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Rural Health
Resources by Topic: Culture and cultural competency

Partnering With Tribal Nations For Covid-19 Vaccinations: A Case Study Of Alaska
Report highlights the collaboration between the Alaska public health department and Alaska Native tribal leaders on the state's COVID-19 vaccination effort. Details vaccination rates of the Native population by region and discusses vaccine distribution strategies.
Date: 08/2021
Type: Document
Sponsoring organization: Alaska Division of Public Health
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Implementation of Tribal HPOG 2.0: Integration of Tribal Culture into Healthcare Training Programs
Describes how the Tribal Health Profession Opportunity Grants (HPOG) 2.0 grantees and their partners have incorporated tribal culture and heritage into healthcare training programs. Discusses culturally focused curricula, events and program services, and space for tribal HPOG students.
Date: 07/2021
Type: Document
Sponsoring organization: Administration for Children and Families
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Exploring the Role of Critical Health Literacy in Addressing the Social Determinants of Health
Brief reporting on a workshop held by the Roundtable on Health Literacy that explored Social Determinants of Health (SDOH) and health literacy to serve vulnerable communities. Discusses SDOH models, research methods to engage communities, and critical health literacy. Project examples include work with rural Native American communities.
Author(s): Board on Population Health and Public Health Practice
Date: 06/2021
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Tri-Area Community Health Provides Community-Focused Integrated Care
Features a rural Virginia Federally Qualified Health Center that provides integrated primary care and behavioral health services. Discusses how services have been adapted to meet the needs of a growing Hispanic population, and describes a behavioral health training program offered in partnership with Radford University.
Author(s): Kathryn Rutz
Citation: Rural Monitor
Date: 05/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Integrating Cultural Relevance into a Behavioral mHealth Intervention for Native American Youth
An analysis of a behavioral mHealth intervention for Native American communities, ARORA (Amplifying Resilience Over Restricted Internet Access), co-developed with Native American youth, a clinical psychologist, and a community advisory board. Discusses the key themes and critical components of the intervention as identified by members of the Native American community, and offers recommendations to assist other researchers in their development of a cross-cultural design.
Author(s): Vigil-Hayes, M., Collier, A.F., Hagemann, S., et al.
Citation: Proceedings of the Association for Computing Machinery on Human-Computer Interaction, 5(CSCW1), 165.
Date: 04/2021
Type: Document
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On the Front Lines of Health Equity: Community Health Workers
Provides an overview of the roles of community health workers (CHWs) and the benefits they can bring to healthcare organizations and communities. Serves as a resource for organizations planning and implementing a new CHW program. Includes information and best practices on assessing community needs, recruiting CHWs, and securing sustainable program funding.
Date: 04/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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The Road to Equity: Examining Structural Racism in Health Care
Recordings of a 2-day forum on health equity, structural racism in healthcare, and the role of federal agencies in responding to issues of inequity. Day 2 includes a presentation on rural-specific issues including health disparities, access to healthcare, facility closures and workforce issues.
Additional links: Day 1 Transcript, Day 2 Recording, Day 2 Transcript
Date: 04/2021
Type: Video/Multimedia
Sponsoring organization: CDC's Office of Minority Health & Health Equity
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State Health Disparities Research in Rural America: Gaps and Future Directions in an Era of COVID-19
Discusses research methods and partnerships to address rural health disparities. Highlights recommendations from a national workshop on rural health disparities, including community participation in rural health research, innovative research design, interventions that are relevant to rural challenges, and cultural competence in rural research.
Author(s): Lisa Cacari Stone, Mary C. Roary, Augusto Diana, Patricia A. Grady
Citation: Journal of Rural Health, 37(3), 460-466
Date: 04/2021
Type: Document
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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 culturally appropriate 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
Type: Document
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 culturally 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
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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