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Rural Health
Resources by Topic: Tribal communities

Tribal Colleges and Universities (TCUs) Are Twice as Likely to Support Parenting Students With On-Campus Child Care as Other Institutions
Compares Tribal Colleges and Universities (TCUs) with other higher learning institutions and their likelihood to provide childcare options for their students. Discusses the importance of on-campus child care to support educational opportunities for American Indian and Alaska Native (AI/AN) students.
Author(s): Jessica Warren, Deana Around Him
Date: 11/2022
Sponsoring organization: Child Trends
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Many American Indians and Alaska Natives Are Concentrated in High Poverty Rural Areas
Map identifying high poverty nonmetro counties that have a concentration of poverty for a specific racial or ethnic minority group. Identifies counties with concentrated poverty among Black or African American, Hispanic, White non-Hispanic, and American Indian and Alaska Native populations, based on 2015-2019 data.
Date: 11/2022
Sponsoring organization: USDA Economic Research Service
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Practicing Tribal Sovereignty Through a Tribal Health Policy: Implementation of the Healthy Diné Nation Act on the Navajo Nation
Examines the Healthy Diné Nation Act (HDNA) which was passed by the Navajo Nation in 2014 to support health and wellness in tribal communities. Analyzes the process, implementation, and evaluation of the HDNA to understand its impact on public health policy. Includes historical information about the Navajo nation as well as diabetes data and HDNA funding amounts for specific Navajo chapters.
Author(s): Regina Eddie, Caleigh Curley, Del Yazzie, et al.
Citation: Preventing Chronic Disease, 19
Date: 11/2022
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Health and Health Care for Indigenous People
Fact sheet comparing data on healthcare and population health for American Indian and Alaska Native (AIAN), Native Hawaiian or Other Pacific Islander (NHOPI), and other populations based on 2021 American Community Survey, Behavioral Risk Factors Surveillance System Data, and other national data sources.
Author(s): Drishti Pillai, Samantha Artiga
Date: 11/2022
Sponsoring organization: KFF
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American Indian and Alaska Native (AIAN) Children Are Overrepresented in Foster Care in States With the Largest Proportions of AIAN Children
Analyzes the disproportionate population of American Indian and Alaska Native (AI/AN) children in the foster care system with percentage comparisons for 10 states. Discusses culturally relevant practices and policies to address AI/AN historical trauma that has exacerbated high rates of foster care usage.
Author(s): Deana Around Him
Date: 11/2022
Sponsoring organization: Child Trends
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Improving Maternal Health Outcomes To Reduce Maternal Mortality and Severe Maternal Morbidity
Report highlights the Inter-Tribal Council of Arizona's Maternal Health Innovation (MHI) Program's goals and strategies for achieving them. Details the current state of maternal health in the Council's 21 tribe area and explores the barriers to maternal care, as well as a program timeline.
Additional links: Strategic Planning Summary
Date: 10/2022
Sponsoring organization: Inter Tribal Council of Arizona, American Indian Research Center for Health
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Assessing Effectiveness of Early Childhood Home Visiting Models Implemented with Tribal Populations
Report assesses the efficacy of early childhood home visiting models for tribal populations. Reviews and assesses home visiting literature, information, and implementation procedures to establish best-practices for American Indian and Alaska Native populations.
Author(s): Rachel Bleiweiss-Sande, Emily Sama-Miller, Carla Chavez, Rebecca Coughlin, Andrea Mraz Esposito
Date: 10/2022
Sponsoring organization: Administration for Children and Families
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Tips for Disaster Responders: Understanding Historical Trauma and Resilience When Responding to an Event in Indian Country
Describes historical trauma and its impact on Native American populations, and offers guidance for behavioral health responders when engaged in disaster preparedness and response efforts for tribal communities.
Date: 10/2022
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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How Alaska Supports Rural and Frontier Behavioral Health Services
Describes Alaska's Behavioral Health Aide (BHA) program, a non-licensed provider type designed to promote behavioral health and wellness in Alaska Native individuals, families, and communities through culturally relevant training and education. Discusses qualifications for the BHA certification, payment, and next steps for other states seeking to develop similar programs.
Date: 10/2022
Sponsoring organization: National Academy for State Health Policy
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Community Health Worker Intervention Improves Early Childhood Vaccination Rates: Results from a Propensity-Score Matching Evaluation
Examines the effectiveness of community health worker (CHW) home visiting interventions in the Health Start Program (HSP) in Arizona to improve childhood vaccination rates. Utilizes the Arizona State Immunization Information System (ASIIS) database to compare vaccination uptake among children whose mothers participated in the HSP between 2006 and 2016 to a demographically similar cohort. Analyzes vulnerable populations with a history of low vaccination uptake including Hispanic/Latinx, American Indian, children of low socioeconomic status and/or living with parents with less than a high school education, rural border counties, children with teen mothers, and first-born children.
Author(s): Patrick Wightman, Kelly McCue, Samantha Sabo, et al.
Citation: BMC Public Health, 22,1854
Date: 10/2022
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