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You may also want to see these guides on related topics: Tribal Human Services

Introduction

All federally recognized tribes are sovereign entities that share a unique government-to-government relationship with the U.S. government. A combination of numerous treaties, court cases, and legislative decisions has obligated the federal government to provide health care services to American Indians and Alaska Natives. However, striking health disparities exist in Native American populations. For example, 73% of Native Americans reside in Federally Designated Health Professional Shortage Areas, and the average life expectancy of Native Americans is four years lower than that of the general U.S. population. The conditions in the poorest reservations often approach those of third world nations. The resources below provide specific information on tribal health disparities, as well as funding sources and tools that can be used to help improve health care and human services for Native Americans.

Sources: Minorities in Rural America, South Carolina Rural Health Research Center, 2002; Facts on Indian Health Disparities, Indian Health Service, 2005.

Frequently Asked Questions

Tools

American Indian and Alaska Native SIDS Risk Reduction Resource Kit
Print publication
Toolkit of culturally appropriate materials health care professionals and health educators can use to help prevent Sudden Infant Death Syndrome (SIDS) in Native communities. Available free.
Sponsoring organization: CJ Foundation for Sudden Infant Death Syndrome

American Indian Disability Technical Assistance Center
Technical assistance
Provides information and technical assistance to American Indian tribes and Alaska Native villages that helps their members with disabilities live healthy, integrated lives within their communities.
Sponsoring organization: University of Montana Rural Institute

American Indian Health
Web site
Links to a variety of resources on issues related to American Indian health and well-being. Includes information on health care access, specific health conditions and environmental health.
Sponsoring organization: National Library of Medicine

American Indian/Alaska Native Center
Web site
Contains links to information about American Indian/Alaska Native health and Medicare & Medicaid services.
Sponsoring organization: Centers for Medicare & Medicaid Services

Arctic Health
Web site
An information portal to issues affecting the health and well-being of northern-most inhabitants including Alaska Natives.

Center for American Indian Health: Training Opportunities
Web site
Training opportunities for American Indian researchers.
Sponsoring organization: Johns Hopkins Center for American Indian Health

IHS Fact Sheets
Web site
Information on specific healthcare topics concerning American Indian and Alaska Natives. Covers health disparities, treaties and laws, statistics and more.
Sponsoring organization: Indian Health Service

Index of Native American Non-Profit Resources on the Internet
Web site
Extensive links to Native American non-profits and sources of funding for Native America programs.

Indian Health Service Loan Repayment Program
Database
Contains information on the IHS Loan Repayment Program for health professionals committed to practice at an IHS or other Indian health program.
Sponsoring organization: U.S. Department of Health and Human Services

Linking Native Americans to Health Information
Web site
Links to consumer health resources for Native American consumers and health professionals. Includes resources on diseases, research, health promotion and more.
Sponsoring organization: University of North Dakota School of Medicine & Health Sciences

MedlinePlus: Native American Health
Web site
Links to resources related to Native American health, including organizations, statistics, and publications.
Sponsoring organization: National Library of Medicine

National Indian Country Methamphetamine Initiative
Web site
A national advertisement campaign against methamphetamine in Indian Country.
Sponsoring organization: National Congress of American Indians

Native American Calling
Web site
A live call-in program, linking public radio stations, the Internet and listeners together and covering issues specific to Native communities.

Native American Cancer Research
Web site
Resources and research on Native American cancer.

Native American Elderly Service Centers
Web site
A nationwide interactive map that shows the location of Native elderly services.
Sponsoring organization: National Resource Center on Native American Aging

Native Health Databases
Database
Citations and abstracts of health-related articles, reports, surveys, and other resource documents pertaining to the health and health care of American Indians, Alaska Natives, and Canadian First Nations.

Rural Health Research: American Indians and Alaska Natives
Web site
Provides summaries of current and completed rural health research projects and related publications addressing the topic of American Indians and Alaska Natives, produced by the Office of Rural Health Policy's funded rural health research centers.
Sponsoring organization: Rural Health Research Gateway

Tribal Connections
Web site
Provides comprehensive links and information on community health, cultural resources, funding, and government assistance for American Indians/Alaskan Natives.

USA-Mexico Border Health
Web site
Assists individuals with locating and competing for funding opportunities in order to address health care needs in the U.S.-Mexico Border region. Lists funding opportunities and information resources on topics relevant to border health.
Sponsoring organization: Rural Assistance Center

Funding

2008 Cherokee Inspired Comfort Award
The award provides nurses, healthcare workers, their colleagues, and the public a national opportunity to recognize exceptional service, sacrifice and innovation resulting in encouraging and inspirational accounts that we share with the nation.

Indian Health Service Loan Repayment Program
Loan repayment program for health professions educational loans (undergraduate and graduate) in return for full-time clinical service in Indian health programs.

Native American Research Centers for Health (NARCH) Grants
Grant to develop opportunities for conducting research and research training to meet the needs of American Indian/Alaska Native communities.

Tribal Colleges and Universities Program (TCUP)
To assist Tribal Colleges and Universities (TCU) to build, expand, renovate, and equip their own facilities, and to expand the role of the TCUs into the community.

Tribal Management Grant Program
Grants to assist federally-recognized tribes and tribally-sanctioned tribal organizations in assuming all or part of existing Indian Health Service programs, services, functions, and activities.

Urban Indian Health Services
Grants to make health care services more accessible for American Indians and Alaska Natives (AI/AN) residing in urban areas.

Inactive Funding

Inactive Funding Opportunities - Lists additional funding programs for this topic that are not currently accepting applications. Programs that are inactive may be offered again in the future.

Regulations, Forms & Other Useful Documents

AHRQ Research and Other Activities Relevant to American Indians and Alaska Natives- Update 2007
Sponsoring organization: Agency for Healthcare Research and Quality
Describes AHRQ activities relevant to the American Indians and Alaska Natives population.
Date: 02 / 2007

American Indian & Alaska Native (AI/AN) Populations
Sponsoring organization: Centers for Disease Control and Prevention
Overview of health and related statistics for American Indian and Alaska Native populations. Sponsored by the CDC Office of Minority Health.

American Indian and Alaska Native Early Childhood Health, Development, and Education Research
Author(s): Patricia Cahape Hammer, William G. Demmert, Jr.
Sponsoring organization: Edvantia
Review of research focused on early childhood issues in American Indian and Alaska Native health, development, and education.
Date: 12 / 2003

American Indians and Alaska Natives and Tobacco
Sponsoring organization: Centers for Disease Control and Prevention
Statistics related to tobacco-related health effects and tobacco use in the American Indian/Alaska Native populations.
Date: 10 / 2000

American Indians/Alaska Natives and Cardiovascular Diseases
Sponsoring organization: American Heart Association
Biostatistical fact sheet on the incidence of cardiovascular diseases in the American Indian and Alaska Native populations.
Date: 2002

American Indians/Alaskan Natives and Lung Disease
Sponsoring organization: American Lung Association
Statistics on lung disease in the American Indian/Alaska Native populations.
Date: 01 / 2005

Arthritis in American Indian and Alaska Native Elders
Author(s): Leander (Russ) McDonald, Richard Ludtke, Alan Allery, Kyle Muus
Sponsoring organization: National Resource Center on Native American Aging
Discusses arthritis prevalence and its impact on the health of American Indian and Alaska Native (AI/AN) elders.
Date: 2006

Ask the Experts: American Indian/Alaska Native Health
Author(s): Charles Grim, Jim Crouch, Yvette Roubideaux
Sponsoring organization: Kaiser Family Foundation
Transcript and video of a 9/27/04 webcast examining the state of health and health care in the American Indian/Alaska Native (AI/AN) population, funding for AI/AN health care programs, and efforts to improve AI/AN health, and access to other health care resources. Includes discussion of how to meet the unique needs of both rural and urban populations.
Date: 09 / 2004

Broken Promises: Evaluating the Native American Health Care System
Sponsoring organization: U.S. Commission on Civil Rights
A draft report that describes the health disparities facing the Native American community, contributing barriers to health care access, and recommendations for improvement.
Date: 07 / 2004

Cancer Health Disparities
Sponsoring organization: National Cancer Institute
Cancer statistics for African American, Hispanic/Latino, Asian/Pacific Islander, and American Indian/Alaska Native populations. Includes information on NCI research activities related to cancer health disparities.
Date: 04 / 2003

Disaster Preparedness Training for Tribal Leaders
Author(s): Wayne F. Peate, Jennie Mullins
Describes a disaster preparedness training program for tribal leaders conducted in Arizona. Discusses the role of cultural competency, respect for tribal sovereignty, solicitation of historical examples of indigenous preparedness, and incorporation of tribal community networks in the success of the program.
Journal citation: Journal of Occupational Medicine and Toxicology Volume 3 Issue 2
Date: 2008

Elders' Obesity Challenge
Author(s): Leander "Russ" McDonald, Richard Ludtke, Alan Allery, Kyle Muus
Sponsoring organization: National Resource Center on Native American Aging
Overview of obesity rates among Native American elders. Includes statistics by age group and gender.
Date: 2005

Faststats: Health of American Indian or Alaska Native Population
Sponsoring organization: National Center for Health Statistics
Health statistics for the American Indian or Alaska Native population.
Date: 04 / 2005

Grants and Funding Information for American Indian/Alaska Native Researchers
Author(s): Martha L. Means
Sponsoring organization: University of Washington
Guide to finding and obtaining funding for Native American health research. Sponsored by the University of Washington.
Date: 02 / 2002

Health Disparities Experienced by American Indians and Alaska Natives
Sponsoring organization: Centers for Disease Control and Prevention
Issue describes disparities in health for certain preventable health conditions (diabetes, cancer, bronchiolitis, and injuries) among American Indians and Alaska Natives (AI/ANs).
Journal citation: MMWR (Morbidity and Mortality Weekly Report) Volume 52 Issue 30
Date: 08 / 2003

Health Insurance Coverage and Access to Health Care for American Indian and Alaska Native Elders
Sponsoring organization: Upper Midwest Rural Health Research Center
Policy brief reporting findings from a study assessing health insurance coverage and access to health care among American Indian and Alaska Native elders (Native elders), using data from a national survey that included more than 8,300 Native elders.
Date: 10 / 2007

HIV/STD Prevention Guidelines for Native American Communities: American Indians, Alaska Natives, and Native Hawaiians
These guidelines provide a framework to create HIV/STD prevention programs tailored to Native American persons, reflecting the unique culture of Native communities. The guidelines provide a starting point for program development at the local level.
Date: 2004

If You Knew the Conditions…: Health Care to Native Americans
Sponsoring organization: National Library of Medicine
Online version of a 1994 exhibit on Native American Health. History of U.S. government health initiatives and biographies of famous Native American physicians.
Date: 1994

Indian Health Service Facts on Indian Health Disparities
Sponsoring organization: Indian Health Service
Provides statistics on Indian health disparities and mortality disparities.
Date: 01 / 2006

Indian Health Service: Health Care Services Are Not Always Available to Native Americans
Sponsoring organization: Government Accountability Office
Examines the availability of primary care including medical, dental and vision, as well as certain ancillary and specialty services to Native Americans. Discusses factors associated with the availability of services.
Date: 08 / 2005

Injury Mortality among American Indian and Alaska Native Children and Youth - United States, 1989-1998
Sponsoring organization: Centers for Disease Control and Prevention
Injury mortality statistics for American Indian and Alaska Native children and youth.
Journal citation: MMWR (Morbidity and Mortality Weekly Report) Volume 52 Issue 30 Pages: 697-701
Date: 08 / 2003

Legal and Historical Roots of Health Care for American Indians and Alaska Natives in the U.S.
Author(s): Brett Lee Shelton
Sponsoring organization: Kaiser Family Foundation
Overview of history of health care provision to American Indians and Alaska Natives (AI/AN). Includes a timeline of legislative and historical events as well as detailed overview of the laws, federal agencies, and issues involved. Includes a brief section on current issues in AI/AN health care.
Date: 02 / 2004

National Trends in the Perinatal and Infant Health of Rural American Indians (AIs) and Alaska Natives (ANs): Have the Disparities Between AI/ANs and Whites Narrowed?
Sponsoring organization: WWAMI Rural Health Research Center
Brief overview of findings from a study examining trends in prenatal care receipt, low-birthweight rates, neonatal and postneonatal death rates, and cause of death among rural American Indians/Alaska Natives (AI/ANs) and whites between 1985 and 1997.
Date: 09 / 2007

Nearly Half of Urban American Indians and Alaskan Natives Travel Back to Their Reservation to Visit During the Year
Sponsoring organization: Agency for Healthcare Research and Quality
Brief overview of a study of American Indians and Alaska Natives (AI/ANs) who live in cities and travel to reservations, and how this travel may be related to health.
Date: 01 / 2006

Nutritional Risks Among Native American Elders
Author(s): Leander McDonald, Richard Ludtke
Sponsoring organization: National Resource Center on Native American Aging
Discusses nutritional risk of Native American elders. Includes information on social and chronic disease factors that relate to nutritional risk.
Date: 2005

Perinatal and Infant Health Among Rural and Urban American Indians/Alaska Natives
Author(s): Laura-Mae Baldwin, David C. Grossman, Susan Casey, Walter Hollow, Jonathan R. Sugarman, William L. Freeman, L. Gary Hart
Sponsoring organization: WWAMI Rural Health Research Center
Provides a national profile of rural and urban American Indian/Alaska Native (AI/AN) maternal and infant health.
Journal citation: American Journal of Public Health Volume 92 Issue 9 Pages: 1491-1497
Date: 09 / 2002

Review of the Quality of Health Care for American Indians and Alaska Natives
Author(s): Yvette Roubideaux
Sponsoring organization: Commonwealth Fund
Documents health care disparities for American Indians and Alaska Natives (AI/ANs) and reports on progress made in the last five years to reduce or eliminate gaps in care. Discusses changes to the AI/AN health care infrastructure and new quality initiatives.
Date: 09 / 2004

Risk and Protective Factors for Substance Use among American Indian or Alaska Native Youths
Sponsoring organization: Substance Abuse and Mental Health Services Administration
Compares the risk and protective factors for substance abuse of American Indian or Alaska Native youths with youths from other racial/ethnic groups.
Date: 09 / 2004

Risk Factors for Chronic Disease and Injury Vary Greatly by Region and Sex Among American Indians and Alaskan Natives
Sponsoring organization: Centers for Disease Control and Prevention
Brief overview of differences among American Indians and Alaska Natives by geographic region and sex for three health risk factors: current cigarette smoking, awareness of having diabetes, and not wearing a seatbelt.
Date: 02 / 2000

Services in Native American Communities
Author(s): Beth Stroul
Sponsoring organization: National Technical Assistance Center for Children's Mental Health
Summarize issues and challenges related to services in Native American communities and identifies effective service delivery strategies.
Date: 07 / 2006

Substance Use and Substance Use Disorders among American Indians and Alaska Natives
Sponsoring organization: Substance Abuse and Mental Health Services Administration
The National Survey on Drug Use and Health (NSDUH) surveys American Indians and Alaska Natives, 12 years and older, to collect data regarding substance use and substance use disorders.
Date: 01 / 2007

Journals

American Indian and Alaska Native Mental Health Research
Focuses on behavioral, social, and health sciences which clearly relate to the mental health status of American Indians and Alaska Natives Sponsoring organization: National Center for American Indian and Alaska Native Mental Health Research

Native Aging Visions
Newsletter of the National Resource Center on Native American Aging. Sponsoring organization: National Resource Center on Native American Aging

Organizations

Alaska Native Tribal Health Consortium (ANTHC)
Tribal organization
Works to provide the highest quality health services for all Alaska Natives. A Native American Research Center on Health.

American Indian & Alaska Native (AI/AN) Epidemiology Centers
Federal government
Six tribal epidemiology centers work to improve the health and well-being of AI/AN populations through a variety of activities including surveillance for disease conditions, epidemiological analysis, interpretation, and dissemination of surveillance data, investigation of disease outbreaks, and more. Supported by an Indian Health Service and Centers for Disease Control and Prevention partnership.

American Indian Higher Education Consortium (AIHEC)
Tribal government
Represents 34 tribal colleges in the U.S. and Canada.

AoA Native Americans, Native Alaskans, & Hawaiian Natives Program
Federal government
Coordinates federal activities, administers grants, and collects and disseminates information related to the problems of older Native Americans. U.S. Department of Health & Human Services' Administration on Aging (AoA) program.

Association of American Indian Physicians (AAIP)
National organization
Dedicated to pursuing excellence in Native American health care by promoting education in the medical disciplines, honoring traditional healing practices and restoring the balance of mind, body, and spirit.

HHS Office of Minority Health (OMH)
Federal government
Serves as a national resource and referral service on minority health issues. Part of the U.S. Department of Health & Human Services.

Indian Health Service (IHS)
Federal government
Provides federal health services to American Indians and Alaska Natives. Works to raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level. Part of the U.S. Department of Health & Human Services.

Indians Into Medicine Program (INMED)
Academic/Research
A University of North Dakota academic support program aiding American Indian students in their quest to serve the health care needs of native communities.

Inter Tribal Council of Arizona American Indian Research Center for Health (AIRCH)
Academic/Research
Encourages practical research to improve American Indian peoples' health status. A Native American Research Center on Health site.

National Center for American Indian and Alaska Native Mental Health Research (NCAIANMHR)
Academic/Research
A minority mental health research center focused specifically on American Indian and Alaska Native populations. Sponsored by the National Institute of Mental Health and located at the University of Colorado Health Sciences Center Department of Psychiatry.

National Child Traumatic Stress Network: Center for Rural, Frontier & Tribal Health (NCTSN-CRFTH)
Academic/Research
Assists rural, frontier, and Tribal communities in the treatment of child traumatic stress through technology-augmented resources.

National Indian Council on Aging (NICOA)
National organization
Works to better the lives of the nation's indigenous seniors through advocacy, employment training, dissemination of information, and data support.

National Indian Health Board (NIHB)
Tribal organization
Strengthening tribal management capabilities in health and human service delivery.

National Indian Women's Health Resource Center (NIWHRC)
National organization
Works to assist American Indian and Alaska Native women achieve optimal health and well being throughout their lifetime.

National Resource Center on Native American Aging (NRCNAA)
National organization
Works closely with the local service providers throughout the nation to address the needs of American Indian, Alaskan Native and Native Hawaiian elders.

National Society for American Indian Elderly (NSAIE)
Tribal organization
Provides small grants to tribal member organizations to support a variety of programs for American Indian elders to address nutrition, transportation and other services. Currently, there are 237 tribal senior programs in the United States.

Native American Research Centers on Health (NARCH)
Academic/Research
Federally-funded research centers that conduct research and research training responsive to the needs of American Indian and Alaska Native communities.

Native American Research Training Center (NARTC)
Academic/Research
Conducts research and training projects to help improve the quality of life for Native Americans with disabilities. Serves as a national resource for Native American communities and people working with Native American populations, especially those with chronic diseases or disabilities.

Northwest Portland Area Indian Health Board (NPAIHB)
Tribal organization
Works to assist Northwest tribes to improve the health status and quality of life of member tribes and Indian people in their delivery of culturally appropriate and holistic health care. A Native American Research Center on Health site.

Special Education Program for Teachers and Administrators (SEPTA)
State/regional organization
Works to develop and implement a comprehensive Special Education training program that enhances the professional development of Bureau of Indian Affairs (BIA) and BIA grant school personnel. A project of the University of Arizona's Native American Research and Training Center.

U.S. Senate Committee on Indian Affairs
Federal government
U.S. Senate Committee with jurisdiction to study the unique problems of American Indian, Native Hawaiian, and Alaska Native peoples and to propose legislation to alleviate these difficulties.

Article Searches & Bibliographies

Health of Native People of North America: An Annotated Mediagraphy, Authors: Sharon A. Gray and Edward R. Starr, MC Journal: The Journal of Academic Media Librarianship, v1 no.2, Fall 1993:70-100.
Large listing of audiovisual resources on Native American health

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Page last updated 5/14/2008
Topic last reviewed 11/6/2007

Events
Aug 25 - 28, 2008
20th Annual Native Health Research Conference
Indian Health Service
Red Lion on the River
Portland, OR
Call for Abstracts - Deadline May 15, 2008
Contact:
  503.228.4185


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Alan Allery, Jacque Gray and Leander Russell McDonald, UND Center for Rural Health

Past contributor: Craig Williamson
 
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