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Rural Health Information Hub

Rural Health
Resources by Topic: Tribal communities

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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Unintentional Injury Prevention in American Indian and Alaska Native Communities: A Scoping Review of the Indian Health Service Primary Care Provider Newsletter
Analyzes 68 articles from the Indian Health Service's Primary Care Provider newsletter on unintentional injury prevention efforts. Summarizes select interventions, discusses article topics and tribal communities featured, and evaluates breadth and depth of research, evaluation, and documentation.
Author(s): Wendy Shields, Anne Kenney, Evelyn Shiang, Rebecca Malizia, Holly Billie
Citation: Injury Epidemiology, 11, 27
Date: 06/2024
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Quantifying Arizona's Dental Health Workforce Shortage Using Health Professional Shortage Area (HPSA) Data
Reports on dental workforce shortages in Arizona. Includes data on safety net providers and workforce supply in Arizona counties and tribal nations.
Author(s): B. Koch, C. Drake, A. Garn, D. Derksen
Date: 06/2024
Sponsoring organization: Arizona Center for Rural Health
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Health Insurance Coverage and Access to Care among American Indians and Alaska Natives: Recent Trends and Key Challenges
Issue brief presenting data on rates of insurance coverage, Medicaid coverage, and access to healthcare for American Indians and Alaska Natives (AI/AN) using American Community Survey data. Discusses the impacts of health disparities, coverage expansions under the Affordable Care Act, and state Medicaid expansions on AI/AN populations.
Date: 06/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Unlocking Potential: A Call to Action: Collaborative Strategies for Rural Health and Economic Prosperities
Reports results of discussions with economic and community development practitioners in rural and Indigenous communities on the relationship between development, racial equity, and health equity. Identifies strategies related to program implementation and evaluation, cooperation, goal setting, communication, and more.
Additional links: Executive Summary
Date: 06/2024
Sponsoring organization: Aspen Institute
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Funding Rural Futures: A Call to Action: Four Principles for Equitable, Flexible Grantmaking
Discusses best practices for funders seeking to address persistent poverty in rural communities and tribal nations, utilizing feedback from economic and community development practitioners working in persistent poverty areas. Summarizes discussion results and provides perspectives from participants on topics including grant planning and administration, project- and trust-based philanthropy, partnerships and relationship-building, and funding outcomes.
Additional links: Executive Summary
Date: 05/2024
Sponsoring organization: Aspen Institute
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Leading the Way on the Journey to Health Equity and Wellness for American Indians/Alaska Natives
Recording of a May 30, 2024, conference session on addressing tribal health disparities as part of the Centers for Medicare & Medicaid Services (CMS) Health Equity Conference. Includes presentations from the National Indian Health Board on priorities for initiatives aimed at improving health equity for American Indians and Alaska Natives and CMS on improving and using demographic data to improve health equity, with a focus on Medicaid and CHIP data.
Date: 05/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Prepregnancy Health Care Engagement Among American Indian and Alaska Native People Before and After the Affordable Care Act
Examines the impact of the Affordable Care Act (ACA) on healthcare engagement and disparities in American Indian and Alaska Native (AI/AN) populations as compared to White populations. Utilizes 2009-2015 Pregnancy Risk Assessment Monitoring System data to examine Medicaid coverage, healthcare interaction and screening, family history discussions, prenatal vitamin use, and teeth cleaning in rural versus urban populations, before and after ACA implementation.
Author(s): Danielle R. Gartner, Katlyn Hettinger, Heather Howard-Bobiwash, Claire E. Margerison
Citation: Health Equity, 8(1)
Date: 05/2024
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Traditional Food Security and Food Sovereignty in the Coastal Region of South-Central Alaska
Features a study on traditional food security and sovereignty for the Alutiiq and Eyak peoples of the Chugach Region of Alaska. Breaks down results by community food resources, diet and health, culture, organization and governance, food resources, and natural resources and environment. Makes recommendation on overcoming barriers and improving food systems.
Author(s): Joseph Nyholm, Amanda Walch, Leslie Redmond
Citation: International Journal of Circumpolar Health, 83(1), 2359161
Date: 05/2024
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