The Inter Tribal Council of Arizona, Inc. (ITCA) a 501 (c)(3) non-profit tribal organization is seeking to apply for Focus Area Three (3), sub-component IV, “Ending the HIV/HCV/Syphilis Epidemics in Indian Country II (ETHIC II) to increase prevention, diagnosis, care, and treatment of HIV, HCV, and STI infections with Tribes in the Phoenix and Tucson IHS Area Regions. The objectives and activities of the project are to 1) coordinate “Working Together for Healthy Indigenous Communities (WTHIC)” Working Group Meetings, 2) conduct clinical assessments, 3) share Healthy Native Youth, WERNATIVE, and Native Test resources, and 4) provide Zoom webinars to tribal health and clinical staff in the Phoenix-Tucson Area Region.
In recent years, sexually transmitted infections (STI) have increased among American Indians and Alaskan Natives (AI/AN) nationwide. Arizona are disproportionately affected by high rates of STIs compared to AI/AN in Nevada and Utah. In 2023, Arizona had 245 new cases of primary and secondary syphilis among AI/AN. In 2022, Arizona accounted for almost a quarter of all Congenital Syphilis cases nationwide among AI/AN with 42 reported cases. In 2023, Arizona accounted for 49 Congenital Syphilis cases among AI/AN. Tribes are in need of culturally appropriate best practice models to implement in their tribal health clinics and schools. Such models reduce the risk of STIs, including HIV/AIDS, increase condom use, and change behavioral norms. The ITCA project aims to achieve the following outcomes over the five-year period:
Increase diagnosis of HIV, HCV, and STI infections.
Increase linkage to care for people who are diagnosed with an HIV, HCV, or STI infection.
Increase linkage to care for people who are diagnosed with an HIV, HCV, or STI infection.
Increase the number of people living with HIV who achieve viral suppression.
Increase the number of people living with HCV who achieve a sustained virologic response.
Increasing the number of people who are living with syphilis, chlamydia or gonorrhea who have been treated and cured.
The ITCA will be partnering with Focus 1, 2, and 3 subawardees to accomplish the goals of the project, along with collaborating our ITCA programs. At the end of the project, ITCA will have held ten (10) ITCA WTHIC Working Group Meetings, conducted 25-30 clinical assessments, and provided twenty (20) webinars. In addition, ITCA will table and present at two events per year to share health education resources.
Evaluation of the project will be conducted by the ITCA Tribal Epidemiology Center (ITCA TEC), using formative, process, and outcome evaluation. ITCA will share aggregate outcomes of the project at conferences and meetings. The ITCA will utilize subject matter experts (consultants) for additional technical support and training to the Tribes, as needed.