PROJECT ABSTRACT SUMMARY
According to the Centers for Disease Control (CDC) and Indian Health Services (IHS), American Indians and Alaska Natives (AI/AN) have much higher rates of death and disability from tobacco use, obesity, diabetes, heart disease and stroke. To address these health disparities and reduce the impacts of these chronic diseases, the CDC launched the Good Health and Wellness in Indian Country (GHWIC) Component 1(C1) program in September 2014. This program supports a holistic approach to healthy living that uses community-chosen, culturally adapted policies, systems and environmental improvements. The goal and purpose of the GHWIC over the next cycle will be to build upon the lessons learned to date from this and other CDC programs (Tribal Epi Center Public Health Infrastructure (TECHPHI) and Tribal Practices for Wellness in Indian Country) in order to reduce the prevalence and impact of chronic diseases throughout the Bemidji Area.
The applicant, Great Lakes Inter-Tribal Council, Inc. (GLITC), is a regional AI/AN tribally-designated organization established in 1965 and comprised of 11 federally recognized Indian tribes in Wisconsin and Upper Michigan. The Great Lakes Inter-Tribal Epidemiology Center (GLITEC), a program of GLITC, serves 34 Tribes, six urban Indian areas, and three Indian Health Service (IHS) Units in the Great Lakes IHS area (Michigan, Minnesota, and Wisconsin and Urban Indian Catchment Areas in Chicago, Detroit, Milwaukee and Minneapolis). GLITC is a current GHWIC grantee and is applying again as a Component 2 applicant. As a component 2 applicant, GLITC will be following the CDC Component 2 strategy: Provide funding, training, technical assistance, and evaluation support to Area Tribes / Villages / UIOs / other Tribal entities conducting activities across all four Component 1 strategies. The four C1 strategies identified by the CDC are: 1) Implement evidenced-informed and culturally-adapted policy, system, and environmental changes (PSE) to prevent obesity; 2) Implement evidenced-informed and culturally-adapted PSE to prevent and control commercial tobacco use; 3) Implement evidence-informed and culturally-adapted community-clinical linkages (CCL) to support type 2 diabetes prevention; and 4) Implement evidence-informed and CCL to support heart disease and stroke prevention.
To accomplish GHWIC long-term goals, GLITEC will offer technical assistance, specialized training, evaluation support services and provide funding to tribes as subawards and mini-grants. Working with the established CoP and state and regional tribal health boards, GLITEC will share evidence-based practices, and provide a forum for tribal, state, and federal stakeholders to exchange subject matter expertise, including effective evidence-based cultural adaptations, and public health services and functions.
The GHWIC2 program will develop effective tribal practices that build resiliency and connections to community, family, and culture. The outcome of this program will reduce the incidence and prevalence of key chronic disease throughout the Bemidji Area.