Urban Indian Health Institute (UIHI), a division of Seattle Indian Health Board, requests $1,250,000 for Year 1 of a five-year project period to implement Component 2 of the GHWIC program. UIHI has a national scope and works with American Indian/Alaska Native (AI/AN) organizations across all IHS areas. The focus of this project will be on the urban Indian population, who account for 67% of the 5.2 million AI/AN in the U.S. This proposal for Component 2 will build on UIHI’s existing work, systems, and relationships to achieve reductions in the use of commercial tobacco, and reduced rates of obesity, diabetes, and heart disease and stroke. Throughout the project period, we will deploy Indigenous knowledge-informed methods, framework, and evaluation approaches to support evidence-informed policy, systems, and environmental change, and clinical-community linkage strategies and activities. The purpose of the proposed project is to expand the implementation of GHWIC Component 1 (C1) strategies and activities among Urban AI/ANs by: (1) providing at least six subawards during each year of the project to Urban Indian Organizations (UIO) totaling at least 50% of the annual funding award; (2) providing training, technical assistance, and resources to all UIOs to support the planning, development, implementation, and evaluation of activities across all four C1 strategies; (3) assisting UIOs in developing multi-sector partnerships to support implementation of C1 strategies and activities; and (4) working with UIOs to develop and implement tailored health communications and messaging to reach AI/AN populations at greatest risk for obesity, commercial tobacco use, type 2 diabetes, and/or heart attack or stroke.
The proposed project activities will increase the number of UIOs across the country that are implementing activities across all four GHWIC C1 strategies. We aim to see this increase among two groups: UIOs that will receive subawards, and UIOs that will receive training and technical assistance (TA). Proposed outcomes are as follows: (1) at least 30 C1 projects will be implemented by UIOs over the five-year funding period, with a minimum of six projects within each of the four C1 health focus priority areas; and (2) at least 20 unique UIOs will receive funding along with training and TA to implement C1 projects. UIHI will conduct a process evaluation to inform continuous quality improvement and an outcome evaluation to assess our success in achieving expanded implementation of all four C1 health strategies across UIOs.