QTU GHWIC - The Qawalangin Tribe is addressing health challenges that have long plagued our community, challenges that are rooted in the social determinants of historical trauma, economic hardship, and the isolation of our island home. The absence of consistent preventive healthcare has only made these issues more severe. With nearly a quarter of the Alaska Native adult population grappling with prediabetes or diabetes, over 25% battling hypertension, and more than half facing obesity, the urgency for change is apparent. In response, with the support of the CDC Good Health and Wellness in Indian Country Round 2 grant awarded in 2019, we’ve launched initiatives to prevent obesity, diabetes, and heart disease. In 2024, through continued GHWIC funding, we will expand these efforts with vital health programs built on our culture of connectedness. These include bringing community-led diabetes prevention classes and a high blood pressure self-monitoring program developed alongside local clinics to our frequent culture nights and other venues and events. We will also expand our promotion of physical activity by directly connecting it with our cultural heritage through a new kayaking program and expanding our berry-picking program inspired by our traditions. Culture nights offer a space where community members can engage in traditional practices like beading, storytelling, and dancing. By bringing culturally aware clinicians and a wrap-around community of care to these events, we begin to interweave good health with an opportunity for social connection and cultural expression. Similarly, berry picking is an activity that promotes wellness by combining the physical benefits of walking and harvesting with the nutritional value of native berries, which are known for their health properties. Walking and kayaking are two vital ways we move ourselves and our community. We want to reinvigorate people alongside traditional skills by reconnecting with this history. These programs represent our commitment to improving health outcomes through a blend of modern healthcare and cultural practices. Beyond interventions, this work is a step towards bridging the health equity gap and upholding the Tribe’s mission to nurture a healthier future for all its members. These activities are more than exercise; they celebrate traditions that unite the community, fostering a sense of belonging and identity. Through the trust and connection created, we help our members and our providers work together to reduce the impact of chronic health conditions, tobacco use, and even neglected oral health needs. By emphasizing these culturally meaningful activities, the Tribe creates a holistic approach to health that resonates with the community’s values and way of life. The Qawalangin Tribe’s commitment to leading with culture and building trust in its health programs is not only innovative but also a testament to its dedication to the well-being of its people.