What We Do

While RSP does not provide direct services, we play a critical educational role for our community members, faith-based organizations, immigrant service providers, women’s shelters, policymakers, educational institutions, grassroots organizations, and health care providers.

We mobilize black women and immigrant women of African descent to challenge existing medical/social inequities and advocate for health improvements regarding the chronic under-diagnosed and under-treated diseases of the reproductive system that disproportionally affect us.

Our programs and services represent venues of support for activism, empowerment, and organizing. We provide both structured and informal interactions to provide culturally sensitive and safe spaces where women of African descent can speak freely and inquire about reproductive health conditions about which we lack knowledge and may feel great anxiety and concerns.

On a policy level, we denounce legislative policies that jeopardize even routine sexual and reproductive health care access that disproportionately affect black women, immigrant women and currently/formerly incarcerated black women.

Our projects take coherent approaches informed by thoughtful analysis to include discussions around:

  • Medical, emotional, financial, physical, and social burden to navigate these diseases

  • Racial/root causes in health disparities

  • Racial stress and embodied trauma — “weathering”

  • Health and socioeconomic disparities

  • Endocrine-disrupting chemicals that affect reproductive health

  • Exposure to environmental toxins and legacy pollutants

  • Institutional racism

  • The importance of community activism and organizing

  • Policies aimed solely at personal lifestyle behavior changes — without systems/institutional changes

A Matter of Health and Reproductive Justice

The Resilient Sisterhood Project (RSP) uses a cultural and social justice lens to approach the common but rarely talked about diseases of the reproductive system that disproportionately affect young and adult women of African descent. As a women led organization, RSP works in partnership with, rather than on behalf of, black women and young adults in our communities. Through ongoing work, we bring a new dimension into the public discourse of reproductive health to address racial discrimination, health and medical inequities, harsh immigration policies/practices, environmental/food injustice, mass incarceration, and other structural problems that limit access to reproductive healthcare.  We serve black women of all socioeconomic backgrounds; however, we give preference to women from disenfranchised communities, with an organizational priority on women with the least access to resources.

According to the CDC, Black women are more than four (4) times as likely to die from pregnancy-related complications as white women. As noted in a joint report by ProPublica and NPR: “Put another way, a black woman is 22 percent more likely to die from heart disease than a white woman, 71 percent more likely to perish from cervical cancer, but 243 percent more likely to die from pregnancy- or childbirth-related causes.”

What are the diseases?

These diseases include, but are not limited to:

  • Uterine fibroids

  • Endometriosis

  • Infertility

  • Polycystic ovary syndrome (PCOS)

  • Breast, cervical, uterine, and ovarian cancers

While not considered diseases


RSP brings a focus to the medical and racial implications of pregnancy as some black women can face daunting health challenges in terms of pregnancy and childbirth. The Center for Reproductive Rights notes that, “The U.S. spends at least twice as much per capita on healthcare than almost every other western industrialized country but has some of the widest disparities in health outcomes.  … Racial disparities are particularly pronounced in reproductive and sexual health. Women of color fare worse than white women in every aspect of reproductive health.”

Early Puberty

Medical researchers who have been studying the development of puberty in girls have concluded that in the Unites Stated girls are starting puberty at younger ages.  This decline in age has been noted as far back as the early 1920s and continues to accelerate, especially over the past five decades (CDC, 2010). This problem is more prevalent in low income black girls from disadvantaged communities.  A recent study reports that 23-40% of black girls between the ages of 7 and 8 years old are already experiencing early onset of puberty—through breast development and early menstrual periods.  Black parents are being told to accept this phenomenon as the new normal.

“Good health is a social benefit, and ill health is a social drain.”

- Patricia Smith