The Great Plains Tribal Chairmen’s Health Board (GPTCHB) provides quality public health support and health care advocacy to the tribal nations of the Great Plains states of South Dakota, North Dakota, Nebraska, and Iowa by utilizing multifaceted and culturally credible approaches. Our vision is that all tribal nations and communities in the Great Plains Area (GPA) will reach optimum health and wellness through lasting partnerships and culturally significant values that are empowered by tribal sovereignty. “Hecel Oyate Kin Nipi Kte”, so that the people may live!
Since 2014, GPTCHB’s Great Plains Good Health and Wellness (GPGHW) program has used evidence-informed, culturally rooted health promotion and disease prevention initiatives to help Great Plains Area (GPA) tribes combat their high rates of obesity, commercial tobacco use, diabetes, heart disease and stroke. In the GPA, chronic diseases such as heart disease, cancer, and diabetes are among the leading causes of death for American Indians/Alaskan Natives (AI/AN). American Indian adults in the GPA are five times more likely to die from diabetes than Whites and they report higher rates of smoking, obesity, physical inactivity, and unhealthy diets.
The proposed Good Health and Wellness project, by GPTCHB’s Great Plains Good Health and Wellness program, will increase the number of GPA tribes/UIOs/tribal entities who are implementing Good Health and Wellness in Indian Country’s (GHWIC) Component 1 evidence-informed policy, system, and environmental (PSE) and community-clinical linkage (CCL) strategies and activities. These strategies and activities will increase the purchasing of healthier foods, increase breastfeeding, increase physical activity with an emphasis on walking, and reduce the prevalence of commercial tobacco use, type 2 diabetes, high blood pressure and high blood cholesterol. In accomplishing this, through the strengthening and expansion of our current Great Plains Good Health and Wellness program efforts, GPTCHB will: 1) subaward 50% of the annual award to at least four (4) GPA tribes/UIOs/tribal entities; 2) provide leadership, technical assistance, training, and evaluation support to all GPA tribes/UIOs/tribal entities to encourage and facilitate the use of GHWIC Component 1 PSE and CLL strategies; 3) assist GPA tribes/UIOs/tribal entities in developing multi-sectoral partnerships; and 4) work with GPA tribes/UIOs/tribal entities to develop and implement culturally adapted health communication strategies.