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Indian Health Service Health Promotion/Disease Prevention Initiative. Aberdeen Area Tribal Chairmen’s Health Board October 27, 2005 Alberta Becenti, MPH Rapid City, South Dakota. Background. Significant health disparities among American Indian/Alaska Native Obesity Diabetes

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Indian health service health promotion disease prevention initiative

Indian Health ServiceHealth Promotion/Disease Prevention Initiative

Aberdeen Area Tribal Chairmen’s Health Board

October 27, 2005

Alberta Becenti, MPH

Rapid City, South Dakota


  • Significant health disparities among American Indian/Alaska Native

    • Obesity

    • Diabetes

    • Cardiovascular Disease

    • Cancer

    • Injury

  • Many of these health conditions and diseases are related to lifestyle behaviors.


  • Create healthier American Indian and Alaska Native communities by building on individual, family and community strengths and assets.

Overview of initiative
Overview of Initiative

  • Infrastructure

  • Community Capacity

  • Partnership

  • Resources

  • Evaluation


  • Focus on effective clinical and community public health strategies

  • Identify and implement best practices to reduce the health burden in AI/AN communities

  • Increase community capacity and infrastructure


  • Established Policy Advisory Committee (PAC) to provide oversight and policy guidance to the agency.

    • Representatives include Tribal Leaders, NCAI, NIHB, CDC, NCUIH, TSGAC, Direct Tribes and IHS

    • Meet face-to-face 2x a year


  • PAC Annual Plan (focus on 4 Areas)

    • Educational Policies – focus on physical activity and school food service including vending machines, and competitive food sales.

      • Met with Department of Education, Office of Indian Education to collaborate on this effort.

      • Area HP/DP Coordinators to review their respective state, county, and local policies.

        • Assess readiness for change.


  • PAC Plan (continue)

    • Marketing- develop a marketing plan to increase awareness of HP/DP Initiative

      • Conducted focus group (tribal and federal health care providers, tribal health workers).

        • Develop a marketing plan based on focus group feedback.

    • Community Assessment – NIHB and PAIHB to pilot test a survey instrument and report findings back to the committee.


  • PAC Plan (continue)

    • Partnership – identify and expand partnerships with other federal agencies, academia, foundations and corporations to support HP/DP Initiative

      • Submitted concept paper to RWJF focusing on obesity prevention, community capacity, and community/clinical interventions.

      • MOU with MADD (pending approval)

        Future plan: meet with HUD, USDA, AIHEC, Ford Foundation, and Kellogg Foundation


  • Established a Prevention Task Force to develop a strategic plan to enhance and improve disease prevention and health promotion efforts by identifying diseases with the greatest disparities and developing a framework to address these diseases.

    • Composition:

      Area HP/DP Coordinators, representatives from nutrition, dental, diabetes, medical provider, nursing, injury prevention, health education, and behavioral health.

Prevention task force continue
Prevention Task Force (continue)

  • Identify and expand community and clinical best and promising practices.

  • Promote and support environmental, school, and worksite policies that support healthier behaviors.

  • Identify training needs of the community and providers.

  • Identify benchmarks for monitoring progress (process, impact, & outcome measures).

Infrastructure benchmarks
Infrastructure Benchmarks

Hire IHS Area HPDP Coordinators to work with I/T/U

- Oklahoma (hired) Albuquerque (hired)

  • Tucson (hired) Alaska (hired)

  • California (hired) Billings (hired)

  • Portland (hired) Aberdeen (hired)

  • Nashville (hired) Bemidji

  • Navajo (hired) Phoenix

Ihs health summit
IHS Health Summit

  • Demonstrate the agency’s commitment to HP/DP to eliminate disparities

  • Create and expand partners

  • Share best and promising practices

    • Areas developed HP/DP plans

    • Area Coordinators are following up on plans

Healthy native communities fellowship
Healthy Native Communities Fellowship

  • HNCF is based on an action-learning model in which insights, skills, and new knowledge is shared and applied in real life situations

    • One year journey

    • Interactive week-long sessions

    • Self-study educational curriculum

    • On-line computer conferencing

    • Topics: grant writing, leadership, data collection and much more.

Community champion forum
Community Champion Forum

  • Get together to share what is working in the AI/AN communities

    • Share success stories, network, and recognize local champions

    • Training

      • Marketing

      • Planning/evaluation

      • Grant Writing/management

      • Resources

Fy 2005 fellow graduates
FY 2005 Fellow Graduates

  • 13 Teams graduated on September 22, 2005 in Washington, DC.

Community champion forum1
Community Champion Forum

  • Navajo – December 2003

  • Phoenix/Tucson – April 2004

  • Alaska – April 2004

  • Portland/California – January 2005

  • Aberdeen/Billings – October 2004

  • Nashville/Oklahoma – August 2005

  • Bemidji – TBA

  • Albuquerque – October 2005


Let’s Get 1 millionNative people moving!

What is jmi
What is JMI?

  • National campaign to promote physical activity for American Indians and Alaska Natives

Sign Up to Become A JMI Partner, visit:www.justmoveit.orgJoin this effort to get1 million Native people moving!

Improve information access
Improve Information Access

  • Best/Promising Practices (clinical & community)

  • Resources

  • Assessment Tool

  • Training

  • Grant opportunities

Future plan improve information access to health profiles



Emergency Room Visits

Outpatient Visits

Cardiovascular Disease







Prenatal Care



Future Plan: Improve Information Access to Health Profiles

Partnership benchmarks
Partnership Benchmarks

  • HQ and Areas each develop 2 new partners for prevention in 2005

    • State or Federal

    • Academia

    • Foundations & non-profits

    • Corporation

Resource benchmark
Resource Benchmark

  • Provide direct support to local initiatives in all Areas.

    • Seed money to support local plans

    • Improve access to information & resources


  • Headquarters support

  • National Diabetes Program for Indians

  • Area Support

  • Congressional Funds - $2.074 M.

    • 20 competitive grant awards @ $64,500 in FY 2005.

Fy 2005 grant awards
FY 2005 Grant Awards

  • Kenaitz Indian Tribe – Alaska Area

    • Health Promotion

  • Ho-Chunk Nation – Bemidji Area

    • Get Fit Project

  • Ramah Navajo – Albuquerque Area

    • Youth Camp Project

  • Peta Wakan Tipi – Bemidji Area

    • Obesity Prevention for Youth

Fy 2005 hp dp grant awards
FY 2005 HP/DP Grant Awards

  • Native Images – Tucson Area

    • Diabetes Prevention for Urban Native Americans

  • South East Alaska Regional Health

    • WISEFAMILIES through Traditional Knowledge

  • National Indian CTR- California Area

    • An Alcohol intervention for youth

  • South Central Foundation – Alaska

    • Tobacco Free Promotion Project

Fy 2005 hp dp grant awards1
FY 2005 HP/DP Grant Awards

  • Rock Boy Health Board – Billings Area

    • Health Promotion

  • Alamo Navajo School Board - Albuquerque

    • Outdoor Fitness Project

  • Eastern Aleutian Tribes, Inc – Alaska Area

    • Native Physical Activity

  • Kalispel Tribe of Indians – Portland Area

    • Health Promotion Project

Fy 2005 hp dp grant awards2
FY 2005 HP/DP Grant Awards

  • Indian Health Care Resource Center

    • Indian Youth Program for Healthy Living

  • San Diego American Indian Health

    • San Diego for Health Wellness Project

  • Choctaw Nation of Oklahoma

    • Get Movin Project

  • Tulalip Tribes – Portland Area

    • Children Obesity Prevention Project

Fy 2005 hp dp grant awards3
FY 2005 HP/DP Grant Awards

  • Salish Kootenai College – Billings Area

    • Health Promotion

  • Inter-Tribal Council of Michigan – Bemidji

    • Women’s Health Circle

  • Migizi Communication, Inc – Bemidji Area

    • Partnership to Strengthen Indian Famillies

  • Aberdeen Area Tribal Chairman’s Health Board

    • Northern Plains Smoke Free Home Campaign

Fy 2006 hp dp grants
FY 2006 HP/DP Grants

  • Announcement in March 2006

    • 10 ($10,000) competitive planning grants

    • 12 ($100,000) competitive grants

  • Will be conducting regional workshops


  • Conduct process, impact, and outcome evaluations that are aligned with GPRA and Healthy People 2010 objectives

    • Annual HP/DP Reports

      • Progress, impact, and outcomes

        • Trend reports (RPMS, GPRA)

        • Community Health Assessment

        • Behavioral Risk Surveys

        • Director’s HP/DP Benchmarks

Native american youth empowerment conference
Native American Youth Empowerment Conference

  • Create a venue for youth to share innovative strategies focusing on prevention of violence, injury, substance use/abuse, underage drinking, teen pregnancy, tobacco, HIV/AIDS, and physical inactivity.

  • Empower youth to take active roles in making a positive difference

  • Create a forum for youth and their adult allies to make positive changes in their school and community.

  • Held in Albuquerque, NM with over 400 youth

Fy 2006 youth projects
FY 2006 Youth Projects

  • Regional Youth Summit

  • Protecting You/Protecting Me Training

  • Youth in Action training

Tobacco free policy
Tobacco Free Policy

  • Tobacco Free policy

    • HHS adopted policy in January 2005.

    • All OPDivs to develop policy.

    • Eliminate all tobacco products from HHS properties including owned, controlled, and leased by HHS (includes interior and exterior), unless to do so would violate applicable law.

Tribal communities products
Tribal Communities Products

  • Improved Access to Information to support Wellness

    • Resources, Training, Best Practice, Assessment Tools, Community Profile

  • Chance to participate in Just Move It

  • Support for Community Directed Wellness Planning

  • Share at and Learn from Community Wellness Champion Forums

Tribal communities products1
Tribal Communities Products

  • Access to Training, Fellowship

  • Regional Resource Roundtables

  • Networking Opportunities

  • One Place to Call for Wellness

Invest in prevention
Invest in Prevention

  • If you improve in health and well-being

    - Quality of life improves

    - Health Care utilization decreases

    - Disability is controlled

    • Productivity is enhanced

      - Healthier communities

Health promotion disease prevention

Health Promotion/Disease Prevention