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Rural Health
Resources by Topic: American Indians, Alaska Natives, and Native Hawaiians

Recognizing and Sustaining the Value of Community Health Workers and Promotores
Discusses the ways in which community health workers and promotores (CHW/Ps) contribute to the healthcare system, with a focus on California. Gives examples of the ways in which CHW/Ps in rural areas can alleviate workforce shortages, strengthen patient engagement with the healthcare system, and act as liaisons to social structures, including churches and Native American tribal organizations.
Author(s): Jim Lloyd, Kathy Moses, Rachel Davis
Date: 01/2020
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Public Transportation: Enhanced Federal Information Sharing on Coordination Could Improve Rural Transit Services
Report details the Federal Transit Administration's (FTA) efforts in improving rural public transit coordination and identifies areas for improvement. Highlights some of the challenges affecting the FTA's ability to effectively coordinate transportation for rural and tribal areas.
Additional links: Full Report
Date: 01/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Suicide among American Indian Youth in New Mexico 2017
Data from the New Mexico Youth Risk and Resiliency Survey on suicide behaviors among American Indian (AI) youth in rural and urban New Mexico for use as a tool to measure health risk behaviors and resiliency factors among high school and middle school students in the state.
Date: 12/2019
Type: Document
Sponsoring organization: Albuquerque Area Southwest Tribal Epidemiology Center
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Professional and Cultural Development of Medical Students Mentoring Adolescents in a Predominately Native Hawaiian Community
Describes the development and design of the the Nānākuli Pathways to Health (NPH) program, a mentoring and health career curriculum, to determine its impact on students' professional development while serving in a rural, underserved Native Hawaiian community.
Author(s): Malia S. Lee, Sachi K. Kaulukukui, Mai S. Smith, Jerrick J.K. Laimana, Kelli-Ann N.F. Voloch
Citation: Hawai'i Journal of Medicine and Public Health, 78(12 Suppl 3), 35-40
Date: 12/2019
Type: Document
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Empowering 'Ōpio (Next Generation): Student Centered, Community Engaged, School Based Health Education
Describes the development of the Empowering Opio Project, created by a team of health educators from two rural Oahu school-based health centers (SBHC) with input from school administrators, teachers, and students, to encourage high school students to assess their health needs and achieve optimal health.
Author(s): Blane K. Garcia, Malia L. Agustin, May M. Okihiro, Vija M. Sehgal
Citation: Hawai'i Journal of Medicine and Public Health, 78(12 Suppl 3), 30-34
Date: 12/2019
Type: Document
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Indian Health Service Has Strengthened Patient Protection Policies but Must Fully Integrate Them into Practice and Organizational Culture
Explores and evaluates the current patient protection policies of the Indian Health Service (IHS) and makes recommendations. Focuses on the IHS policies implemented to prevent child sexual abuse by providers and staff.
Author(s): Joanne M. Chiedi
Date: 12/2019
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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The Uninsured in New Mexico
Analysis of the nonelderly uninsured population in New Mexico by 9 substate regions for state policymakers drafting policies and outreach to expand health insurance coverage within the state. Includes demographic, employment, citizenship, and family income characteristics for this population, with a special focus on uninsured American Indians in the state. Presents estimates of the distribution of the uninsured population by their eligibility for Medicaid and other health insurance programs.
Author(s): Jessica S. Banthin, Matthew Buettgens, Linda J. Blumberg, Robin Wang, Clare Wang Pan
Date: 12/2019
Type: Document
Sponsoring organization: Urban Institute
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SOAR for Native Communities
Training module designed to help people serving indigenous populations to understand human trafficking and its impact on American Indian, Alaska Native, Native Hawaiian, and Pacific Islander communities. Includes resources relevant to indigenous populations and supports professionals in building trauma-informed and culturally appropriate interventions. Content is free with account creation.
Date: 12/2019
Type: Tutorial/Training
Sponsoring organizations: National Human Trafficking Training and Technical Assistance Center, U.S. Department of Health and Human Services Office on Women's Health
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Behavioral Health in Rural America: Challenges and Opportunities
Examines the prevalence of behavioral health disorders in rural populations with an emphasis on high-risk populations. Discusses access to behavioral health services in rural areas, and the barriers associated with the provision of prevention, treatment, and recovery services. Highlights programs and policy strategies known to demonstrate improvements in behavioral health systems, and offers policy recommendations for change supporting improved outcomes in rural populations.
Additional links: Executive Summary
Author(s): John Gale, Jaclyn Janis, Andrew Coburn, Hanna Rochford
Date: 12/2019
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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A Health Equity Approach to Obesity Efforts: Proceedings of a Workshop
Proceedings of a workshop focused on health equity in demographic groups with a higher risk of obesity and how to address those issues in obesity treatment and prevention efforts. Covers disparities in obesity prevalence, including for rural areas and American Indian/Alaska Natives, social determinants of health, community and public health approaches for preventing and treating obesity, and effective healthcare interventions.
Additional links: Read Online: Full Proceedings, Read Online: Summary, June 2019, Summary, June 2019
Author(s): Roundtable on Obesity Solutions
Date: 12/2019
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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