AASTEC Tribal Epidemiology Centers Public Health Infrastructure (TECPHI) Program - Chronic diseases such as Type 2 diabetes, cardiovascular disease, cancer, stroke and their
underlying risk factors exact a heightened toll on the American Indian/Alaska Native (AI/AN)
population in the form of disproportionate morbidity/mortality, exorbitant medical costs,
premature death, loss of productivity, and diminished quality of life. Similarly, infectious
disease such as the COVID-19 pandemic has had a disproportionate impact on AI/AN
populations, which is exacerbated by these underlying chronic conditions and social
determinants of health. At the same time, tribal public health capacity and infrastructure is
significantly under-resourced and under-developed. This 5-year, Component A project will
mobilize a multidisciplinary partnership of the Albuquerque Area Southwest Tribal
Epidemiology Center (AASTEC), its parent organization the Albuquerque Area Indian Health
Board, Inc. (AAIHB), and the 27 Indian Health Service (IHS) Albuquerque Area Tribes to
deliver essential public health services and support efforts to effectively identify and address
underlying social determinants of health, reduce persistent health disparities, and improve the
overall health and wellbeing of AI/AN populations. AASTEC will strengthen its capacity and
provide leadership, technical assistance, training and resources to all 27 Albuquerque Area
Tribes to achieve a long-term outcome of a strengthened delivery of essential public health
services by our tribal epidemiology center and the tribes throughout our service area. Specific
activities that will be employed to achieve these outcomes, at a minimum, will include: 1)
support TEC workforce development and capacity building by providing on-going training and
technical assistance in essential public health services and core public health competencies; 2)
collect, assess, and monitor data on health status of AI/AN populations; 3) support planning,
implementation, monitoring, and evaluation of culturally relevant practiced-based activities to
address identified health priorities; 4) participate in the Community of Practice (CoP) via virtual
meetings and trainings to convene all TECs to share ideas, successes, and challenges, exchange
lessons learned, and establish best practices; 5) create a sustainability plan to sustain increased
workforce capacity and enhanced public health infrastructure beyond the 5-year period of
performance; 6) provide resources, training, and technical assistance to tribes and UIOs to
support the implementation, monitoring, and evaluation of the tribal/community health
improvement plan; 7) develop new and/or modify existing public health surveillance tools to
support the collection and use of tribally-relevant public health data, and 8) evaluate public
health infrastructure and health data access and capacity within Albuquerque Area Tribes. A
comprehensive, mixed-methods evaluation, encompassing both process and outcomes
performance measures, will also be implemented throughout all five years of this project.