Monday, May 19, 2025
5/19/2025
CRIHB Good Health and Wellness in Indian Country - Abstract California Rural Indian Health Board, Inc. (CRIHB), Component 2 applicant, proposes to implement the Advancing California’s Opportunities to Renew Native health Systems (ACORNS) project to improve the prevention and management and reduce the burden of chronic diseases in California Tribal communities by providing leadership, funding, training, and technical assistance (TA) to California Area Tribes, Urban Indian Organizations (UIOs), and other Tribal entities (hereafter referred to as Tribal Health Programs [THPs]). Through approximately 15 subawards annually, CRIHB will assist its 68 member Tribes and 20 THPs to develop, implement, and evaluate community-based projects that focus on managing and preventing obesity, type 2 diabetes, commercial tobacco use, heart disease, stroke, and oral health using community-chosen traditional and family-centered American Indian Alaska Native (AIAN) practices, multi-disciplinary team-based care, collaborative community partnerships, and policy, systems, and environmental (PSE) change. CRIHB will leverage its 55 years of experience supporting California THPs and UIOs to coordinate training and TA opportunities to support and engage all Area Tribes, Villages, UIOs, and THPs in California to address these issues, including developing culturally tailored health communication and messaging strategies and assisting in the development of multi-sectoral partnerships across the state. By the end of the project period, the proposed activities and strategies are expected to result in the below short-term, intermediate, and long-term outcomes. Short-term outcomes include increased reach of TA, training, and resources to all Tribes, Villages, UIOs, and THPs across all Component 1 (C1) strategies and activities and increased reach of TA, training, and resources to all Tribes, Villages, UIOs, and THPs on evidence-based PSE changes that promote health and wellness and encourage healthier behaviors. Intermediate outcomes are increased reach of Good Health and Wellness in Indian Country C1 strategies and activities within the award area and increased adoption of PSE changes to promote health and prevent chronic diseases and their risk factors. The anticipated long-term outcomes are an increased sense of mental, emotional, and physical well-being among community members, increased effective chronic disease self-management, and reduced morbidity/mortality due to chronic diseases and their risk factors. CRIHB has developed an evaluation and performance measurement plan that will effectively track this project's progress and measurable outcomes. The evaluation plan of this project will follow the Centers for Disease Prevention Program Evaluation Framework and center engagement with all stakeholders. The evaluation will focus on the capacity of Area Tribes, Villages, UIOs, and THPs to implement C1 and PSE activities, the reach of C1 strategies, and the increased implementation of PSE change strategies. Utilizing the developed work plan, these three focuses will be addressed through a combination of process evaluation, measuring the community’s needs, analysis of all measurable information, and continual contact and engagement across the state.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).