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Rural Health
Resources by Topic: Culture and cultural competency

Caring for LGBTQ+ Populations in Rural Kansas
A recorded webinar that discusses how to provide healthcare and support to LGBTQ+ populations in rural Kansas. Includes information and data regarding healthcare disparities for LGBTQ+ individuals and how to help disadvantaged populations navigate the healthcare system.
Additional links: Slide Deck
Date: 06/2023
Type: Video/Multimedia
Sponsoring organization: Kansas Department of Health and Environment
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Maniilaq Health Center: Providing High-Quality Obstetric Care to American Indian/Alaska Native People in Rural Kotzebue, Alaska
Results of a case study highlighting a hospital providing care to rural American Indian and Alaska Native patients in Alaska. Examines the maternity care context with attention to the intersection of race and geography with social determinants of health to inform clinical and policy efforts to improve rural maternal health and health equity in Alaska and beyond.
Author(s): Hailey A. Baker, Katy Backes Kozhimannil, Bridget Basile Ibrahim
Date: 06/2023
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Trauma-Informed Supervision in Tribal Child Welfare (Part 2 of 2): The Essential Need for Adaptive Leadership and Reflective Practice
The second in a webinar series focused on trauma-informed supervision in tribal child welfare. Focuses on how trauma-informed leadership informs supervision and offers practical strategies to implement adaptive and reflective practices.
Author(s): Kimee Wind-Hummingbird, Lisa Stark
Date: 05/2023
Type: Video/Multimedia
Sponsoring organization: Capacity Building Center for Tribes
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CARE Data Principles, Indigenous Data, Data Related to Indigenous Peoples and Interest
Offers principles for ethical use of Indigenous data with focus on collective benefit, authority to control, responsibility, and ethics (CARE). Discusses implementation of CARE principles, language, and resources for learning more.
Author(s): Sarah Barsness, Jewel Cummins, Maria Victoria Fernandez, et al
Date: 05/2023
Type: Document
Sponsoring organization: Data Curation Network
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Purposefully Investing in the Tribal Home Visiting Workforce
Examines the Tribal Home Visiting workforce and the various programs that impact the well-being of American Indian/Alaska Native (AI/AN) populations. Includes stories from home visitor staff regarding their work with AI/AN populations, culturally sensitive programming, recruitment and retention strategies, and management of appropriate compensation and training opportunities for the home visiting workforce.
Date: 05/2023
Type: Document
Sponsoring organization: Tribal Home Visiting
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The Value of Rural Independent Living
Presents a Photovoice project evaluating rural community outreach for Centers for Independent Living along the themes of inclusion, raising awareness, being in community, community connections, and rural community living and values.
Date: 04/2023
Type: Document
Sponsoring organizations: Association of Programs for Rural Independent Living, University of Montana: Rural Institute for Inclusive Communities
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Best Practices for COVID-19 Vaccination and Testing
Summarizes findings of an environmental scan of testing and vaccination policies and programs serving people who are medically or socially at disproportionate risk for COVID-19 and related adverse outcomes. Identifies populations at disproportionate risk, including rural residents, and their barriers to COVID-19 testing, COVID-19 vaccination, and routine vaccination. Describes programs that aim to overcome these barriers and increase access to testing and vaccination services. Discuss the implications of these programs' strategies and approaches for future pandemics and public health crises.
Date: 04/2023
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Wisconsin Perinatal Periods of Risk (PPOR) Analysis, 2015–2019: Understanding Inequities in Fetal and Infant Mortality Impacting American Indian and Alaska Native Communities
Provides an overview of fetal and infant mortality in American Indian/Alaska Native (AI/AN) populations in Wisconsin from 2015-2019. Includes data on 4 perinatal periods of risk (PPOR) and comparisons between the AI/AN population and the general Wisconsin population. Discusses prevention areas and needs for culturally competent care related to sudden unexpected infant death (SUID), factors of low birthweight, and delivery complications and mortality related to low birthweight.
Additional links: Summary
Date: 04/2023
Type: Document
Sponsoring organization: Wisconsin Department of Health Services
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The Development of Accessible and Sustainable Transgender Health Education for Rural-Serving Medical Providers in Appalachia
Presents the results of a project to develop and implement a cultural competency training program for rural-serving medical residents focused on transgender primary healthcare in South Central Appalachia – an area that is medically under-resourced and experiences intersectional discrimination. The Kern Model medical curriculum and data from clinic stakeholders, residents, and transgender community members were utilized in the development of this training program. Highlights the value of virtual training providing increased accessibility for rural clinics.
Author(s): Rebecca Altschuler, Abbey K. Mann
Citation: Rural and Remote Health, 23(2), 7827
Date: 04/2023
Type: Document
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Rural Mental Health's Stressors, Barriers, and Protective Factors: Q&A with Dr. Dawn Morales
An interview with Dawn Morales, Program Chief of the Office of Rural Mental Health Research at the National Institute of Mental Health. Discusses challenges related to rural mental healthcare as well as the importance of cultural competency and protective factors, especially in rural populations such as American Indian and Alaska Native communities and farmers and ranchers.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 04/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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