MURIEL BOWSER MAYOR Mar ch 14, 2025 The Honorable Phil Mendelson Chairman Co uncil of the D istrict of Colu mbia John A. Wilson Building 1350 Pennsylvania Avenue, NW, Suite 504 Washington, DC 20004 Dear Ch airman M endelson: In accordance with section 2 of the Confirmation Act of 1978, effective March 3, 1979 (D.C. Law 2- 142; D.C. Official Code § 1-523.01), and pursuant to section 4 of the Maternal Mortality Review Committee Establishment Act of 2018, effective June 5, 2018 (D.C. Law 22-111; D.C. Official Code § 7-671.03), I am pleased to nominate the following individual: Dr . Christina M area 24th Street, N E Washington, D.C 20018 (Ward 5) f or reappointment as a person with experience in obstetrics and gynecology from a District of Columbia hospital or birthing center member of the Maternal Mortality Review Committee, fo r a term to end January 10, 2028. Enclosed, you will find biographical information detailing the experience of the above-m entioned nominee, together with a proposed resolution to assist the Council during the confirmation process. I would appreciate the Council’s earliest consideration of this nomination for confirmation. Please do not hesitate to contact me, or Steven Walker, Director, Mayor’s Office of Talent and Appointments, should the Council require additional information. Sincerely, Muriel B owser Mayor 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 ~ at the request of the Mayor A PROPOSED RESOLUTION IN THE COUNCIL OF THE DISTRICT OF COLUMBIA To confirm the reappointment of Dr. Christina Marea to the Maternal Mortality Review Committee. RESOLVED, BY THE COUNCIL OF THE DISTRICT OF COLUMBIA, that this resolution may be cited as the "Maternal Mortality Review Committee Dr. Christina Marea Confirmation Resolution of 2025". Sec. 2. The Council of the District of Columbia confirms the reappointment of: Dr. Christina Marea 24th Street, NE Washington, DC 20018 (Ward 5) as a person with experience in obstetrics and gynecology from a District of Columbia hospital or birthing center member of the Maternal Mortality Review Committee, established by section 3 of the Maternal Mortality Review Committee Establishment Act of 2018, effective June 5, 2018 (D.C. Law 22-111; D.C. Official Code§ 7-671.02), for a term to end January 10, 2028. Sec. 3. The Council of the District of Columbia shall transmit a copy of this resolution, upon its adoption, to the nominee and to the Office of the Mayor. Sec. 4. This resolution shall take effect immediately. CURRICULUMVITAE PERSONAL DATA ChristinaX.Marea,PhD,MSN,MA,CNM ‘AdvancedPracticeNursing SchoolofNursingandHealthStudies GeorgetownUniversit 1.PERSONALINFORMATION A.Education Years Degree/Coursework ‘September2021—Present December2020 May2010 May2008 May2002 Fellowship: TLIPostdoctoralFellowship PhD MasterofScienceinNursing MasterofArtsinConflict Resolution BachelorofScienceinForeign Service Institution Georgetown-HowardUniversities CenterforClinicaland ‘TranslationalScience JohnsHopkinsSchoolofNursing Baltimore,MD YaleSchoolofNursing ‘NewHaven,CT UniversityofBradford,Bradford, WestYorkshire,UK GeorgetownUniversity Washington,DC BetterSelvesFellowship,KnollFarm,Vermont,USA,2017 UniversityofBradford,RotaryWorldPeaceFellowship,WestYorkshire, UnitedKingdom,2006-2008 B.ProfessionalExperience Institution/LocationYears Title 2020—PresentAssistantProfessor,EducatorTrack ‘Nurse-Midwifery/WHNP 2013-2019AdjunctInstructor,OCICoordinator, ‘Nurse-Midwifery/WHNP GeorgetownUniversitySchoolofNursing andHealthStudies,WashingtonDC GeorgetownUniversitySchoolofNursing andHealthStudies,WashingtonDC 2017 – 2019 External Consultant World Health Organization, Geneva, Switzerland (remote) 2013 - 2019 Coordinator for Simulation, Nurse-Midwifery/WHNP Georgetown University School of Nursing and Health Studies, Washington DC 2018 – Present Certified Nurse Midwife Community of Hope Washington, DC 2015 – 2017 Certified Nurse Midwife Providence Hospital Washington DC 2014 – 2015 Certified Nurse Midwife Physicians and Midwives Alexandria, VA 2012 – 2013 Certified Nurse Midwife Doctors Without Borders, Maban, South Sudan 2010 - 2012 Certified Nurse Midwife Medstar Washington Hospital Center, Washington DC 2009 – 2010 Registered Nurse Fair Haven Community Health Center, New Haven, CT 2009 Co-Director Haven Free Clinic, New Haven, CT 2008 External Consultant UNHCR/ UNRWA, Damascus, Syria 2007 Certified Professional Midwife Hospitalito Atitlan, Santiago Atitlan, Guatemala 2006 – 2007 Certified Professional Midwife Maternidad La Luz, El Paso, TX 2003 – 2004 Marketing Associate Advisory Board Company, Washington DC 2002 – 2005 Director Learning Enterprises, Washington DC C. Licensure Registered Nurse/ Certified Nurse-Midwife State: DC License No: RN1020288 Initial Date: May 2010 Renewal/ Expiration: December 2022 D. Certification Years Source Type 2010 – 2022 American Midwifery Certification Board Certified Nurse Midwife E. Languages Spoken: English, Spanish 2. RESEARCH AND SCHOLARLY ACTIVITIES A. Publications: i. Original Papers in Refereed Journals 1. Marea, C. X., Warren, N., Glass, N., Johnson-Agbakwu, C., & Perrin, N. (2021). Assessing the reliability and validity of attitudes and confidence scales for the care of women and girls affected by female genital cutting/ mutilation. BMC Public Health, 21(1415). https://doi.org/10.1186/s12889-021-11455-8 2. Marea, C. X.; Warren, N.; Glass, N.; Johnson-Agbakwu, C.; Perrin, N. (2021) Factors Associated with Health Care Provider Awareness, Attitudes, and Confidence for the Care of Women and Girls Affected by FGM/C, Health Equity 5:1, 329–337, DOI: 10.1089/heq.2020.0130. 3. Njie-Carr, V.P.S., Sabri, B., Messing, J.T., Ward-Lasher, A., Marea, C., Wachter, K., & Campbell, J. (2020). Understanding intimate partner violence among immigrant and refugee women: A grounded theory analysis. Journal of Aggression, Maltreatment, & Trauma (JAMT). https://doi.org/10.1080/10926771.2020.1796870 4. Kaufman, M. R., Grilo, G., Williams, A., Marea, C. X., Fentaye, F. W., Abebe Gebretsadik, L., & Yedenekal, S. A. (2019). The Intersection of Gender-Based Violence and Risky Sexual Behaviour among University Students in Ethiopia: A Qualitative Study Psychology & Sexuality, 11(3), 198-211. https://doi.org/10.1080/19419899.2019.1667418 5. Kaufman, M. R., Williams, A. M., Grilo, G., Marea, C. X., Fentaye, F. W., Gebretsadik, L. A., & Yedenekal, S. A. (2019). “We are responsible for the violence, and prevention is up to us”: a qualitative study of perceived risk factors for gender-based violence among Ethiopian university students. BMC Women’s Health, 19(1), 131. https://doi.org/10.1186/s12905-019-0824-0 6. Nersesian, P. V., Starbird, L. E., Wilson, D. M., Marea, C. X., Uveges, M. K., Choi, S. S. W., … Cajita, M. I. (2019). Mentoring in research-focused doctoral nursing programs and student perceptions of career readiness in the United States. Journal of Professional Nursing, 35(5), 358–364. https://doi.org/10.1016/J.PROFNURS.2019.04.005 7. Alvarez CP, Davidson PM, Fleming C, Glass NE. Elements of effective interventions for addressing intimate partner violence in Latina women: A systematic review. PLoS One. 2016;11(8):1-13. doi:10.1371/journal.pone.0160518 8. Grace KT, Fleming C. A Systematic Review of Reproductive Coercion in International Settings. World Med Heal Policy. 2016;8(4):382-408. doi:doi:10.1002/wmh3.209 Manuscripts Under Peer Review Dissertation Manuscripts Pending Submission Marea, C. X.; Warren, N.; Glass, N.; Pallitto, C. Advancing the Knowledge, Attitudes and Practices of Health Care Providers Who Care for Women and Girls Who have Undergone FGM/C: A Qualitative Exploration of Expert Opinion. ii. Abstracts for Conference papers and posters International 1. Marea C, Evans M, Warren N, Pallitto C. Knowledge, Attitudes and Practices of Health Care Providers for Female Genital Cutting: A Qualitative Exploration. 3rd International Expert Meeting on Female Genital Mutilation / Cutting Sharing data and experiences, improving collaboration. 2019 May 20-22. Brussels, Belgium 2. Marea C, Johnson-Agbakwu C, Fox K. Female Genital Cutting (FGC) Status of Daughters and Family Decision-Making Among Somali Refugee Families in Arizona: A Mixed Methods Analysis. XXII FIGO Congress. 2018 October 14-19. Rio de Janeiro, Brazil 3. Njie-Carr V, Sabri B, Messing JT, Suarez C, Ward-Lasher A, Fleming C, Campbell J. Engendering Resilience to Survive in the Lives of Abused Immigrant and Refugee Women: A Grounded Theory Study. Nursing Network on Violence Against Women International. 2018 September 27-29. Niagara-On-The-Lake, Ontario, Canada. 4. Njie-Carr V, Sabri B, Messing JT, Suarez C, Ward-Lasher A, Fleming C, Campbell J. Common and Culturally Specific Factors Related to Intimate-Partner Violence among Immigrant and Refugee Women: Implications for Safety Planning. Nursing Network on Violence Against Women International. 2018 September 27-29. Niagara-On-The-Lake, Ontario, Canada. 5. Fleming C, Evans M, Warren N, Johnson-Agbakwu C. Development and Evaluation of an Evidence-Based Training Workshop for Health Care Providers Caring for Women and Girls Affected by Female Genital Cutting (FGC). 12th Biennial Conference of the Global Network of WHO Collaborating Centres for Nursing and Midwifery. 2018 July 18-19. Cairns, Australia. 6. Fleming C, Evans M, Warren N, Johnson-Agbakwu C. Health Care Provider Competencies Caring for FGC-Affected Populations – A Conceptual Map. 2nd International Expert Meeting on Female Genital Mutilation / Cutting Sharing data and experiences, improving collaboration. 2018 May 28-29. CHU Sainte-Justine, Montreal, Canada. National 7. Nersesian P, Starbird L, Choi S, Wilson D, Fleming C, Kurtz M, Szanton S. Mentoring in research doctorate nursing programs and students' perceived career readiness. Nursing Education Research Conference. 2018 April 2019-2021. Washington, D.C., USA. 8. Worly B, Heinrichs G, Fleming C. Sexual Health Education – How to Handle the Hard Stuff. Association of Professors of Gynecology and Obstetrics Conference. 2018 January 6-9. Palm Beach, Florida, USA. Local 9. Escobar M, Marea C. Integrating a Health Equity Framework for Health Professional Education. Gender+ Justice Colloquium, Georgetown University. 2021 April 8-9. Washington D.C. USA iii. Reports 1. DC Maternal Mortality Review Commission Annual Report 2019-2020 B. Research Funding: i. Current Active Agency: Hillman Foundation Identifying Number: Innovations in Care Title of Project: Thriving in the Postpartum Year: A Nurse-Midwife Led Group Intervention to Promote the Health and Wellbeing of Families Experiencing Racism in Washington D.C. Dates of Project Period: January 2022 – December 2024 Corresponding PI: Christina Marea, PhD Total Direct Costs over all years of award: $510,000 Total Indirect Costs over all years of award: $ 90,000 Total Direct plus Indirect Costs over all years of award: $ 600,000 Role on Project: Principal Investigator Agency: Pew Charitable Trust Identifying Number: NA Title of Project: Calling All Sectors Initiative: Exploring the Experiences of Pregnant People Experiencing Homelessness Dates of Project Period: November 2021 – May 2022 Corresponding PI: Christina Marea, PhD Total Direct Costs over all years of award: $25,000 (sub-Award) Total Indirect Costs over all years of award: NA Total Direct plus Indirect Costs over all years of award: Role on Project: Co-Principal Investigator Agency: NRSA Translational Biomedical Scient Training Grant Identifying Number: TL1TR001431 Title of Project: Thriving in the Postpartum Year: A Nurse-Midwife Led Group Intervention to Promote the Health and Wellbeing of Families Experiencing Racism in Washington DC Dates of Project Period: 9/1/2021 – 8/31/2022 Corresponding PI: Kathryn Sandberg Role on Project: Postdoctoral Fellow ii. Submitted (Not yet funded) Agency: Identifying Number: Title of Project: Dates of Project Period: Corresponding PI: Total Direct Costs over all years of award: Total Indirect Costs over all years of award: Total Direct plus Indirect Costs over all years of award: Role on Project: iii. Previous Agency: World Health Organization Identifying Number: ERC.0003031 Title of Project: Construction and Validation of a Knowledge, Attitudes, and Practices Instrument for Health Care Providers Caring for FGMC-Affected Populations Dates of Project Period: August 2017 – May 2020 Corresponding PI: Christina Marea Total Direct Costs over all years of award: $50,000 Total Indirect Costs over all years of award: $ NA Total Direct plus Indirect Costs over all years of award: $ NA Role on Project: Principal Investigator Agency: Heilbrunn Foundation Identifying Number: NA Title of Project: Construction and Validation of a Knowledge, Attitudes, and Practices Instrument for Health Care Providers Caring for FGMC-Affected Populations Dates of Project Period: June 2018 – June 2020 Corresponding PI: Christina Marea Total Direct Costs over all years of award: $25,000 Total Indirect Costs over all years of award: $ NA Total Direct plus Indirect Costs over all years of award: $ NA Role on Project: Principal Investigator C. Invited Lectures and Speaking: 1. Panelist, Data Use in Maternal Mortality Review Commissions. Saving Lives: A Data- Driven Summit to Improve Maternal Health hosted by MITRE and March of Dimes, November 2021. 2. Guest Lecturer, Integrating a Health Equity Framework for Health Professional Education: A Curricular Workshop, Teaching For Inclusion and Equity Series. School of Medicine, Georgetown University, October 2021. 3. Invited Speaker, Racism and Maternal Health Disparities, Howard University, Washington, DC, March 2019 4. CEU Presenter, Understanding Health Disparities: Racism, Toxic Stress, and Structural Inequality, Women’s Health Symposium, Local DC ACNM Affiliate, Washington D.C., April 2018. 5. Podium Presentation, Global Midwifery, Johns Hopkins University School of Nursing Midwifery Week, Baltimore, Maryland, October 2016 6. Invited Speaker, Midwifery Care of Refugee and Immigrant Populations, Johns Hopkins University School of Advanced International Studies, Global Women in Leadership Celebrating International Women's Day, March 2016 7. Invited Speaker, Humanitarian Aid – Working with Doctors Without Borders, Johns Hopkins University School of Nursing, Baltimore, Maryland, 2013 D. Editorships, Editorial Boards, and Reviewing Activities i. Ad Hoc Journal Reviews Health Equity SAGE One Medical ii. Grant Reviews – NA iii. Abstract Reviews 1. American College of Nurse Midwives Annual Meeting: 2019, 2021. 3. TEACHING, MENTORING, AND ADVISING A. Teaching Activities i. Courses Taught Name and Course Number Role Number of Direct Contact Hours Year(s) Taught Number of Students Overall Evaluation Score (5 max score) NURO 721 – Integrated Midwifery Care of Women Course Coordinator and Instructor 2 Fall 2020 Summer 2020 Spring 2020 Summer 2019 12 12 15 10 TBD 5 5 4 NURO 722 – Full Scope Midwifery Care II Instructor 4 Fall 2020 Summer 2020 Summer 2019 35 12 25 TBD NA NA NURO 733 – Advanced Women’s Health Care Seminar Instructor 2 Fall 2017 Summer 2017 Spring 2017 10 18 9 Not Calculated Not Calculated Not Calculated NURO 510 – Intro to Women’s Reproductive Health Instructor 3 Spring 2017 Fall 2016 10 9 Not Calculated Not Calculated NURO 540 – Evidence Based Practice and Research Instructor 3 Spring 2017 12 Not Calculated NURO 671 – Reproductive Health Care II Instructor 3 Summer 2016 10 Not Calculated NURO 710 – Families in Crisis Instructor 1 Spring 2016 Spring 2014 (x2 sections) 9 25 34 Not Calculated 4.75, 4.8 5, 4.5, 4.75 Fall 2013 (x3 sections) NURO 675 – Reproductive Healthcare of Women II Instructor 3 Fall 2013 9 5 NURO 502 – Primary Care of Women Instructor 2 Summer 2013 8 5 Not calculated occurred during terms where too few students responded. ii. Teaching Recognition/Awards Innovation in Education Award, May 2021 Nurse-Midwifery/ WHNP Program, Department of Advanced Nursing Practice, School of Nursing and Health Studies, Georgetown University B. Mentoring Mentor: Christina Marea Mentee: Katie DePalma Dates of Mentorship: May 2013 – January 2021 Outcomes: Board Certification as CNM/ WHNP, Instructor at Georgetown University, Course Coordinator for Integrated Midwifery Care, Curriculum Development – Gender-Affirming Healthcare, Anti-Racist Practice, Weight Stigma in Clinical Practice C. Advising Advisee: Juandria Nicole Montgomery Program: DNP Candidacy Institution: Georgetown University, School of Nursing and Health Studies Project Title: Impact of an online education intervention on health care provider self-efficacy for assessment and care of clients Experiencing Female Sexual Dysfunction Outcomes: Advisee: Yara Bazzoun Program: Medical Resident, Masters of Public Health Institution: University Hospital, Geneva Project Title: Knowledge, attitude, and practice of Swiss and Swedish health professionals towards women and girls with or at risk of female genital mutilation/cutting Outcomes: Validated survey of knowledge, attitudes, practice; 3 manuscripts currently in progress 4. SERVICE A. University Service: i. Department Member, Nursing Structure Ad-Hoc Group, 2020 Georgetown University, School of Nursing and Health Studies Member, Task Force on Philosophy, Mission and Vision Nurse Midwifery and Women’s Health Nurse Practitioner Program Department of Advanced Practice Nursing Georgetown University, School of Nursing and Health Studies ii. School Member, Dean Search Committee, 2021 Georgetown University, School of Nursing and Health Studies iii. University Senator, Faculty Senate, 2021-2024 Georgetown University iv. Georgetown University Medical Center (GUMC) Member, GUMC Faculty Caucus, 2021-2024 Georgetown University B. Professional Service: Co-Chair, Washington DC Maternal Mortality Review Commission June 2019 – Present Chair, Education Committee, Division of Global Engagement, ACNM June 2021 – Present Member, Maternal Health Advisory Group, Washington D.C. Dept. of Health Care Finance January 2022 - Present 5. HONORS AND AWARDS Awards Institution/Location Years CENTILE Lead Fellow Georgetown University Medical Center 2021 - 2022 Fellow Better Selves Fellowship 2017 Professional Development Award Johns Hopkins University, School of Nursing 2017 TL1 Trainee Award, Predoctoral Clinical Research Training Program Johns Hopkins Institute for Clinical and Translational Research 2015 – 2016 T32 Predoctoral Training Grant for Study of Violence, Fellow, Jacquelyn Campbell, PI, NINR, NIH, T32 HDO64428, Johns Hopkins University School of Nursing 2013 – 2015 Rotary World Peace Fellow Rotary Foundation, University of Bradford, West Yorkshire, UK 2017 Sigma Theta Tau – Delta Mu Chapter Yale University 2018 6. PROFESSIONAL SOCIETY MEMBERSHIP Dates (in Years) of Membership Society Name, Leadership Role (if appropriate) 1. 2010 – Present; ACNM, Local Chapter Washington, DC 2. 2018 – Present; Sigma Theta Tau International Nursing Honor Society, Nu Beta Chapter 3. 2016 – Present; National League of Nursing 4. 2021 – Present; International Society of Global Health 5. 2020 – Present; National Association of Hispanic Nurses I certify that this curriculum vitae is a current and accurate statement of my professional record. Signature: Date: ______February 2, 2022___________ Executive Office of the Mayor – Mayor’s Office of Talent and Appointments John A. Wilson Building | 1350 Pennsylvania Avenue, Suite 600 | Washington, DC 20004 Dr. Christina Marea Dr. Christina Marea is a certified nurse midwife, educator, and researcher. Her research interests are at the intersection of reproductive justice, health disparities, and health system opportunities to transform care and outcomes for structurally marginalized and excluded people. As a clinical educator, Professor Marea seeks to increase the capacity of reproductive health care providers to provide excellent care to meet the specific needs of marginalized and structurally excluded groups through interventions that aim to improve and maintain high quality health care services. Dr. Marea has practiced clinical midwifery practice in a range of settings including included a birth center working with Latina immigrants, a rural Guatemalan hospital serving a disaster-affected indigenous community, a federally qualified health center (FQHC) serving mainly uninsured/ underinsured immigrants (predominantly Latino), tertiary care hospitals include the care of pregnant and parenting incarcerated teens, and a refugee camp in South Sudan. Dr. Marea currently practices at Community of Hope (COH) here in Washington DC, an FQHC serving clients primarily in Wards 5 and 7. A Ward 5 resident, Dr. Marea earned her Bachelor of Science in Foreign Service from Georgetown University, her Master of Arts in Conflict Resolution from the University of Bradford, her Master of Science in Nursing from Yale School of Nursing, and her Doctor of Philosophy from John Hopkins School of Nursing. GOVERNMENT OF THE DISTRICT OF COLUMBIA Executive Office of Mayor Muriel Bowser Office of the General Counsel to the Mayor ______________________________________________________________________________ The John A. Wilson Building • 1350 Pennsylvania Avenue, NW • Suite 300 • Washington, D.C. 20004 • Office (202) 724-7681 To: Kimberly A. Bassett, Steve Walker From: Betsy Cavendish Date: October 24, 2024 Subject: Legal sufficiency review of a resolution reappointing Christina Marea as a member of the Maternal Mortality Review Committee This is to Certify that this office has reviewed the above-referenced Order and found it to be legally unobjectionable. If you have any questions in this regard, please do not hesitate to call Michael Porcello, Deputy General Counsel, Executive Office of the Mayor, at 202-727- 0872, or me at 202-724-7681. ______________________________ Elizabeth Cavendish