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Rural Health Information Hub

Rural Health
Resources by Topic: Tribal communities

South Dakota American Indian Mortality Data, 2008-2024
Highlights the leading causes of death in American Indian communities in South Dakota from 2008 to 2024. Ranks causes, such as cancer, heart disease, and stroke, among others, by year.
Date: 10/2025
Sponsoring organization: South Dakota Department of Health
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"Gives Us Peace of Mind for Keeping Our Hands Clean": Targeted Handwashing Intervention Increases Water Use and Hand Hygiene in Rural Alaska
Highlights a study on the hygiene outcomes of an intervention that installed Miniature Portable Alternative Sanitation System (Mini-PASS) handwashing stations in 14 rural Alaska Native communities. Details the lack of in-home water service in rural Alaska and the related health consequences. Evaluates the Mini-PASS intervention's outcomes in terms of handwashing station utilization and household water use.
Author(s): Amanda Hansen, Gretchen Day, Marla Wehrli, Laura Eichelberger
Citation: International Journal of Circumpolar Health, 84(1), 2569761
Date: 10/2025
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Supporting Individuals With Cognitive Impairment and Family Members in Rural Communities: Protocol for a Mixed Methods Digital Health Study
Study protocol for the Northern Arizona Memory Study (NAZMS), which will support dementia risk identification and promote understanding of cognitive health needs and supports via surveys and interviews of Alzheimer's disease and related dementia (ADRD) caregiver and care-receiver dyads in rural Northern Arizona. Details study design and implementation, and highlights the importance of culturally-tailored, accessible, and practical ADRD care supports and interventions for rural and tribal families in Arizona.
Author(s): Eric S. Cerino, Megan C. McCoy, Margarita Martinez, et al.
Citation: JMIR Research Protocols, 14, e77958
Date: 10/2025
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Tribal Health Facilities in Arizona
Map of Arizona's tribal health facilities, including Indian Health Service hospitals and clinics, tribally-operated hospitals and clinics, and Urban Indian Health Programs (UIHP).
Date: 09/2025
Sponsoring organizations: Arizona Advisory Council on Indian Health Care, Arizona Center for Rural Health
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New Mexico Department of Health: FY25-27 Strategic Plan Update
Reports on the New Mexico Department of Health's priorities, initiatives, and services provided under the FY 25-27 Strategic Plan as of September 2025. Discusses topics including access to care, data collection and use, public health, and tribal partnerships.
Date: 09/2025
Sponsoring organization: New Mexico Department of Health
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Annual Report To the Congress of the United States On Sanitation Deficiency Levels for Indian Homes and Communities: Fiscal Year 2024
Reports on sanitation deficiencies in tribal communities and describes efforts and priorities of the Indian Health Service to improve tribal water, sewer, and solid waste infrastructure. Includes data on estimated costs to address sanitation deficiencies, estimated health impacts, and healthcare costs avoided by infrastructure investment.
Date: 09/2025
Sponsoring organization: Indian Health Service
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Tornadoes: Agencies Promote Resilience but Actions Needed to Improve Access to FEMA Assistance
Report investigating accessibility of FEMA assistance funding for tribal and rural communities. Discusses grant writing, cost share, benefit-cost analyses, infrastructure, emergency management staffing, and more.
Additional links: Full Report
Date: 09/2025
Sponsoring organization: Government Accountability Office
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Rural and Tribal Transit: The Federal Transit Administration Should Evaluate Its Efforts to Help Improve Accessibility and Service
Explores the primary federal funding sources for accessible transit for older adults and people with disabilities for rural and tribal communities. Describes the approaches these communities have used to provide accessible transit, and the challenges they have faced. Discusses how the Department of Transportation (DOT) and Federal Transit Administration (FTA) have helped communities use funds to improve these transit services.
Additional links: Full Report
Date: 09/2025
Sponsoring organization: Government Accountability Office
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Reasons for Experiencing Delayed or Forgone Health Care among Rural American Indian/Alaska Native and Rural Non-Hispanic White Individuals, 2022
Policy brief offering reported reasons for experiencing delayed or forgone health care and how this differs between rural American Indian/Alaska Native (AI/AN) and rural non-Hispanic white people, as well as by Indian Health Service care access among rural AI/AN people. Uses data from the 2022 National Health Interview Survey.
Author(s): Ingrid Jacobson, Julia Interrante, Hailey A. Baker, Mariana Tuttle, Katy B. Kozhimannil
Date: 09/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Evaluating the TVR-SET: Insights into Self-Employment from Tribal Vocational Rehabilitation Counselors
Discusses the Tribal Vocational Rehabilitation Self-Employment Toolkit (TVR-SET) that provides resources to assist American Indian and Alaska Native (AI/AN) people with disabilities in securing employment in their communities. Evaluates TVR-SET and provides key findings and impact on users.
Author(s): Catherine Ipsen, Luke Santore
Date: 08/2025
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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