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Pacific Territories, Commonwealth, and Freely Associated States Resources

A Health Equity Framework for Pacific Islanders (PI)
Infographic describing health disparities, social determinants of health, and community-based strategies to address health inequity among Pacific Islanders. Discusses health workforce and healthcare access issues, as well as the need for chronic disease prevention and public health collaboration.
Date: 08/2022
Type: Document
Sponsoring organization: Asian & Pacific Islander American Health Forum
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Fourteenth Broadband Deployment Report
Reports on broadband deployment in the U.S., with information specific to broadband access in rural and tribal communities and the U.S. territories. Includes rural broadband deployment data by state and county.
Date: 01/2021
Type: Document
Sponsoring organization: Federal Communications Commission
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Woven with Elders: Pacific Islander Vaccine Toolkit
Toolkit highlights some facts, talking points, and frequently asked questions regarding the COVID-19 vaccine for Pacific Islander (PI) elders. Explores COVID-19 risk factors and vaccine safety, dispels myths about the vaccine, and discusses how to talk to PI elders who are feeling hesitant about the vaccine.
Date: 2021
Type: Document
Sponsoring organization: Pacific Islander Center of Primary Care Excellence
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Progress Toward Rubella Elimination — Western Pacific Region, 2000–2019
Reports on rubella vaccination coverage levels and rubella supplementary immunization activities by country and area in the Pacific. Includes data for American Samoa, the Northern Mariana Islands, Guam, Micronesia, Palau, and the Marshall Islands.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(24), 744-750
Date: 06/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Medicaid and CHIP in the Territories
Summarizes federal requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP), as operating in American Samoa, the Commonwealth of the Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands. Features statistics including number of enrollees and percentage of the population enrolled, and program costs, with breakdowns by federal or territory spending levels and by location, using data from fiscal year 2019.
Date: 04/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Snapshot: Asian American, Native Hawaiian and Pacific Islander Health
Fact sheet with statistics on uninsurance rates by ethnicity; health disparities by ethnicity, sex, and three types of cancer incidence rates; and rates of hepatitis B and HIV infection.
Date: 08/2019
Type: Document
Sponsoring organization: Asian & Pacific Islander American Health Forum
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Strengthening Health Care in the U.S. Territories for Today and Into the Future
Provides a hearing of the U.S. House Subcommittee on Health regarding healthcare issues in the U.S. territories with a focus on Medicaid. Addresses differences between state and territory Medicaid federal funding, health workforce shortages, the effects of recent hurricanes on healthcare, healthcare needs, prescription drug costs, and more. Includes testimony from the Medicaid and CHIP Payment and Access Commission, Puerto Rico Health Insurance Administration, American Samoa State Agency, Guam Division of Public Welfare, Commonwealth of the Northern Mariana Islands State Medicaid Agency, and the U.S. Virgin Islands Department of Human Services.
Additional links: Angela Avila Testimony, Maria Theresa Arcangel Testimony, Sandra King Young Testimony
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Medicaid in the Territories: Program Features, Challenges, and Changes
Issue brief examining key issues and trends in the Medicaid program for Puerto Rico, the U.S. Virgin Islands, the Northern Mariana Islands, Guam, and American Samoa, using findings drawn from a budget survey and interviews with Medicaid officials. Focuses on Medicaid financing, eligibility and enrollment, benefits, provider access and delivery systems, and the changes from fiscal years 2017 to 2019. Features statistics including Medicaid and Children's Health Insurance Program enrollment as of July 2016, and Medicaid funding and spending in these territories as of fiscal year 2017.
Author(s): Cornelia Hall, Robin Rudowitz, Kathleen Gifford
Date: 01/2019
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Vital Signs: Zika-Associated Birth Defects and Neurodevelopmental Abnormalities Possibly Associated with Congenital Zika Virus Infection — U.S. Territories and Freely Associated States, 2018
Focuses on children one year of age or younger born in the U.S. territories and freely associated states whose mothers had laboratory evidence of confirmed or possible Zika virus infection during pregnancy and who had follow-up care reported. Reports data on Zika-associated birth defects and neurodevelopmental abnormalities possibly associated with congenital Zika virus infection.
Author(s): Marion E. Rice, Romeo R. Galang, Nicole M. Roth, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(31), 858-867
Date: 08/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Vaccination Coverage Among Children Aged 2 Years — U.S. Affiliated Pacific Islands, April–October, 2016
Reports on estimated coverage for selected vaccines and doses by 2 years of age for children in five United States Affiliated Pacific Islands (USAPI) jurisdictions: American Samoa, Chuuk State in the Federated States of Micronesia, the Commonwealth of the Northern Mariana Islands, the Republic of the Marshall Islands, and the Republic of Palau.
Author(s): Ashley Tippins, Neil Murthy, Mehreen Meghani, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(20), 579-584
Date: 05/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Last Updated: 9/1/2022