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Resources by Topic: Culture and cultural competency

Indigenous Voices Against Suicide: A Meta-Synthesis Advancing Prevention Strategies
Analyzes research on suicide prevention for Indigenous populations in the U.S. Highlights Indigenous voices in the research and selects for a number of programmatic themes, such as integration of culture as prevention, support preferences, and challenges to prevention, among others.
Author(s): Meenakshi Richardson
Citation: International Journal of Environmental Research and Public Health, 20(22), 7064
Date: 11/2023
Type: Document
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Provider- and System-Level Barriers and Facilitators to Colonoscopy and Multi-Target Stool DNA for Colorectal Cancer Screening in Rural/Remote Alaska Native Communities
Highlights a study of the barriers and facilitators to colorectal cancer screening for Alaska Native communities in rural and remote regions of Alaska. Bases findings on interviews with providers and an analysis of system-level factors, such as travel time and costs, weather, and COVID-19, among others.
Author(s): Diana Redwood, Melissa Toffolon, Christie Flanagan, et al.
Citation: International Journal of Environmental Research and Public Health, 20(22), 7030
Date: 11/2023
Type: Document
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Developing a Culturally Relevant Physical Activity Guide for Alaska Native Head Start Students in Rural Alaska: The Got Neqpiaq? Study
Highlights a survey of Alaska Native Elders, teachers, and parents on cultural modifications to the Head Start preschool programs' physical playtime activities in tribal communities. Features a partnership between the Alaska Native Tribal Health Consortium, Head Start, and the Rural Alaska Community Action Program. Details lessons learned from survey results on developing culturally competent physical education programming for Alaska Native preschoolers.
Author(s): Teresa Hicks, Barb Stillwater, Kathryn Koller, et al.
Citation: International Journal of Circumpolar Health, 82(1), 2287791
Date: 11/2023
Type: Document
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Invisible Children, Invisible Families: A Blueprint for Supporting The Child Care Needs Of American Indian And Alaska Native Families
Discusses the review of 184 Tribal Child Care Plans to understand access to culturally relevant child care and childhood education in tribal areas. Provides recommendations such as strengthening communication and collaboration between state governments and tribes, creating new approaches for tribes to serve members living off reservation, and reforming federal funding to address tribal needs using data-driven methods.
Author(s): Barb Fabre, Rob Grunewald, Linda K. Smith, Caroline Osborn
Date: 11/2023
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Bridging the Rural–Urban Health-Care Divide Through Community Research Partnerships
Highlights a health equity program that partners researchers with a remote indigenous community. Discusses the Siamit program in a remote, predominately Iñupiat, region of Alaska that partners with Harvard Medical School and Massachusetts General Hospital working to advance health equity.
Author(s): Lucas Trout, Margaret Smith, Linda Joule, Stuart Harris
Citation: Nature
Date: 11/2023
Type: Document
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RCORP: Helping Meet Rural Needs
Video series featuring the Federal Office of Rural Health Policy's Rural Communities Opioid Response Program (RCORP), a multi-year initiative that funds a range of grant programs to help rural communities treat and prevent opioid use disorder. RCORP grantees share how they have used this funding to address the needs of their communities.
Date: 11/2023
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Improving Access to Primary Care for Underserved Populations: A Review of Findings from Five Case Studies and Recommendations
Summarizes and synthesizes the findings from a series of five case studies that explored the impact of policy initiatives that aim to improve access to primary care. Covers increasing the availability of primary care providers, improving underserved communities' access to outpatient clinics, removing structural barriers to care, making primary care affordable, and improving comfort and communication between providers and patients. Presents recommendations for federal and state policymakers, primary care practices, medical schools, and other relevant stakeholders. Includes rural examples and considerations throughout.
Additional links: Executive Summary
Author(s): Maanasa Kona, Jalisa Clark, Emma Walsh-Alker
Date: 11/2023
Type: Document
Sponsoring organizations: Center on Health Insurance Reforms, Milbank Memorial Fund, National Institute for Health Care Reform
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Maintaining Momentum to Advance Health Equity in Adverse Environments
Discusses how to progress health equity and overcome institutional and legislative challenges. Focuses on building organizational processes, tailoring communications, committing to progress, prioritizing professional purpose and collective care, and engaging in community-level interventions, with examples from rural areas and organizations.
Author(s): Abena Ohene-Ntow, Jahira Sterling, Jamye Chapman, Shilpa Patel, Dana E. Crawford
Date: 11/2023
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Fentanyl in Native Communities: Native Perspectives on Addressing the Growing Crisis
Recording of a November 8, 2023 hearing discussing fentanyl in both Native Hawaiian and American Indian and Alaska Native Communities. Features testimony from Lummi Nation, Turtle Mountain Band of Chippewa Indians of North Dakota, Assiniboine and Sioux Tribes of the Fort Peck Reservation, and representatives of the behavioral health and public health fields. Discusses the criminal justice system, behavioral health workforce shortages, health impacts of historical trauma, and more. Captions available within the video player.
Additional links: Dr. A. Aukahi Austin Seabury, Ph.D., I Ola Lāhui, Inc. - Testimony, Dr. Claradina Soto, Ph.D., Keck School of Medicine, University of Southern California - Testimony, Mr. Eric M. Gettis, Southeast Alaska Regional Health Consortium - Testimony, The Honorable Bryce Kirk, Assiniboine and Sioux Tribes of the Fort Peck - Testimony, The Honorable Jamie S. Azure, Turtle Mountain Band of Chippewa Indians of North Dakota - Testimony, The Honorable Tony Hillaire, Lummi Nation - Testimony
Date: 11/2023
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Indian Affairs
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Improving Maternity Care for Indigenous Populations
Podcast episode featuring a discussion with Tina Pattara-Lau, M.D., maternal and child health consultant with the Indian Health Service Office of Clinical and Preventive Services, and Johnna Nynas, M.D., obstetrics and gynecology specialist at Sanford Bemidji Medical Center. Describes common disparities and systemic barriers Indigenous people experience in maternity care and ways hospitals and healthcare organizations can address these challenges and provide culturally-focused care.
Date: 11/2023
Type: Audio
Sponsoring organization: American Hospital Association
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