Black birthing mothers and their babies are dying in one of the most progressive and wealthiest cities of the country. I engaged San Francisco’s city officials and the Department of Public Health leadership to do something about health inequities and improve disparities impacting Black/African American birthing people. I had the opportunity to present data on preterm birth, infant mortality and poor maternal health outcomes, address social determinates of health, and advocate for new funds with recommendations to close the gaps. This was important to me because I was a new Director during historical events with a pandemic, Black Lives Matter protests, and racism happening across the country. The goal of the project was how to advocate and receive funds to improve health outcomes for vulnerable population.