# Presentation: 483042

## Indian Health Service

- Health Promotion/Disease Prevention Initiative

## Background

- Significant health disparities among American Indian/Alaska Native
- Obesity
- Diabetes
- Cardiovascular Disease
- Cancer
- Injury
- Many of these health conditions and diseases are related to lifestyle behaviors.

## Goal

- Create healthier American Indian and Alaska Native communities by building on individual, family and community strengths and assets.

## Overview of Initiative

- Infrastructure
- Community Capacity
- Partnership
- Resources
- Evaluation

## Strategies

- Focus on effective clinical and community public health strategies
- Identify and implement best practices to reduce the health burden in AI/AN communities
- Increase community capacity and infrastructure

## Strategies

- Established Policy Advisory Committee (PAC) to provide oversight and policy guidance to the agency.
- Representatives include Tribal Leaders, NCAI, NIHB, CDC, NCUIH, TSGAC, Direct Tribes and IHS
- Meet face-to-face 2x a year

## Strategies

- PAC Annual Plan (focus on 4 Areas)
- _Educational Policies_ – focus on physical activity and school food service including vending machines, and competitive food sales.
- Met with Department of Education, Office of Indian Education to collaborate on this effort.
- Area HP/DP Coordinators to review their respective state, county, and local policies.
- Assess readiness for change.

## Strategies 

- PAC Plan (continue)
- _Marketing_- develop a marketing plan to increase awareness of HP/DP Initiative
- Conducted focus group (tribal and federal health care providers, tribal health workers).
- Develop a marketing plan based on focus group feedback.
- _Community Assessment_ – NIHB and PAIHB to pilot test a survey instrument and report findings back to the committee.

## Strategies

- PAC Plan (continue)
- _Partnership_ – identify and expand partnerships with other federal agencies, academia, foundations and corporations to support HP/DP Initiative
- Submitted concept paper to RWJF focusing on obesity prevention, community capacity, and community/clinical interventions.
- MOU with MADD (pending approval)
- Future plan: meet with HUD, USDA, AIHEC, Ford Foundation, and Kellogg Foundation

## Strategies

- Established a Prevention Task Force to develop a strategic plan to enhance and improve disease prevention and health promotion efforts by identifying diseases with the greatest disparities and developing a framework to address these diseases.
- Composition:
- 	Area HP/DP Coordinators, representatives from nutrition, dental, diabetes, medical provider, nursing, injury prevention, health education, and behavioral health.

## Prevention Task Force (continue)

- Identify and expand community and clinical best and promising practices.
- Promote and support environmental, school, and worksite policies that support healthier behaviors.
- Identify training needs of the community and providers.
- Identify benchmarks for monitoring progress (process, impact, & outcome measures).

## Infrastructure Benchmarks

- Hired National HPDP Coordinator
- Hire IHS Area HPDP Coordinators to work with I/T/U
- Oklahoma (hired)		Albuquerque
- Tucson	(hired)		Alaska
- California (hired)		Billings
- Portland (hired)		Aberdeen
- Nashville (hired)		Bemidji
- Navajo 	(hired)		Phoenix

## IHS Health Summit

- Demonstrate the agency’s commitment to HP/DP to eliminate disparities
- Create and expand partners
- Share best and promising practices
- Areas developed HP/DP plans
- Area Coordinators are following up on plans

## Build Community Capacity

## Healthy Native Communities Fellowship (HNCF)

## Healthy Native Communities Fellowship

- HNCF is based on an action-learning model in which insights, skills, and new knowledge is shared and applied in real life situations
- One year journey
- Interactive week-long sessions
- Self-study educational curriculum
- On-line computer conferencing
- Topics: grant writing, leadership, data collection and much more.

## Where are the teams from?

## Slide 19

## Healthy Native Communities Fellowship

- Accepting 2006 Fellows
- Encourage teams (consisting 2-3 people) to apply.
- One-year commitment
- Application can be downloaded at
- _[http://www.ihs.gov/hpdp](http://www.ihs.gov/hpdp)_
**Application Deadline:**
**	****September 1, 2005**

## Community Champion Forum

- Get together to share what is working in the AI/AN communities
- Share success stories, network, and recognize local champions
- Training
- Marketing
- Planning/evaluation
- Grant Writing/management
- Resources

## Community Champion Forum

- Navajo – December 2003
- Phoenix/Tucson – April 2004
- Alaska – April 2004
- Portland/California – January 2005
- Aberdeen/Billings – October 2004
- Nashville/Oklahoma – August 2005
- Bemidji – TBA
- Albuquerque – TBA

## Community Champion Forum 

- Community Champion Forum

**JUST MOVE IT!**
*Let’s Get 1 million**Native people moving!*

## What is JMI?

- National campaign to promote physical activity for American Indians and Alaska Natives

## Sign Up to Become A JMI Partner, visit: www.justmoveit.org Join this effort to get1 million Native people moving!

- Sign Up to Become A JMI Partner, visit:* **www.justmoveit.org*** **Join this effort to get1 million Native people moving!

**Notes:**
You’re the ones who make things happen. As the leaders of your community, it’s up to you.

## Improve Information Access

- Best/Promising Practices (clinical & community)
- Resources
- Assessment Tool
- Training
- Grant opportunities

## Future Plan: Improve Information Access to  Community Health Profiles

- Immunization
- Injuries
- Emergency Room Visits
- Outpatient Visits
- Cardiovascular Disease
- Diabetes

- Education
- BRFSS
- YRFSS
- Dental
- Cancer
- Prenatal Care
- Population
- Obesity

## Partnership Benchmarks

- HQ and Areas each develop 2 new partners for prevention in 2005
- State or Federal
- Academia
- Foundations & non-profits
- Corporation

## Resource Benchmark

- Provide direct support to local initiatives in all Areas.
- Seed money to support local plans
- Improve access to information & resources

## Resources

- Headquarters support
- National Diabetes Program for Indians
- Area Support
- Congressional Funds - $2.074 M.
- 20 competitive grant awards @ $64,500 in FY 2005.

## Evaluations

- Conduct process, impact, and outcome evaluations that are aligned with GPRA and Healthy People 2010 objectives
- Annual HP/DP Reports
- Progress, impact, and outcomes
- Trend reports (RPMS, GPRA)
- Community Health Assessment
- Behavioral Risk Surveys
- Director’s HP/DP Benchmarks

## Tribal Communities Products

- Improved Access to Information to support Wellness
- Resources, Training, Best Practice, Assessment Tools, Community Profile
- Chance to participate in *Just Move It*
- Support for Community Directed Wellness Planning
- Share at and Learn from Community Wellness Champion Forums

## Tribal Communities Products

- Access to Training, Fellowship
- Regional Resource Roundtables
- Networking Opportunities
- One Place to Call for Wellness

## Invest in Prevention

- If you improve in health and well-being
- 		- Quality of life improves
- 	- Health Care utilization decreases
- 	- Disability is controlled
- Productivity is enhanced
- 	- Healthier communities

## Health Promotion/Disease Prevention 

- _[http://www.ihs.gov/hpdp/](http://www.ihs.gov/hpdp/)_

## Any questions?