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Cherokee Nation Connecting Underserved with Resources for Elimination (C.U.R.E.) Program

Award Number: H1H9IHS0012
ORGANIZATION: INDIAN HEALTH SERVICE
OPDIV: IHS
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 09/01/2024
PERIOD OF PERFORMANCE END DATE: 08/31/2029

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Cherokee Nation Connecting Underserved with Resources for Elimination (C.U.R.E.) Program - American Indian/Alaska Native (AI/AN) individuals have health disparities related to HCV, HIV, and syphilis infections. In order to eliminate HCV and HIV and curb the syphilis epidemic in Cherokee Nation, there is a need to identify and screen hard to reach vulnerable populations and to improve engagement in care and treatment initiation among individuals diagnosed with these infectious diseases within the Cherokee Nation Health system. The Cherokee Nation Connecting Underserved with Resources for Elimination (C.U.R.E.) program aims to integrate community-based approaches with clinical services to screen, diagnose, treat, and prevent HCV/HIV/syphilis infections in Cherokee Nation. This program will collaborate with community coalitions to identify local community organizations that serve underserved AI/AN populations experiencing substance use disorders and housing insecurities. When individuals show up to these community organization, Cherokee Nation Health Services (CNHS) will invite participants to be screened for HCV/HIV/syphilis using rapid testing kits. For AI/AN participants who screen positive for HCV/HIV/syphilis, a staff member will schedule the participant for a same day telehealth visit with a healthcare provider to discuss test results and next steps. Staff will also collect laboratory samples in order to conduct confirmation testing. Before the AI/AN participant leaves, staff will schedule a follow-up appointment for the individual to discuss results of the HCV confirmation test and to start treatment, as needed. Staff will provide the standard protocols of reaching out to patients by telephone and mail for appointment reminders and reschedules. Staff will also identify and attend community events to promote screening activities and to provide HIV at home testing kits to those interested. Further, CNHS will develop a community resource guide that detail local resources for community members that may help individuals reduce their risk of HCV/HIV/syphilis. As for the clinical services approach, CNHS will focus on increasing provider education and awareness in regards to HCV/HIV/syphilis screening and treatment recommendations. Further, CNHS will deploy patient navigators to help patients through the HCV/HIV/syphilis cascade of care. Finally, CNHS will use incentives through both the community and clinical approaches to improve patient engagement in screening and treatment of HCV/HIV/syphilis. Throughout this process, CNHS will evaluate program activities to inform program activities throughout the entire project period.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $2,844,877 )
2025	2025	CHEROKEE NATION	17675 S MUSKOGEE AVE	TAHLEQUAH	OK	74464	CHEROKEE	USA	Minority HIV/AIDS Fund (MHAF)	00	2	8/27/2025	NON-COMPETING CONTINUATION	$2,844,877
2025	2024	CHEROKEE NATION	17675 S MUSKOGEE AVE	TAHLEQUAH	OK	74464	CHEROKEE	USA	Minority HIV/AIDS Fund (MHAF)	01	1	10/30/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $2,844,877

Issue Date FY: 2024 ( Subtotal = $1,065,537 )
2024	2024	CHEROKEE NATION	17675 S MUSKOGEE AVE	TAHLEQUAH	OK	74464	CHEROKEE	USA	Minority HIV/AIDS Fund (MHAF)	00	1	9/16/2024	NEW	$1,065,537
														Subtotal = $1,065,537

Grand Total All Awards = $3,910,414

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Cherokee Nation Connecting Underserved with Resources for Elimination (C.U.R.E.) Program

Award Number: H1H9IHS0012

ORGANIZATION: INDIAN HEALTH SERVICE

OPDIV: IHS

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 09/01/2024

PERIOD OF PERFORMANCE END DATE: 08/31/2029

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