Abstract: Community Level Interventions for Improving Health Outcomes
The Pascua Yaqui Tribe, a federally recognized tribe, through its Health Services Division, submits this funding request to the Office of Minority Health. We share the goal of creating innovations in social and supportive services that address social determinants of health to reduce the health discrepancies in our tribal population. The Pascua Yaqui Health Services Division is one of the few indigenous nationally certified health services departments in the nation. The Sewa U’usim community Partnership will be the lead agency in its role as a prevention support project for the health division. Our program will serve the New Pascua Reservation and our members in Pima County, AZ located south of Tucson, Arizona, 50 miles from the border with Sonora, Mexico. As a tribal community, we face many of the same disparities many tribal communities face and are excited at the opportunity to enhance and expand the collaborative network of care composed of key tribal providers to help in project development, implementation, and evaluation of a comprehensive program to help increase the use of preventative health services and make progress towards addressing leading health indicator targets, as outlined in the NOFO. Our LHI will be youth obesity, which shall be addressed related to the social determinants of health within the domains: Healthcare access and quality and Social and Community Context areas outlined in the NOFO. The target population is youth ages 12 to 24, all genders, tribal members and their families. We will utilize the Community Readiness model in our approach as the public health improvement model of choice. Will introduce the evidence-based culturally focused Project Venture as one of our underlying model approaches to addressing issues of obesity, self-esteem, physical well-being, and cultural strengths in working with youth over the projected four years of the grant. We will utilize the Directors and Managers Youth and Family Service Networking Board as the b
aseline collaborative network of providers and will expand its capability to serve the overall goals of the community as well as the general issues of policy changes and enhancement of procedures to better serve the tribal community and its members. While we are restricted in the areas of sharing public information outside the scope of general tribal operations, we will, within the context of the cohorts of our 5 federal grants, utilize a listserv of over 100 indigenous communities to share our findings recommendations in brief reports related to outcomes of the project. We recognize the projected start date of August 1, 2024, in the availability of funding for up to 48 months, pending funding availability and performance measures. Staff available through federal grants ending June 30 may serve as good quality candidates for inclusion in this community-based effort.