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Rural Health
Resources by Topic: Tribal communities

Tribal Food Security: Opportunities Exist to Address Challenges in Federal Nutrition Programs
Explores issues related to tribal food security and whether federal nutrition programs meet tribal communities' needs. Describes American Indian/Alaska Native food insecurity rates and the food security challenges of tribal communities. Examines the extent to which select federal nutrition programs address tribal communities' needs and tribes' roles in administering these programs. Offers recommendations to Congress and the U.S. Department of Agriculture regarding the administration of the program and additional flexibilities to support tribes and states.
Additional links: Full Report
Date: 07/2024
Sponsoring organization: Government Accountability Office
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Building Resilience: How Recent Federal Policy Is Laying the Groundwork for Improved Climate Adaptation
Examines the intersection of public health, climate change, and equity and details federal policy that focuses on climate adaptation and resilience strategies for underserved, rural, and/or tribal communities. Provides resources and collaborative opportunities for public health departments to address climate change issues in their local areas. Includes data on global surface temperature by year and state-by-state infrastructure funding to improve environmental health.
Date: 07/2024
Sponsoring organization: Trust for America's Health
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Mortality Disparities Among Arrestees by Race, Sentencing Disposition, and Place
Analyzes mortality disparities among justice-involved individuals in South Dakota. Examines the mortality rates of 182,472 unique arrestees from 2000-2016 according to sentence category, cause of death, and location, broken down by urban, rural non-Indian country, and rural Indian country.
Author(s): George Zuo, Beau Kilmer, Nancy Nicosia
Citation: JAMA Health Forum, 5(7)
Date: 07/2024
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Impact of In-Home Handwashing Stations on Hand Hygiene During the COVID-19 Pandemic in Unpiped Rural Alaska Native Homes
Examines the impact of installing the Miniature Portable Alternative Sanitation System (Mini-PASS) in rural Alaskan homes that lacked piped water. Utilizes interview feedback from 71 households who used the Mini-PASS during the COVID-19 pandemic, discussing themes such as handwashing station usage, the ability to troubleshoot repairs, collaboration with tribal health organizations, and more.
Author(s): Olivia A. Harmon, Tricia S. Howe, Jacqualine D. Schaeffer, Ramot Adeboyejo, Laura P. Eichelberger
Citation: Public Health Reports, 139(1), 81S-88S
Date: 07/2024
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FY24-FY26 New Mexico State Health Improvement Plan (SHIP) Summary
Outlines New Mexico's disease prevention and health promotion plan for fiscal years 2024-2026. Identifies health priorities and strategies to increase access to primary care, reduce the incidence of substance misuse and mental health conditions, improve environmental health, and increase prevention and support for those affected by adverse childhood experiences. Includes discussion of tribal and rural health needs.
Date: 06/2024
Sponsoring organization: New Mexico Department of Health
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Tribal Customer Experience Pilot for Post-Award Reporting
Reports on 4 piloted solutions for reducing the administrative burden associated with federal grant reporting for tribal communities. Discusses broadband access, costs associated with reporting, and the impact of noncompliance. Outlines 5 key needs for improving outcomes. Includes recommendations for federal agencies offering grant funds to tribal communities.
Date: 06/2024
Sponsoring organizations: Executive Office of the President, U.S. Department of Health and Human Services, U.S. Department of the Interior, U.S. Department of Treasury
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Advancing Cancer Workforce Capacity for American Indians and Alaska Natives: The Development of a Validated System to Optimize Trainee Participation and Outcome Tracking
Outlines considerations and strategies for development and implementation of a tracking system to support federally funded workforce diversity programs with limited resources to document, track, and disseminate program outcomes for underrepresented trainees. Provides data on degree completion and professional positions of American Indian/Alaska Native (AIAN) trainees over a 20-year period.
Author(s): Kelly A. Laurila, Laurie D. Rogers, Celina I. Valencia, et al.
Citation: International Journal of Environmental Research and Public Health, 21(6), 752
Date: 06/2024
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Distance as an Obstacle to Clinical Trial Access: Who Is Affected and Why It Matters
Evaluates factors associated with geographic remoteness of 60 miles or more from the nearest phase 2 or 3 clinical trial for a variety of health conditions. Discusses American Indian reservations and rural areas, and provides data on demographic factors associated with remoteness including race and ethnicity, educational attainment, and poverty. Includes a county-level interactive map of clinical trial remoteness for health conditions including cancers, substance use disorder, diabetes, obesity, COPD, stroke, and more. Requires the creation of a free account to view.
Author(s): Andrew Friedson, Bumyang Kim, Maggie Switek, Lawson Mansell
Date: 06/2024
Sponsoring organization: The Milken Institute
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Tribal Broadband: Additional Assistance to Recipients Would Better Support Implementation of $3 Billion in Federal Grants
This provides an overview of Tribal Broadband Connectivity Program (TBCP) grants, including recipients who had not received prior funding from key federal broadband programs and recipients' plans for network ownership and financial sustainability. Examines the extent to which the National Telecommunications and Information Administration (NTIA) provided technical assistance to recipients regarding financial sustainability and navigating the environmental review process. Presents recommendations to NTIA on technical assistance and reporting to Congress on the resources necessary to ensure the financial sustainability of TBCP projects.
Additional links: Full Report
Date: 06/2024
Sponsoring organization: Government Accountability Office
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American Indian and Alaska Natives in Tribal Areas Have Among Lowest Rates of High-Speed Internet Access
Highlights the gaps in access to high-speed internet in American Indian and Alaska Native (AI/AN) communities. Details rates of broadband access by AI/AN households and on tribal lands in general, by state, and by year.
Author(s): Daniela Mejía
Date: 06/2024
Sponsoring organization: U.S. Census Bureau
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