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Rural Health
Resources by Topic: Tribal communities

Oversight Hearing "Examining the COVID-19 Response in Native Communities: Native Health Systems One Year Later"
Recording of an oversight hearing of the Senate Committee on Indian Affairs evaluates the response of native healthcare systems to the COVID-19 one year into the pandemic. Features testimonies by representatives of the Indian Health Service, the National Indian Health Board, the National Council of Urban Indian Health, the Papa Ola Lōkahi organization, and the Alaska Native Medical Center.
Additional links: Michael Toedt Testimony, Robert Onders Testimony, Sheri-Ann Daniels Testimony, Walter Murillo Testimony, William Smith Testimony
Date: 04/2021
Sponsoring organization: Senate Committee on Indian Affairs
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Notes from the Field: COVID-19 Case Investigation and Contact Tracing Program — Spirit Lake Tribe, North Dakota, September–November 2020
Reports on how the CDC helped the Spirit Lake Tribe build a tribally managed program to address increasing COVID-19 cases through comprehensive case investigations, case notification, contact tracing, contact testing, and contact management. Describes the work of Spirit Lake community members who served as investigators and contact tracers, providing advice about the need to isolate or quarantine. Discusses housing challenges that impacted isolation and quarantine efforts.
Author(s): James Matthias, Tracy Charboneau, Cheri Schaffer, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(14), 533-534
Date: 04/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Use of Stay-at-Home Orders and Mask Mandates to Control COVID-19 Transmission — Blackfeet Tribal Reservation, Montana, June–December 2020
Reports on the impact of community mitigation resolutions passed and enforced by the Blackfeet Tribal Business Council on COVID-19 incidence in the Blackfeet Tribal Reservation. Mitigation measures included case investigation, contact tracing, a mandatory stay-at-home order, and required mask use in public.
Author(s): Caroline Q. Pratt, Anna N. Chard, Rosaula LaPine, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(14), 514-518
Date: 04/2021
Sponsoring organization: Centers for Disease Control and Prevention
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COVID-19 Incidence and Mortality Among American Indian/Alaska Native and White Persons — Montana, March 13–November 30, 2020
Examines COVID-19 incidence and mortality rates among American Indian/Alaska Native (AI/AN) and White people in Montana. Discusses factors that may have contributed to greater incidence and mortality for the AI/AN population and the need for appropriate public health measures and vaccine allocation strategies to address disparities.
Author(s): Laura L. Williamson, Todd S. Harwell, Todd M. Koch, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(14), 510-513
Date: 04/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Healing Tool - Pocket Guide for Addressing Behavioral Health Goals in Native Communities
Provides data and strategies for addressing mental health and substance use issues in American Indian and Alaska Native communities. Discusses issues around stigma, medication-assisted treatment, and traditional healing practices, among other measures, for creating culturally competent care in tribal communities.
Author(s): Shirley M. Cain
Date: 03/2021
Sponsoring organization: National American Indian and Alaska Native Addiction Technology Transfer Center
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Oversight Hearing: Business Meeting to consider S. 421, S. 789 & Oversight Hearing "Build Back Better: Water Infrastructure Needs for Native Communities"
Recording of an oversight hearing of the Senate Committee on Indian Affairs to discuss the Western Tribal Water Infrastructure Act of 2021 and hear testimony on its potential effect on the health and wellness of native communities. Features testimonies by representatives of the Confederated Tribes of Warm Springs, the Colorado River Indian Tribes, Alaska Native Tribal Health Consortium, and Navajo Department of Water Resources.
Additional links: Amelia Flores Testimony, Jason John Testimony, Raymond Tsumpti Testimony, Valerie Nurr'Araaluk Davidson Testimony
Date: 03/2021
Sponsoring organization: Senate Committee on Indian Affairs
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COVID-19 Response: Broadband Funding for Tribes, Tribal Colleges and Universities, the Bureau of Indian Affairs, the Bureau of Indian Education, and the Indian Health Service
Identifies indirect and direct broadband funding for American Indian tribes, tribal colleges and universities, the Bureau of Indian Affairs, the Bureau of Indian Education, and the Indian Health Service authorized in the Coronavirus Aid, Relief, and Economic Security Act; Consolidated Appropriations Act, 2021; and American Rescue Plan Act of 2021.
Date: 03/2021
Sponsoring organization: Congressional Research Service
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Evidence-based Health Promotion Programs among American Indian, Alaska Native, and Native Hawaiian Communities
Report details disparities in healthcare access for American Indian (AI), Alaska Native (AN), and Native Hawaiian (NH) communities. Discusses the role the Older American Act has played in providing services to AI/AN/NH populations and highlights the results of a survey of directors and staff of programs funded through the act on its efficacy and challenges. Explores evidence-based practices aimed at health promotion and disease prevention in AI/AN/NH communities and discusses the experience of both program directors and the elders in the community.
Additional links: Perspectives from Older Americans Act Title VI Directors and Staff on Health Promotion Programs in Indigenous Communities, Successful Strategies & Lessons Learned from Implementing Evidence-Based Programs in American Indian, Alaska Native, and Native Hawaiian Communities, The Voices of American Indian, Alaska Native, and Native Hawaiian Elders
Author(s): Collette Adamsen, Becky Bendixen, Melody Woodrich-Fernando, et al.
Date: 03/2021
Sponsoring organization: National Council on Aging
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COVID-19 and Rural Communities: Protecting Rural Lives and Health
Report examining the impact of COVID-19 in rural America, presenting data on case rates and mortality, prevalence in rural communities, and health conditions contributing to severe cases of COVID-19. Discusses issues of socioeconomic vulnerability, healthcare access, and public health compliance. Offers actions to address disparities, including increasing access, supporting livelihoods, and considering social determinants of health in healthcare planning.
Author(s): Jesse Bradford, Erica Coe, Kana Enomoto, Matt White
Date: 03/2021
Sponsoring organization: McKinsey & Company
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The Digital Divide: What Is It, Where Is It, and Federal Assistance Programs
Describes the availability of broadband internet access in the United States by state and across urban, rural, and tribal areas. Outlines federal programs to fund and support broadband infrastructure and deployment.
Date: 03/2021
Sponsoring organization: Congressional Research Service
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