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Tribal Public Health Capacity Building and Quality Improvement umbrella Cooperative Agreement/Opioid Overdose Prevention in Tribal Communities

Award Number: NU38OT000256
ORGANIZATION: OFFICE FOR STATE, TRIBAL, LOCAL AND TERRITORIAL SUPPORT
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES

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Bristol Bay Area Health Corporation (BBAHC) operates a critical access hospital in Dillingham, Alaska, a hub community. The corporation also staffs 21 village clinics in the 28 communities it services. The area spans approximately 35,000 square miles with a population of about 6,800 people. The majority (64%) of permanent residents in Bristol Bay are Alaska Native and American Indian, a federally identified medical underserved population (MUP). In addition to the hospital, state-of-the-art emergency room, primary care clinics, behavioral health, and dental services, BBAHC provides a range of preventive and health-promotion-oriented services to all residents including its State-supported Infant Learning Program serving children aged 0-3, Supplemental Nutrition Program for Women, Infants and Children (WIC), and Tobacco Cessation. Federally-supported programs include Injury Prevention, Special Diabetes Program for Indians, Indian Environmental General Assistance Program (IGAP), and Health Resources and Services Administration (HRSA) supporting tribes in their efforts to administer environmental programs. BBAHC seeks support from the Centers for Disease Control and Prevention to strengthen public health infrastructure in Bristol Bay in Southwest Alaska to support more robust planning, delivery, evaluation to advance the health and wellness of Indian Country. The focus of the program will be increasing immunization rates throughout the region and will be named Bristol Bay Immunization Initiative. Alaska Native and American Indian residents who are not vaccinated against preventable diseases face increased morbidity and mortality – diseases that a sophisticated and culturally-informed public health system can systematically reduce through improved capacity, strong surveillance and reporting, workforce competence, and collaborative partnerships that build system capacity. Bristol Bay’s rural and remote location in Southwest Alaska presents itself as a year-round obstacle to efficient delivery to the 28 villages BBAHC serves. The challenge to increase and sustain a high level of vaccination coverage for children and adults in rural Alaska is ever-present and multi-factorial. Further, most vaccination rates for children and adults lag behind state and national targets including those published in the Healthy People 2020 objectives. The trends in the region’s overall immunization data also appears evident in recent Influenza immunization rates. Active clinical patients in Bristol Bay aged 6 months-17 years saw a 5.1% decline from 34.9% to 29.8% in 2017 from base year 2010. The Healthy People 2020 Target is 70%. Patients 18 and over saw an increase of 5.5% for the same period from 30.6% to 36.1%. This rate falls under the Healthy People 2020 target of 70%. Residents of the region have not exhibited a sustained demand for immunizations including seasonal Influenza vaccination which further exacerbates systems-level constraints to higher vaccination rates. In this proposal BBAHC lays out a plan to evaluate and begin building up, with CDC’s support, requisite public health infrastructure, programs and services, as well as community awareness tools about the value of vaccines in preventing disease. The focus for Phase 1 is to increase Influenza vaccination coverage to 40% for children and 40% for adults 18 and older. BBAHC hopes to acquire both Phase 1 funding and will apply for Phase 2 funding to further advance tribal public health capacity and quality in support of healthier communities.


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 = $0 )
2025	2022	BRISTOL BAY AREA HEALTH CORPORATION	6000 Kanakanak Rd	Dillingham	AK	99576	DILLINGHAM	USA	Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement	03	5	11/12/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2021	BRISTOL BAY AREA HEALTH CORPORATION	6000 Kanakanak Rd	Dillingham	AK	99576	DILLINGHAM	USA	Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement	03	5	11/12/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2020	BRISTOL BAY AREA HEALTH CORPORATION	6000 Kanakanak Rd	Dillingham	AK	99576	DILLINGHAM	USA	Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement	03	5	11/12/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2019	BRISTOL BAY AREA HEALTH CORPORATION	6000 Kanakanak Rd	Dillingham	AK	99576	DILLINGHAM	USA	Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement	03	5	11/12/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2018	BRISTOL BAY AREA HEALTH CORPORATION	6000 Kanakanak Rd	Dillingham	AK	99576	DILLINGHAM	USA	Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement	03	5	11/12/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2023 ( Subtotal = $0 )
2023	2022	BRISTOL BAY AREA HEALTH CORPORATION	6000 KANAKANAK RD	DILLINGHAM	AK	99576	DILLINGHAM	USA	Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement	02	5	8/28/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	BRISTOL BAY AREA HEALTH CORPORATION	6000 KANAKANAK RD	DILLINGHAM	AK	99576	DILLINGHAM	USA	Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement	01	5	12/1/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2020	BRISTOL BAY AREA HEALTH CORPORATION	6000 KANAKANAK RD	DILLINGHAM	AK	99576	DILLINGHAM	USA	Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement	01	5	12/1/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2020	BRISTOL BAY AREA HEALTH CORPORATION	6000 KANAKANAK RD	DILLINGHAM	AK	99576	DILLINGHAM	USA	Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement	02	5	8/28/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = $753,010 )
2022	2022	BRISTOL BAY AREA HEALTH CORPORATION	6000 Kanakanak Rd	Dillingham	AK	99576	DILLINGHAM	USA	Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement	00	5	8/24/2022	NON-COMPETING CONTINUATION	$753,010
2022	2020	BRISTOL BAY AREA HEALTH CORPORATION	6000 Kanakanak Rd	Dillingham	AK	99576	DILLINGHAM	USA	Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement	00	5	8/24/2022	NON-COMPETING CONTINUATION	$0
2022	2020	Bristol Bay Area Health Corporation	6000 Kanakanak Rd	Dillingham	AK	99576	DILLINGHAM	USA	Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement	01	4	4/28/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $753,010

Issue Date FY: 2021 ( Subtotal = $553,010 )
2021	2021	Bristol Bay Area Health Corporation	6000 Kanakanak Rd	Dillingham	AK	99576	DILLINGHAM	USA	Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement	00	4	8/6/2021	NON-COMPETING CONTINUATION	$553,010
2021	2020	Bristol Bay Area Health Corporation	6000 Kanakanak Rd	Dillingham	AK	99576	DILLINGHAM	USA	Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement	01	3	1/20/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $553,010

Issue Date FY: 2020 ( Subtotal = $2,757,982 )
2020	2020	Bristol Bay Area Health Corporation	6000 Kanakanak Rd	Dillingham	AK	99576	DILLINGHAM	USA	Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement	00	3	7/28/2020	NON-COMPETING CONTINUATION	$553,010
2020	2020	Bristol Bay Area Health Corporation	6000 Kanakanak Rd	Dillingham	AK	99576	DILLINGHAM	USA	Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement	03	2	4/6/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$2,204,972
2020	2019	Bristol Bay Area Health Corporation	6000 Kanakanak Rd	Dillingham	AK	99576	DILLINGHAM	USA	Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement	02	2	2/5/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2019	Bristol Bay Area Health Corporation	6000 Kanakanak Rd	Dillingham	AK	99576	DILLINGHAM	USA	Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement	01	2	11/8/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2018	Bristol Bay Area Health Corporation	6000 Kanakanak Rd	Dillingham	AK	99576	DILLINGHAM	USA	Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement	01	2	11/8/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2018	Bristol Bay Area Health Corporation	6000 Kanakanak Rd	Dillingham	AK	99576	DILLINGHAM	USA	Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement	02	2	2/5/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $2,757,982

Issue Date FY: 2019 ( Subtotal = $553,010 )
2019	2019	Bristol Bay Area Health Corporation	6000 Kanakanak Rd	Dillingham	AK	99576	DILLINGHAM	USA	Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement	00	2	6/28/2019	NON-COMPETING CONTINUATION	$553,010
2019	2018	Bristol Bay Area Health Corporation	6000 Kanakanak Rd	Dillingham	AK	99576	DILLINGHAM	USA	Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement	03	1	3/20/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2018	Bristol Bay Area Health Corporation	6000 Kanakanak Rd	Dillingham	AK	99576	DILLINGHAM	USA	Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement	02	1	11/23/2018	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2018	Bristol Bay Area Health Corporation	6000 Kanakanak Rd	Dillingham	AK	99576	DILLINGHAM	USA	Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement	00	2	6/28/2019	NON-COMPETING CONTINUATION	$0
														Subtotal = $553,010

Issue Date FY: 2018 ( Subtotal = $553,010 )
2018	2018	Bristol Bay Area Health Corporation	6000 Kanakanak Rd	Dillingham	AK	99576	DILLINGHAM	USA	Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement	01	1	9/14/2018	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$531,010
2018	2018	Bristol Bay Area Health Corporation	6000 Kanakanak Rd	Dillingham	AK	99576	DILLINGHAM	USA	Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement	00	1	7/26/2018	NEW	$22,000
														Subtotal = $553,010

Grand Total All Awards = $5,170,022

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Tribal Public Health Capacity Building and Quality Improvement umbrella Cooperative Agreement/Opioid Overdose Prevention in Tribal Communities

Award Number: NU38OT000256

ORGANIZATION: OFFICE FOR STATE, TRIBAL, LOCAL AND TERRITORIAL SUPPORT

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

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