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Rural Health
Resources by Topic: Tribal communities

Water Affordability Needs Assessment: Report to Congress
Reports on access to affordable, safe water across the United States. Discusses challenges faced by community water systems and household-level access challenges, and recommends policies to increase affordable water access. Highlights rural, tribal, and underserved communities throughout, including discussion of funding and program case studies.
Date: 12/2024
Sponsoring organization: U.S. Environmental Protection Agency
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Civil Rights and Disparities in Pediatric Healthcare Access for Racial and Ethnic Minority Families in Arizona
Reports on disparities in pediatric healthcare access and quality experienced by racial and ethnic minority families in Arizona. Discusses primary findings based on testimony heard by the Arizona Advisory Committee to the U.S. Commission on Civil Rights, and provides suggestions to address civil rights concerns related to pediatric healthcare. Includes findings related to insurance, foster youth, healthcare provider shortages, data collection, and bias, among other topics. Discusses rural and tribal health throughout.
Date: 12/2024
Sponsoring organization: U.S. Commission on Civil Rights
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Indian Health Service Fact Sheet: HIV in Indian Country
Fact sheet on HIV disparities in diagnosis, awareness of HIV status, receipt of care, and more among American Indian and Alaska Native (AI/AN) people. Discusses the Indian Health Service's National HIV/HCV/STI Program, which focuses on reducing HIV, hepatitis C, and other sexually transmitted infections in AI/AN communities.
Date: 12/2024
Sponsoring organization: Indian Health Service
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Electronic Case Reporting Roadmap - For Tribes and Tribal Epidemiology Centers
Report discusses the benefits of electronic case reporting (eCR) for tribal public health authorities and epidemiology centers (TECs). Highlights challenges in implementing eCR as well as the benefits of electronic disease surveillance conducted by Tribes and TECs. Presents guidance on the planning, implementation, and funding of tribal eCR.
Date: 12/2024
Sponsoring organization: National Indian Health Board
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Tribal Epidemiology Centers Public Health Infrastructure (TECPHI) Program Year 1 Progress Report: Addressing Public Health in Indian Country
Reports on the work of the 12 Tribal Epidemiology Centers (TECs) and Network Coordinating Center (NCC) in the first year of the Tribal Epidemiology Centers Public Health Infrastructure (TECPHI) Program according to the TECPHI Program performance measures and evaluation findings.
Additional links: Communications Supplement, Evaluation Supplement, Executive Summary, Workforce Development Supplement
Date: 12/2024
Sponsoring organization: Tribal Epidemiology Centers
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Staffing Shortages Limited IHS's Capacity To Effectively Administer Much-Needed Sanitation Projects Funded by the Infrastructure Investment and Jobs Act
Explores Indian Health Service (IHS) efforts to expand staffing and capacity to administer and oversee Sanitation Facilities Construction (SFC) projects funded by the Infrastructure Investment and Jobs Act (IIJA) in fiscal year 2023. Identifies challenges IHS experienced that threatened its ability to complete projects and meet sanitation needs in a timely manner. Offers recommendations to IHS to related to recruitment, retention, and housing of SFC staff.
Additional links: Report Highlights
Date: 12/2024
Sponsoring organization: Office of Inspector General (HHS)
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Domestic Violence in American Indian and Alaska Native Populations: A New Framework for Policy Change and Addressing the Structural Determinants of Health
Discusses the issue of domestic violence (DV) in American Indian/Alaska Native (AI/AN) communities. Analyzes historical structural determinants that impact DV, as well as how policy and funding can help prevent DV.
Author(s): Tassy Parker, Allyson Kelley, Lee Redeye, Marcello A. Maviglia
Citation: The Lancet Regional Health - Americas, 40
Date: 12/2024
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Results of a Systemic Study of Pedestrian Safety in Tribal Areas
Webinar recording in which a panel discusses the results of A Systemic Safety Study of Pedestrians in Tribal Areas. Transcript included below description.
Date: 11/2024
Sponsoring organization: National Center for Rural Road Safety
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Tribal Epidemiology Centers: Strengthening American Indian and Alaska Native Public Health through Data, Collaboration, and Innovation
Provides an overview of tribal epidemiology centers (TECs), focusing on their impact on the availability and quality of public health surveillance data for American Indians and Alaskan Natives. Discusses challenges with collecting data for this population and strategies TECs are using to address these issues. Offers examples of public health best practices from TECs related to cancer, behavioral health, substance use, infectious diseases, and more.
Date: 11/2024
Sponsoring organization: Tribal Epidemiology Centers
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Increasing HPV Vaccination in American Indians/Alaska Natives: Co-Development of a Healthcare Provider Toolkit with Community Partners
Details a collaboration between the Oregon Health & Science University Knight Center Institute and Northwest Portland Area Indian Health Board (NPAIHB) to develop and implement a human papillomavirus (HPV) vaccination toolkit for providers serving American Indian and Alaska Native patients. Discusses AI/AN HPV cancer disparities and factors influencing vaccination.
Author(s): Amanda S. Bruegl
Date: 11/2024
Sponsoring organization: St. Jude Children's Research Hospital
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