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Rural Health
Resources by Topic: Tribal communities

Exploring Strategies for Small Local & Tribal Health Departments to Succeed in Accreditation
A recorded webinar that discusses challenges small and tribal health departments face when preparing for the accreditation process. Provides guidance and strategies to help accelerate and achieve accreditation. Transcript available below description.
Additional links: Slides
Author(s): Peg Allen, Matthew Fifolt, Amy Belflower Thomas, Jennifer Clarke-Lofters
Date: 03/2025
Sponsoring organization: Public Health Accreditation Board
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Modular Decentralized Water System Associated With Improved Child Health and Increased In-Home Water Use in Remote Alaska Native Communities
Explores the health effects of using Miniature Portable Alternative Sanitation Systems (Mini-PASS) on children 12 years old and younger in tribal communities in Alaska. Discusses Mini-PASS as an affordable option for communities that require a decentralized water system that doesn't require piping or sewer. Highlights the health and sanitation benefits such a system can bring to these communities.
Author(s): Amanda Hansen, Gretchen Day, Marla Wehrli, Laura Eichelberger
Citation: Journal of Water and Health, 23(3), 364–372.
Date: 03/2025
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Exercising Self-Governance Through an Indian Managed Care Entity: The Eastern Band of Cherokee Indians Tribal Option
Profiles the Cherokee Indian Hospital Authority (CIHA), a health system serving the Eastern Band of Cherokee Indians (EBCI). Discusses the design and impact of their Medicaid managed care entity.
Author(s): Anne Smithey, Rob Houston
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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Machine Learning to Predict Dementia for American Indian and Alaska Native Peoples: A Retrospective Cohort Study
Describes a dementia risk prediction model for American Indian and Alaska Native (AI/AN) populations who use Tribal health services. Utilizes data from the Indian Health Service (IHS) National Data Warehouse to analyze dementia risk for 17,398 AI/AN adults, discussing health and demographic predictors of risk.
Author(s): Kayleen Ports, Jiahui Dai, Kyle Conniff, et al.
Citation: The Lancet Regional Health - Americas, 43, 101013
Date: 03/2025
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State of California 2025-2029 Federal Consolidated Plan: Public Comment Draft
Draft report assessing needs and conditions and identifying priorities related to the implementation of Housing and Urban Development (HUD) funding programs administered by the California Department of Public Health, including the Community Development Block Grant (CDBG), Home Investment Partnerships Program (HOME), National Housing Trust Fund (NHTF) and more. Discusses health, housing, homelessness, infrastructure, and economic development in Colonias and rural and tribal communities throughout.
Date: 02/2025
Sponsoring organizations: California Department of Housing and Community Development, California Department of Public Health
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Key Findings from a 2024 Survey of Native American Caregivers: Experiences with Food Access and the Summer Meals Program
Examines food insecurity for families in tribal areas and the use of federal food programs. Analyzes data from the Family Spirit FOOD (Finding Opportunities and Options for Distribution of Nourishing Food for Tribal Communities) Survey to analyze use of congregate and rural non-congregate Summer Meals Programs.
Author(s): S. Vanegas, A. Harris, N. Neault, K. Nelson, A. Barlow
Date: 01/2025
Sponsoring organizations: Center for Indigenous Health, Johns Hopkins Bloomberg School of Public Health, No Kid Hungry
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Food Access Interventions in American Indian and Alaska Native Communities: A Scoping Review
Examines food access in American Indian and Alaska Native (AI/AN) communities and provides a scoping review that analyzes social ecological model (SEM) levels and their related food access interventions. Includes discussion on AI/AN food access issues in rural tribal locations.
Author(s): Danya Carroll, Lynn Mad Plume, Nicole Redvers
Citation: Journal of Agriculture, Food Systems, and Community Development, 14(1), 11-28
Date: 01/2025
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Factors Influencing the Choice Between Multi-Target Stool DNA and Colonoscopy for Colorectal Cancer Screening Among Alaska Native Peoples
Examines colorectal cancer (CRC) screening preferences and awareness among Alaska Native people living in rural or remote areas of Alaska. Compares attitudes toward colonoscopy and multi-target stool DNA test (mt-sDNA) testing, including discussion of common barriers to access.
Author(s): Lauren A. Jeffries, Christie A. Flanagan, Lila J. Finney Rutten, John B. Kisiel, Diana G. Redwood
Citation: Life, 15(1), 120
Date: 01/2025
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Addressing Colorectal Cancer Among Alaska Native Peoples: A Community and Subject Matter Expert Symposium
Reports proceedings from the 2023 Alaska Native CRC Research Symposium in Anchorage, Alaska. Describes the current state of research and programs focused on addressing colorectal cancer disparities and access to services among Alaska Native people. Summarizes topics explored at the conference, including concerns specific to rural, tribal, and remote areas.
Author(s): Diana Redwood, Samantha McNelly, Kate Flynn, et al.
Citation: Gastro Hep Advances, 4(3), 100572
Date: 01/2025
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Not Enough: Medicaid Expansion, Medical Debt, and Cost Avoidance in Rural American Indian and Alaska Native Households
Presents a study on the effect of Medicaid expansion on the medical debt and cost avoidance for rural American Indian and Alaska Native households. Compares rates medical debt and cost avoidance from AI/AN communities in Medicaid expansion and nonexpansion states.
Author(s): Sean Hubbard
Citation: Journal of Rural Health, 41(1), e12925
Date: 01/2025
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