mental Health in Rural Communities appeared first on Farm Foundation.