The proposed Good Health and Wellness in Indian Country (GHWIC) project is to assist in addressing chronic disease to appropriately and effectively improve the overall health of American Indians and Alaska Natives (AI/AN) through select interventions, increased access to adequate healthcare resources, and education. The purpose of the project is to identify, assess and build or expand needed public health capacity and programs which will utilize the unique strengths of IHS Nashville Area Tribal Nations.
To achieve the goal of the project, United South and Eastern Tribes, Inc. (USET) Tribal Epidemiology Center (TEC) staff will utilize the best practices learned from the first GHWIC Grant and the Tribal Public Health Infrastructure (TECPHI) Grant by providing technical assistance, training and resources to the Tribal Nations located in the IHS Nashville Area. This project will address the Healthy People 2020 focus areas of diabetes; heart disease and stroke; nutrition and weight status; physical activity; adolescent health; and maternal child health to create culturally relevant social and physical environments that encourage and support improved infrastructure that is culturally-driven based on the needs of AI/AN communities.
To address the four strategic areas of the grant and to better assist the Tribal partners, the USET TEC will award funds to IHS Nashville Area Tribal Nations utilizing a three-tiered system based on need and capacity of Tribal partners. Tribal partners will be selected and funded based on demonstrated need.
Tier one is designed for Tribal Nations that have not conducted a community health assessment (CHA) within the last seven years. The tier one Tribal partners will be required to design and implement a comprehensive CHA to better understand the needs of their community and to guide program planning and implementation as it applies to at least one of the four strategic areas of the grant. The USET TEC will provide ongoing technical assistance with the development of the CHA, including assistance with key informant interviews, focus groups, community questionnaire or survey, development of any partnerships needed.
Tier two is designed for Tribal Nations that have completed a CHA within the last seven years or less and are ready to implement new culturally relevant programs under at least one of the four strategic areas of the grant. Tier two Tribal partners will receive technical assistance with the development of program implementation plans, evaluation plans and development of any partnerships needed for sustainable programs.
Tier three is designed for Tribal Nations that have plans to expand or improve on existing programs that align with at least one of the four strategic areas of the grant. Tier three Tribal partners will also receive technical assistance with the development of program implementation plans, evaluation plans and development of any partnerships needed for sustainable programs.
In order to achieve project outcomes, the USET TEC will allocate 50% of the project award to Tribal partners and serve as the support center, providing training, project guidance, technical assistance and evaluation support.
To ensure that the USET TEC and its Tribal partners are progressing toward project outcomes, regular progress reporting will be done. Tribal partners will regularly report progress toward work and evaluation plan activities and outcomes by reporting on process and outcome measures and sharing project status updates with detailed narratives describing project successes, challenges and barriers.