Tribal Public Health Broadcast
October 4th, 2018
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"Hardworking Rural Community Taps a Deep Well of Hope" is an article from the Robert Wood Johnson Foundation that provides an overview of the residents of Klamath County, Oregon, including the Klamath Tribes, coming together as a community and forming the Healthy Klamath coalition to create healthier communities. The article discusses community efforts to address the behavioral and physical healthcare needs of the Klamath Tribes, and describes local efforts to promote healthcare careers to high school students and how the community offers scholarships to improve graduation rates. Klamath County is a recipient of the 2018 Robert Wood Johnson Foundation's Culture of Health Prize. Read the article here.

Alaska Native Community Resilience Study: Changing the Narrative in Suicide Prevention from Risk to Cultural & Community Strengths
The role of social determinants is evident in the disproportionately high rates of Alaska Native (AN) youth suicide which, when aggregated across a rural area, can be 18 times higher than the youth general population, ages 15-19 (124 vs 6.9/ per 100,000). Despite its importance, little is known about the community-level resilient and protective processes communities enact to protect their youth. The presentation below, posted on the Interagency Arctic Research Policy Committee (IARPC) Collaborations website recently, describes the overall effort, Alaska Native Collaborative Hub for Research Resilience (ANCHRR), and the research, Alaska Native Community Resilience Study (ANCRS), it supports. This research seeks to identify pathways from larger social and community processes down to individual, youth experiences, which can inform a wide variety of prevention efforts. The goals of the overall ANCHRR project are to establish a central hub for Alaska that anchors and supports our collective efforts in reducing the burden of AN youth suicide. The first aim of the research study will assess the association of a set of modifiable cultural, community and institutional factors (community resilience factors) with suicide and associated adverse outcomes (accidental death, alcohol-misuse requiring healthcare) in 64 rural and remote Alaska Native villages to identify community-level factors that are most predictive of youth health outcomes. The presentation describes the first year of this collaborative research project, and will show how the effort integrates and utilizes Alaska Native knowledge and guidance. The goal of this work is to identify vital community targets that can most effectively reduce youth suicide risk and promote resilience. Click here   to view the presentation directly, or sign up (for free) on IARPC here.

NIHB Releases Tribal Public Health Accreditation Readiness Case Study featuring Chickasaw Nation
The National Indian Health Board (NIHB) has provided support to Tribal health departments seeking public health accreditation through the Tribal Accreditation Support Initiative (ASI) since 2014. Twenty Tribal health departments have worked with NIHB to increase their readiness to apply for public health accreditation, a voluntary program in which Tribal, Local, and State health departments measure their performance against a set of nationally recognized, practice-focused and evidence-based standards. 
Through the Tribal ASI, NIHB supported Chickasaw Nation to conduct accreditation and performance improvement activities in their health department. They used the Accreditation Readiness Model (ARM), a tool developed by NIHB, to measure both improvements and challenges, as well as to set priorities, and determine which initiatives are most successful. The case study illuminates the importance of using a readiness tool when making a system-wide change. As stated in the case study, "Knowledge and awareness, relationships, and attitudes are dimensions equally as important as meeting program milestones and contribute to strengthening a collaborative public health system."
To view the case study, click HERE
To learn more about the Tribal Public Health Accreditation Support Initiative, click HERE
New SAMHSA Fact Sheets Offers Guidance on Patient Care for Pregnant Mothers With Opioid Use Disorder (OUD)
SAMHSA announces the release of Healthy Pregnancy, Healthy Baby: Opioids in Pregnancy  fact sheets. These four new fact sheets emphasize the importance of continuing a mother's treatment throughout her pregnancy and can be distributed by a variety of health care professionals. Fact sheet topics include information on:
  • OUD and pregnancy
  • OUD treatment
  • Neonatal abstinence syndrome
  • Personal considerations to address before hospital discharge
  The fact sheets serve as companion documents to Clinical Guidance for Treating Pregnant and Parenting Women With Opioid Use Disorder and Their Infants , and include a customizable space for health care professionals to include their logos or contact information.
Fact sheets available HERE.
Urban Indian Health Institute Releases the Urban Diabetes Care & Outcomes Summary Report

The Urban Diabetes Care & Outcomes Summary Report (UDCOSR) reports on diabetes data for urban American Indian and Alaska Native (AIAN) people for audit years 2013-2017.  UDCOSR reports on data from 31 urban Indian Health Programs, and is used to estimate rate and trends for diabetes outcomes, as well as highlight the strengths and gaps of diabetes health in urban AIAN patients.
To view the report, click here

Funding and Opportunities
A ddressing Opioid Use Disorder in Pregnant Women and New Moms
Applications due 5pm Eastern, November 19, 2018

Women who are pregnant or new mothers struggling with Opioid Use Disorder face a variety of barriers in obtaining safe and effective care and treatment. Women and families in rural and under-resourced communities are particularly affected. Barriers may include but are not limited to:
  • limited access to:
    • local providers with both the training and capacity to meet patient treatment and recovery needs;
    • family-centered, trauma-informed treatment and recovery approaches that include integrated supports;
    • adequate care and long-term supports for infants born with Neonatal Abstinence Syndrome;
    • significant stigma, prejudice, and discrimination which may hamper seeking treatment;
    • interactions with the criminal justice system; and
    • limited social supports such as transportation, safe housing, and employment.
The Addressing Opioid Use Disorder in Pregnant Women and New Moms Challenge will award $375,000 in prizes to support tech innovations to improve access to quality health care, including substance use disorder treatment, recovery, and support services for pregnant women with opioid use disorders, their infants, and families, especially those in rural and geographically isolated areas. Click here to learn more or apply.

2019-2022 Behavioral Risk Factor Surveillance System - Currently Accepting Public Comments

The Department of Health and Human Services (HHS) and the Centers for Disease Control and Prevention (CDC) are currently accepting public comments and recommendations on a proposed revision of data collection for the 2019-2022 Behavioral Risk Factor Surveillance System. The purpose of this revision request is to add the following topics to the questionnaires: myalgic encephalomyelitis/chronic fatigue syndrome; hepatitis treatment; adverse childhood experiences; food stamps; and opioid use and misuse. Deadline is November 19.   Learn more
34th Annual Alaska Native Diabetes Conference 2018
Wednesday-Friday, October 10-12, 2018 in Anchorage, AK
The 34th Annual Alaska Native Diabetes Conference will be held at the Sheraton Anchorage Hotel and Spa in Anchorage, AK from October 10-12, 2018. This conference has been designed specifically for physicians, physician assistants, nurse practitioners, nurses, pharmacists, dietitians, CHA/P, psychologists, exercise psychologists, certified diabetes educators, and other health care professionals who care for patients with diabetes. The focus of the conference is on Alaska Native People.
Click here to learn more.

Indigenous Pink Month is a national breast cancer awareness campaign for American Indians and Alaska Natives (AI/ANs). Breast cancer is the most commonly diagnosed cancer and second leading cause of cancer death for AI/AN women. When it comes to detecting breast cancer, timing matters. Regular screenings can find breast cancer early when it is easier to treat.
The goal of Indigenous Pink Month is to educate all indigenous people on the importance of early detection and remind everyone to keep up to date on their screenings. The American Indian Cancer Foundation (AICAF) asks men and women of all ages to take part in the activities listed below throughout the month of October.

October 9, 2018 - Webinar: Abnormal mammogram: Now what?

October 18, 2018 - Facebook & Instagram

                                 Wear pink.
Wear pink to honor breast cancer warriors and survivors and to spread awareness.
Share a picture of yourself on social media wearing pink using #IndigenousPink.
Tell your friends and family about Indigenous Pink Day and ask them to wear pink and join in on the social fun. Organize Indigenous Pink Day at your workplace. Ask leadership to encourage all employees to take part.
                                Get screened.
Talk to your health care provider for advice and information on breast cancer screenings. Breast cancer in American Indians and Alaska Natives can be prevented through regular screening and awareness.
                                  Change your Facebook cover photo.
Set the #IndigenousPink banner as your cover photo (Can be found on Facebook event page)

October 30, 2018 - Twitter Chat
                               Join AICAF live on Twitter to discuss breast cancer screening
                              12:00 PM - 1:00 PM CST