The Rosebud Sioux Tribe is located in the center part of South Dakota. The tribe covers 5 counties. The tribe has minimum 34,000 enrolled members with approximately 23,000 members living on the reservation. A one way trip to Rapid City is 180 miles and to Sioux Falls is 220 miles. Primary and specialty medical services are provided in either Rapid City or Sioux Falls SD. See Map. Our Indian Health Service is a mile from our facility. Patients self-refer to the Rosebud Wellness Center. Participants who come to the Rosebud Wellness Center with elevated blood pressure, HbA1c level, or injuries are referred to the Indian Health Service.
he COVID-19 pandemic. See Data Slides. In addition to the Rosebud Wellness Center activities, the program has provide community physical activities in all 20 communities each year. Diabetes-related education has been provided to participants in at least 10 communities each year. The Rosebud Diabetes Program was selected to participate in the Indian Health Service National Diabetes Prevention Program Initiative. The Certified Recognized Diabetes Self-Management Education Program with American Association of Diabetes Educators was used to provide education to participants who had diabetes and prediabetes. The Registered Dietitian (RD) has provided cooking classes, meal planning, nutrition education and Medical Nutrition Therapy (MNT) since 2016.
Based on the 2022 IHS Diabetes Care and Outcomes Audit, over one-half (57%) of the adults with diabetes have obesity or an HbA1c level >=7%. One-fifth (20%) of the patients with diabetes received diabetes-related education. Only 69 patients with diabetes received physical activity education. The Rosebud Wellness Center provided physical activity education to 491 participants in 2021. Using the percent of change formula, the Rosebud Wellness Center provided physical activity education to 611% more participants than the IHS. Funding is necessary for the Rosebud Wellness Center continue reaching a large percent of the community population. Type 1 diabetes has become a major concern. The children with Type 1 diabetes must travel to Sioux Falls for medical and specialty care. Medicaid pays for children less than 18 years old to receive specialty medial care. When the children reach 18 years and older, they need to utilize the IHS for care which does not always have the specialized care needed.
The Rosebud Wellness Center will implement the Diabetes-Related Education Best Practice with the following activities: Physical Education, Nutrition Education, Traditional Food Education, and Gardening Education. The Other Activities/Services include: Physical Fitness Assessments, Community Fitness Activities/Events, and Community Garden.