2025 Award Recipient

Christina Ratleff

Christina’s Idea: Mother’s Trust Alliance, a Guaranteed Basic Income pilot investing in Black birthing people to lead birth justice and economic liberation through advocacy, care, and long-term systems change.

Christina has developed the Mother’s Trust Alliance (MTA), a community-led initiative designed with and for Black birthing people to advance maternal and infant health by confronting economic injustice. This radical approach positions Black birthing people not only as those most impacted by harm, but as architects of liberation. Over the past year, she has grounded the vision in Black birthing people’s leadership and lived experience through co-design partnerships, shaping a bold solution that pairs Guaranteed Basic Income with investments in peer support, leadership development, and civic power-building. With this award, Christina will launch a 12-month prototype with 10 Black birthing people as co-designers, testing three fellowship pathways—Advocacy, Research, and Community Care—while gathering data on maternal stress, child development, and family well-being to identify what supports beyond cash drive meaningful outcomes.

As a Black woman, public health practitioner, and daughter of a single mother, Christina draws on lived experience and years of community leadership to confront systemic inequities that harm Black maternal and infant health. She envisions Guaranteed Basic Income during pregnancy and postpartum as a transformative investment in family stability, child development, and the power and leadership of Black birthing people. By pairing unconditional cash with community co-design and collective power-building, her model shifts resources and influence directly into the hands of Black birthing people—reimagining systems through dignity, joy, and liberation.

Her own journey through systems never built for her community—and her life’s work to reshape them through birth equity efforts—has shown Christina that true transformation requires putting resources and decision-making power directly in the hands of Black birthing people most impacted. She is creating a solution rooted in the belief that the brilliance of Black birthing people, not just their pain, must be at the center of what gets built.

Pilot Year Impact

What if Black mothers and birthing people were trusted to help design the future of maternal health?

That's the question Christina Ratleff set out to explore with her Imagine Award pilot.

Through Beloved Futures: Dreaming New Worlds Together, Christina convened Black women, mothers, and birthing people to imagine new futures for maternal health—futures rooted in their own brilliance, lived experience, and collective wisdom.

Rather than building a traditional program and evaluating it after the fact, Christina began by listening, testing assumptions, and letting the community lead. The pilot challenged the idea that innovation has to start with experts. Instead, it demonstrated that Black mothers and birthing people are powerful architects of new solutions.

The pilot revealed a deep desire for spaces where Black mothers and birthing people could gather, dream, and lead. Participants left feeling seen, loved, and less alone, and many were already asking when the next session would be. By compensating participants as fellows, artists, and co-designers, Christina treated lived experience as expertise and demonstrated how "dreaming as data" can transform research into a tool for liberation.

With the Imagine Award's $20,000 investment, Christina launched the dreaming session, compensated community experts, and partnered with a muralist to capture the community's vision.

That early investment became a catalyst. It helped Christina secure additional funding, establish a research partnership with The Ohio State University, and laid the foundation for Mother's Trust Alliance—a community-led initiative building a new model for investing in Black mothers and birthing people during pregnancy and the first 1,000 days.

Grounded in Black feminist values, the model brings together cash, care, community, and co-design to improve maternal wellbeing, strengthen economic mobility, and advance early childhood wellbeing.

Q&A with Christina

We recently sat down with Christina to hear what she learned from her pilot and how Promise shaped her work. 

Here are some highlights from our conversation:

What did you learn from your pilot?

For our pilot, it really wasn't about creating a program and then evaluating it. It was about listening, learning, testing our assumptions, and making sure our initiative was truly community-led. Before launching Mother's Trust Alliance, I wanted to hear the dreams and aspirations of the people we were aiming to support. So we created a dreaming session as a way to imagine new futures and new possibilities for maternal health.

We brought together Black women, mothers, and birthing people and made sure the session was accessible by providing food and childcare. We gathered at Zora's House, a space where people feel loved, safe, and seen, which was incredibly important. Together, we talked about the challenges people were experiencing, the futures they wanted to create, and the strategies needed to build them. We also partnered with a muralist who documented our conversations through a community mural, using art as research to capture our collective vision and create a way for others to engage with what we imagined together.

What I learned is that people are hungry for places to come together. Before the session had even ended, people were asking when the next one would be. They shared that they felt seen, loved, and less alone because they realized other people were experiencing many of the same things they were. I don't think I fully anticipated just how meaningful that experience would be.

We also explored dreaming as a research method and a form of data collection. We treated lived experience as expertise and talked about research not just as a way to gather evidence, but as a tool for liberation. That experience fundamentally changed how I think about research and what it can make possible.”

How did the Imagine Award's funding and support help you and your pilot program?

"Promise's support was incredibly valuable because it allowed us to do this work in a way that aligned with our values. We were able to compensate community members as experts, document our findings, and invest in cultural strategies like partnering with a muralist. It gave us the flexibility to pursue approaches that might otherwise have been considered nontraditional.

The funding also opened doors. Having Promise invest in our vision made it easier to have conversations with other funders because someone had already taken a chance on a new idea. That early investment helped us build new relationships, secure additional funding, and establish a research partnership with The Ohio State University.

Just as important as the funding was the wraparound support. My resource mobilizer, Demetra Brown, became an incredible thought partner. She introduced me to new models, connected me with leaders and experts across the country, and continually challenged me to think bigger about what was possible.

Promise's design sprints, mentorship, and technical assistance also helped me sharpen both my model and my messaging. They encouraged me to think more broadly about the ecosystem needed to support this work—from community members with lived experience to researchers, funders, care providers, and other cross-sector partners. That guidance strengthened both the initiative itself and how I communicate its vision.

Watching the Promise team prioritize rest, relationships, and community changed how I think about leadership. It reminded me that those aren't separate from the work—they're essential to sustaining it. As I continue building Mother's Trust Alliance, that lesson continues to shape both how I lead and the kind of organization I want to create."

Learn More About Christina

Christina Ratleff is a public health leader and policy strategist with nearly two decades of experience advancing racial and gender equity through systems-level change. She has led equity-focused initiatives across nonprofit and government sectors, including as Executive Director of the Columbus Women’s Commission, where she expanded paid family leave, increased municipal wages, and strengthened eviction protections. At the Association of Maternal & Child Health Programs (AMCHP), she directed national birth equity initiatives, leading multi-state partnerships to improve maternal and infant health outcomes. Christina holds a Master of Public Health from Boston University and serves on the board of directors of Zora’s House.