Primary Health: Closing Gaps in Rural Black Communities

Access to quality healthcare remains a challenge for many Black residents in rural Texas, particularly in Bastrop, Caldwell, Fayette and Lee counties. Long travel distances, a shortage of Black healthcare professionals, and systemic barriers create significant disparities—leaving many without the care they need. These challenges are reflected in higher mortality rates and an increased prevalence of chronic conditions among rural Black populations compared to their urban counterparts. Death rates for all Black residents exceed those of their White peers [cdc.gov].

A shortage of healthcare providers in these areas worsens the crisis. Bastrop County has been designated a health professional shortage area for primary, dental and mental health care. This designation highlights how limited essential health services are for many residents [bhw.hrsa.gov]. Additionally, a lack of Black healthcare professionals can create cultural and communication barriers, making it harder for patients to receive care that feels accessible and understanding.

Building Solutions for Health Equity

Organizations like the Rural Whole Health Coalition are working to bridge these gaps by expanding access to mental health, primary health and financial wellness resources in rural Central Texas. Partnerships, such as the Rural Community Health Fund with St. David’s Foundation, further support local efforts to improve health equity by funding programs that address critical health needs in underserved communities.

Local clinics are also stepping up to fill the gaps. The Smithville Community Clinic provides essential healthcare services for uninsured and underinsured residents, ensuring that more families can access preventative and primary care.

For those looking for support, RWHC’s Resource Page offers a directory of health services, financial assistance programs and community wellness initiatives to help individuals and families find the care they need. You only need to enter your ZIP code to find nearby services.

Advocating for Change

This Black History Month, we must recognize the systemic challenges that continue to affect Black health outcomes while celebrating the Black doctors, nurses, and advocates by closing the gaps in rural Black communities. Prioritizing health is an act of resilience, and through community support and advocacy, we can continue pushing for a future where quality healthcare is accessible to all—regardless of race or geography.

#HealthEquity #BlackHealthMatters #RuralHealthcare #BlackHistoryMonth