The 2000 “Status of Women” report said it all: Tennessee ranked 49th out of 50 states and the District of Columbia when it came to women’s health, education, economic level and political participation. Published by the Institute for Women’s Policy Research, the study found that services existed, but women weren’t using them — a phenomenon attributed to geography, language barriers and economics. The report caught the attention of many local groups, including the Junior League of Nashville and the Nashville Academy of Medicine Alliance.