While overall infant mortality rates have gone down during the past decade, black infant mortality rates increased from 2014 to 2015. To address these numbers, individuals, organizations and health departments across the country have designed innovative community programs, grassroots initiatives, state and national campaigns, and educational materials tailored to high-risk and underserved populations that experience barriers to safe sleep practices. Together, their work provides a vital roadmap for others seeking to drive community, state and national change.