25th Biannual

CDC/ATSDR Tribal Advisory Committee

Meeting

Follow-Up Report

February 8–9, 2023 
Table of Contents 

Introduction .................................................................................................................................................. 3 

TAC Business ................................................................................................................................................. 4 

Recruitment Process ................................................................................................................................. 4 

Biannual Tribal Advisory Committee Meeting Planning ........................................................................... 4 

Equitable Access to Funding ..................................................................................................................... 5 

Tribal Data - Data Modernization Implementation (DMI) ............................................................................ 5 

Tribal Request Time Frame ....................................................................................................................... 5 

Center for State, Tribal, Local, and Territorial Support (CSTLTS) and National Center for Birth Defects and 

Developmental Disabilities (NCBDDD) Joint PHAP Project ........................................................................... 6 

PHAP Applicant ......................................................................................................................................... 6 

CDC Director/ATSDR Administrator Updates ............................................................................................... 7 

Relationship .............................................................................................................................................. 7 

Funding Mechanisms ................................................................................................................................ 7 

Good Health and Wellness in Indian Country (GHWIC).............................................................................. 12 

GHWIC..................................................................................................................................................... 12 

A Community Toolkit for an Indigenous Evaluation Approach................................................................... 13 

Community Toolkit.................................................................................................................................. 13 

Non-Competitive Grant Funding............................................................................................................. 13 

Appendix ..................................................................................................................................................... 15 

Acronym List ........................................................................................................................................... 15 

2 
Introduction 

The 25th Biannual Centers for Disease Control and Prevention/Agency for Toxic Substances and Disease 

Registry (CDC/ATSDR) Tribal Advisory Committee (TAC) meeting was held in-person and virtually 

February 8–9, 2023. The primary agenda topics were CDC budget updates, tribal data modernization 

efforts, birth defects and developmental disabilities, Good Health and Wellness in Indian Country, and 

the Indigenous Evaluation Toolkit. In addition, CDC/ATSDR Director Dr. Rochelle Walensky provided 

agency updates and participated in a facilitated discussion with TAC members. 

During the meeting, TAC members provided recommendations and requests for some areas of follow-up 

from agency leaders across CDC centers, institutes, and offices (CIOs). After the meeting, staff members 

from CDC’s National Center for State, Tribal, Local, and Territorial Public Health Infrastructure and 

Workforce, Office of Tribal Affairs and Strategic Alliances (OTASA) collected, categorized, and tracked 

follow-up items using the following categories: “request,” “recommendation,” or “question,” and asked 

the applicable CDC CIOs to respond as needed. The report is organized by agenda topic area, with the 

TAC member input or questions received in each area followed by the applicable CIOs’ responses. 

For additional information about the meeting, please view the 25th Biannual CDC/ATSDR TAC Meeting 

Minutes on the CDC Tribal Health website. 

3 
 

Requests/Recommendations/Questions

TAC Business 

Recruitment Process 

Request 

TAC members requested more information on the CDC/ATSDR TAC recruitment process. It is vital to fill 

all delegate and alternate vacant positions to meet quorum and push TAC business forward. 

Response 

National Center for State, Tribal, Local, and Territorial Public Health Infrastructure and 

Workforce (Public Health Infrastructure Center) – OTASA 

As federal agencies, CDC and ATSDR recognize their special commitment to and unique 

relationship with Indian tribes and are dedicated to fulfilling their critical role in promoting tribal 

health and safety. The TAC provides input and guidance about policies, guidelines, and 

programmatic issues affecting the health of Indian tribes. 

CDC plans to work diligently with the TAC during monthly TAC conference calls and biannual 

meetings to discuss how we can partner to ensure better recruitment practices to fill all TAC 

delegate vacancies, so there is proper representation and quorum to move TAC business 

forward. 

Biannual Tribal Advisory Committee Meeting Planning 

Recommendation 

After the agreement to hold a joint meeting with Substance Abuse and Mental Health Services 

Administration (SAMHSA), TAC members recommended the Office of Management and Budget and the 

Department of Treasury also join a combined Tribal Advisory Committee meeting. 

Response 

Public Heath Infrastructure Center – OTASA 

CDC’s OTASA is working with SAMHSA to determine if a February 2024 meeting is feasible in 

Washington, DC and they are looking to invite other federal agencies as part of that meeting. 

There will be more information to come during future TAC Conference Calls 

4 
Public Heath Infrastructure Center – OTASA 

Public Heath Infrastructure Center – OTASA 

CDC Budget Update 

Equitable Access to Funding 

Recommendation 

TAC members recommended that CDC implement a more equitable funding process and work to 

provide direct funding to tribes. 

Response 

CDC is taking this recommendation into consideration, and with the CDC/ATSDR TAC, is 

continuing to explore better ways to provide resources and other CDC support for tribal public 

health more efficiently. 

Question/Recommendation 

Many tribes have voiced support for a tribal set aside across all agency funding. TAC members asked 

whether CDC would commit to policy changes to enact a 10% set aside that establishes flexibility for 

tribes so that they can address health inequities. 

Response 

Intramural funding is spent on basic operational functions for the agency (e.g., salaries, benefits, 

rent, utilities, office supplies, management and administrative activities, and programs and 

services directly provided by CDC). CDC strives to maximize its extramural investments as much 

as possible; most CDC funding is provided to the field, and direct funding to tribal nations for 

tribal public health has increased in recent years. 

There are two primary conditions affecting the ability to enact a 10% set aside. One of the 

conditions is CDC’s budget and appropriations language that dictates how funds may be 

distributed. CDC’s current budget structure—which is primarily based on disease or public 

health issue areas and not specific populations—is directed by Congress. Secondly, CDC’s budget

does not work in isolation. It is a part of the Health and Human Services (HHS) budget. For 

example, CDC received COVID-19 funds to address social determinants of health and there was a 

specific appropriation that went to Indian Health Service (IHS). There was a specific direction 

from the appropriators and from HHS that separated the funds and dictated how they were 

portioned. 

Tribal Data - Data Modernization Implementation (DMI) 

Tribal Request Time Frame 

Request 

5 
Office of Public Health Data, Surveillance, and Technology (OPHDT) 

Public Heath Infrastructure Center – OTASA 

Response 

TAC members requested ample time (45-60 days) to collect data and respond to requests for input 

regarding tribal DMI workgroups and listening sessions due to other conflicting tribal consultations and 

listening sessions. 

Response 

The DMI team is still in the planning process for the Tribal Expert Work Group (TEWG) and 

values the input of CDC/ATSDR TAC members. The request to give tribes ample time to gather 

information and respond to request for information has been noted. The project staff and TEWG 

will be informed of the need for no less than 45-60 days to review any draft materials submitted 

to tribal members for input. 

Lessons Learned 

Question 

TAC members asked if CDC is looking at ways to capture and document lessons learned that were based 

on observations during public health emergencies. 

Response 

In the summer of 2023, the National Center for Immunization and Respiratory Diseases (NCIRD) 

will be working with OTASA to gather additional information from tribes on lessons learned 

during public health emergencies, as well as how CDC/ATSDR can support them moving forward. 

OTASA has begun to reach out to national partners to seek input. 

Center for State, Tribal, Local, and Territorial Support (CSTLTS) 

and National Center for Birth Defects and Developmental 

Disabilities (NCBDDD) Joint Public Health Associates Program 

(PHAP) Project 

PHAP Applicant 

Request 

TAC members requested the number of AI/AN applicants out of the 1600 applicants for the PHAP Class 

of 2022. 

Public Heath Infrastructure Center – Division of Workforce Development, Field Service 

Workforce Branch, Public Health Associates Program (PHAP) 

6 
Public Heath Infrastructure Center – OTASA 

CDC does not have information on the race or ethnicity of applicants for the PHAP Class of 2022. 

On-going improvements to the CDC fellowship application system will allow us to report the 

racial and ethnic composition of eligible PHAP applicants in the future. However, of the 145 

individuals actively enrolled in the PHAP Class of 2022, two self-identify as American 

Indians/Alaska Natives (AI/AN). 

PHAP has conducted various outreach efforts in schools/colleges in areas with large AI/AN 

populations. This includes presenting at TAC about PHAP, inviting all potential host sites to 

participate in application workshops, working with OTASA to keep tribes informed of program 

activities and timelines, and sending out routine e-mails and tweets to partners. 

CDC Director/ATSDR Administrator Updates 

Relationship-building 

Comment 

TAC members provided comments on how the agency can improve its relationship with tribes. They 

provided the following suggestions: 

• Visit federally recognized tribes 

• Establish trust relationships via formal and informal discussions 

• Acknowledge that tribes are the experts on their communities 

• Do not apply a one size fits all model for assisting tribes 

• Inform tribes how they can help the agency 

Response 

CDC acknowledges and agrees with suggestions provided by the TAC to improve tribal 

relationships. CDC’s Public Health Infrastructure Center is the home for CDC’s tribal work, the 

major cooperative agreements supporting tribes, and CDC’s Office of Tribal Affairs and Strategic

Alliances, or OTASA. The new center connects CDC’s tribal work with a broad portfolio of public

health infrastructure and workforce programs and trained staff that will serve to deepen, 

strengthen, and coordinate our work in Indian Country. In this new structure, we are committed 

to retaining and expanding OTASA's role as CDC’s primary conduit for tribal engagements to 

improve CDC’s government-to-government relationships with tribes. 

Funding Mechanisms 

Recommendation 

TAC members recommend a review of the different types of funding mechanism for tribes. 

Response 

Public Heath Infrastructure Center – OTASA 

CDC acknowledges the recommendation provided by TAC members. We are committed to 

looking across all funding mechanisms, engaging differently to capture all tribal perspectives, 

7 
 

 

and to committing to additional consultation, so that together we can work to find the best 

ways we can address some of the barriers identified. 

Question 

TAC members asked if any funding was going into tribal communities based on the results in the Life 

Expectancy Report. 

Response 

Public Heath Infrastructure Center – OTASA 

CDC is leading and supporting various initiatives to address the concerning life expectancy trend, 

detailed in the provisional report released in August 2022, titled, Provisional Life Expectancy 

Estimates for 2021, and the final report titled, Mortality in the United States, 2021, released in 

December 2022 by the National Center for Health Statistics. In 2021, life expectancy for those 

living in the United States was 76.4 years, a decrease of 0.6 years from 2020. From 2020 to 

2021, age-adjusted death rates, when corrected for race and ethnicity misclassification, 

increased 6.1% for non-Hispanic American Indian or Alaska Native (AI/AN) males (1,618.9 to 

1,717.5), 7.3% for non-Hispanic AIAN females (1,152.9 to 1,236.6). Data from the National Vital 

Statistics System indicates that during the pandemic, AI/AN life expectancy fell further behind 

other major racial domestic groups. 

The estimated loss in life expectancy relative to 2019 was 4.5 years in 2020 and 6.4 years in 

2021, with a significant impact on AI/AN tribal community. However, more research and 

analysis, and greater follow-up are needed to fully understand the drivers behind this 

concerning life expectancy trend and improve health equity. To address these trends at all 

stages of life, CDC and partners are working on different areas to address public health 

concerns. Below are past projects and initiatives that continue to make an impact in Indian 

Country. 

MATERNAL HEALTH 

In the area of maternal health, CDC’s Division of Reproductive Health (DRH) has developed a 

new segment of the Hear Her Campaign to amplify the voices of AI/AN people and works to 

improve maternal health outcomes. Hear Her is a national communication campaign supported 

through a partnership and funding from HHS Office of Minority Health, the CDC Foundation, and 

the Merck for Mothers Program. The campaign brings attention to maternal morbidity and 

mortality in the United States. AI/AN and African American women are two to three times more 

likely to die from a pregnancy-related complication than white women. The Hear Her campaign 

will now share the stories of five AI/AN women who experienced pregnancy-related 

complications. These stories are accompanied by culturally appropriate resources that raise 

awareness of potentially life-threatening warning signs during and after pregnancy and help 

improve communication between healthcare providers and their patients. More materials and 

resources for the Hear Her AI/AN segment were released in Fall 2022. 

8 
 

In response to the disproportionate burden of maternal mortality among AI/AN populations, 

CDC is supporting the National Indian Health Board (NIHB) to assist tribal nations and tribal 

organizations in exploring the possibilities of designing and implementing tribal-led Maternal 

Mortality Review Committees. Activities include the engagement of three tribal organizations as 

sub-awardees to engage in a self-assessment activity. 

CHRONIC DISEASE 

Chronic disease has an impact on the quality and longevity of people across the United States. It 

has also greatly impacted tribal communities because of the loss of traditional food sovereignty, 

loss of land, land use policies, cultural assimilation, the scarcity and rising cost of healthy foods, 

and other socioeconomic conditions that disproportionately affect AI/AN people and their 

communities. CDC supports several programs designed to help reduce chronic disease in tribal 

communities, including: 

• Cultural adaptation of the PreventT2 National Diabetes Prevention Program Curriculum 

for American Indian and Alaska Native Communities by consulting with tribal leaders 

and tribal programs, including during the 2020 HHS Tribal Consultation sessions and 

subsequent consultation sessions, meetings, personal communications, and qualitative 

evaluation. Based on input, including the need for cultural relevance, a family-inclusive 

approach, acknowledgment of historical trauma, and honoring traditional knowledge 

about health will be reflected in the cultural adaptation. The intended impact is to 

capture input that has been gathered from tribally run programs that will allow for 

additional customization by local programs to reflect foods, customs, traditions, and 

forms of physical activity unique to individual tribes and communities. The Division of 

Diabetes Translation expects the project to be completed in 2024. 

• Prediabetes Awareness and National Diabetes Prevention Program Messaging in 

American Indian and Alaska Native Communities. The purpose of prediabetes programs 

is to help prevent diabetes and other chronic diseases before they become health 

issues. Prevention strategies can be effective in ensuring that tribal members and their 

communities are given knowledge and tools to avoid chronic diseases and the 

associated loss of quality and longevity. The critical aspects of this program have been 

identified by lifestyle coaches and participants (e.g., the emotional connection with the 

group and program benefits/impact) in a series of culturally relevant public service 

announcements that will share stories of native participants enrolled in the National 

Diabetes Prevention Program (DPP) lifestyle intervention. The intended impact is to 

reduce chronic diseases before they happen by making a video series available to tribal 

communities. 

• The Cancer Prevention and Control Programs for State, Territorial, and Tribal 

Organizations (DP22-2202): Cancer is one of the leading causes of death across the 

United States and disproportionately impacts tribal communities. This activity supports 

cancer prevention goals ensuring people have access to screening at the right time for 

9 
the best outcome and supports cancer survivors in a manner that allows them to live 

longer, healthier lives. 

For more information on CDC programs to reduce chronic disease and their impacts on tribal 

communities visit: Healthy Tribes | CDC. 

BEHAVIORAL HEALTH 

Behavioral health issues are a vitally important consideration when assessing risk to life 

expectancy among tribes. Behavioral health issues and related health problems can 

disproportionately affect young people in AI/AN communities. All premature loss of life takes a 

toll on tribal communities, but loss of life in young people can especially impact public health 

and the well-being of a community. CDC supports behavioral health programs to help young 

people that can be adapted for various tribal regions and stages of life. Examples include: 

• The Risk Communication Toolkit: In 2021, the National Center for Injury Prevention and 

Control (NCIPC) in collaboration with the Great Lakes Tribal Epidemiology Center, 

provided technical assistance on the Risk Communication Toolkit. The toolkit focused on 

suicide, adverse childhood experiences (ACEs), and intimate partner violence (IPV). 

• The Division of Violence Prevention’s (DVP) Preventing Violence Affecting Young Lives 

(PREVAYL) addresses youth violence, teen dating violence, ACEs, and conditions that put 

communities at greater risk for violence. 

• Building Capacity for Surveillance and Prevention of Adverse Childhood Experiences 

(ACEs) Among Tribes and Tribal Organizations is a cooperative agreement to support a 

pilot to build capacity among tribes/tribal organizations to assess, collect, and analyze 

ACEs and positive childhood experiences (PCEs) surveillance data within their 

communities, and to use that data to identify and plan for ACEs prevention and PCEs 

promotion strategies. The intended impacts are to improve tribal surveillance 

infrastructure for ACEs and PCEs; build ACEs/PCEs expertise among tribal communities 

and organizations; identify and implement a primary prevention strategy to prevent 

ACEs and promote PCEs based on local conditions, strengths, and challenges. Many 

primary prevention strategies for ACEs/PCEs focus on strengthening social and 

economic supports for individuals and families. Based on results of tribal ACEs/PCEs 

surveillance data, tribes may choose to implement policies and programs directly 

related to improving social and economic needs and conditions of tribal members. 

INJURY PREVENTION and CONTROL 

Injury prevention and control also affects life expectancy across AI/AN communities. In 

November 2022, CDC’s NCIPC, DVP hosted two listening sessions on alcohol-impaired driving. 

The National Highway Traffic Safety Administration, the Indian Health Service, and CDC 

collaborated with AI/AN tribes and tribal organizations on ways to reduce alcohol-impaired 

driving. CDC heard from tribal leaders and others working in tribal transportation safety or who 

10 
 

 

have been impacted by alcohol-impaired driving. For more information on tribal road safety, 

visit Tribal Road Safety | Transportation Safety | Injury Center | CDC 

CDC has also conducted studies on rural and urban use of seatbelts among tribes, child safety 

and booster seat education and utilization, opioid use prevention strategies, programs for 

surveillance and prevention of suicide, and cooperative agreements with local tribal health 

authorities to heal trauma through cultural preservation. More information can be found at: 

Collective Healing Through Traditional Practices | CDC and Injury Prevention in American Indian 

and Alaska Native Communities | Injury Center | CDC 

DATA ACCESS and MODERNIZATION 

Tribes and tribal health organizations need access to quality data to make informed decisions 

and design effective public health programs for their communities. CDC’s DMI is aimed at 

getting better and faster, actionable insights for decision-making at all levels of public health. 

The priorities of this initiative are to build a foundation that will enable data to quickly inform 

action. CDC is also using data to build a more robust workforce for and within tribal 

communities with the goals of expanding public health knowledge and capacity, increasing 

engagement with tribal health organization and partners, and managing public health 

effectively. Information about CDC data and available data sets can be found here: Tribal Public 

Health Data | CDC. If information is not available in these data sets, it can be requested here: 

Tribal Public Health Data Request Form | CDC. 

The CDC-supported Overdose Data to Action (OD2A) program supports jurisdictions in collecting 

high quality, comprehensive, and timely data on nonfatal and fatal overdoses and in using those 

data to inform prevention and response efforts. OD2A focuses on understanding and tracking 

the complex and changing nature of the drug overdose epidemic and highlights the need for 

seamless integration of data into prevention strategies. 

CDC launched the multiyear OD2A cooperative agreement in September 2019 with 66 recipients 

(referred to as jurisdictions) comprising state, territorial, county, and city health departments. 

The program is focused on surveillance strategies, as well as prevention strategies to reduce 

problems with overdose incidences in tribal communities. These prevention strategies include: 

• Prescription Drug Monitoring Programs (PDMPs): Better utilize PDMP data to inform 

prescribing practices and prevention programs. 

• State and Local Integration: Improve state and local prevention efforts to build more 

effective and sustainable surveillance and implement community-level interventions in 

high-burden areas. 

• Linkage to Care: Ensure people are connected to the care they need by leveraging 

systems and upstream prevention efforts. 

11 
• Provider and Health Systems Support: Support healthcare providers and health systems 

with drug overdose prevention and response, including expanding the use of evidencebased prescribing and treatment practices. 

• Partnerships with Public Safety and First Responders: Develop new and/or enhance 

existing partnerships with public safety partners to improve data sharing and advance 

prevention efforts. 

• Empowering Individuals: Increase awareness about drug-related harms, treatment, and 

risk reduction strategies to help individuals make informed decisions. 

• Innovative Prevention Strategies: Promote innovations in prevention strategies. 

• Peer-to Peer-Learning: Foster information-sharing and build capacity among 

jurisdictions. 

Request 

TAC members requested increased funding for emergency preparedness and response. Funding is 

needed to ensure tribes have sufficient staff, training, and equipment to plan and respond to disasters 

and public health emergencies. 

Response 

Public Heath Infrastructure Center – OTASA 

CDC acknowledges tribal requests regarding support for expansion of the Public Health 

Emergency Preparedness funding and while our funding structure is directed by Congress, CDC 

is working internally to take all factors related to this request into consideration. 

Good Health and Wellness in Indian Country (GHWIC) 

GHWIC 

Question 

TAC members asked if CDC would expand GHWIC to give more tribes access to the great technical 

assistance provided. 

Response 

National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP)–

Healthy Tribes 

The Healthy Tribes program appreciates the TAC’s support, input, and guidance. The 2024-2029 

Good Health and Wellness in Indian Country (GHWIC) Notice of Funding Opportunity (NOFO) is 

currently under development, with an anticipated publication date in early 2024. Subject to the 

availability of funds, the Healthy Tribes program is exploring ways to expand the reach and 

impact of GHWIC to support community-driven, culturally appropriate, and holistic approaches 

to chronic disease prevention and management in Tribal communities. 

12 
 

A Community Toolkit for an Indigenous Evaluation Approach 

Community Toolkit 

Question 

TAC members asked if the community toolkit would be provided to Seven Directions and if their inputs 

would be used for future grant writing. 

Response 

NCIPC – Division of Injury Prevention (DIP) 

Seven Directions’ “Indigenous Evaluation Toolkit: An Actionable Guide for Organizations Serving 

American Indian/Alaska Native Communities through Opioid Prevention Programming” is now 

live and publicly accessible on Seven Directions’ website: Indigenous Evaluation Toolkit 

(indigenousphi.org). 

Since publishing the toolkit, Seven Directions has provided intensive in-person technical 

assistance to the Tulalip Tribes of Washington and the Cherokee Nation of Oklahoma on toolkit 

use and implementation. The Division of Injury Prevention (DIP) is currently preparing for new 

programs to address suicide, adverse childhood experiences, overdose, older adult falls, and 

alcohol impaired driving in tribal communities. We are building an Indigenous approach into 

these programs by: 

1. Building time into Year 1 project periods for partners to develop tribal values-based 

programmatic goals, activities, and evaluation plans. 

2. Offering the toolkit and technical assistance to all tribal partners who would like to build 

Indigenous approaches into their programs and evaluations; and 

3. Facilitating the development of tribal partner-driven performance monitoring metrics 

for voluntary annual progress reporting. 

DIP appreciates the opportunity to present and discuss the toolkit with the TAC. We welcome 

TAC members’ thoughts and feedback on the toolkit and its planned uses in the future.

Tribal Testimony 

Non-Competitive Grant Funding 

Request 

TAC members requested the expansion of self-governance to CDC and support for non-competitive 

formula-based funding. CDC should move away from grants and competitive funding for tribal nations 

and move to recurring formula-based funding. 

Response 

Public Heath Infrastructure Center – OTASA 

CDC is aware of the need for reliable and sufficient funding for tribal public health. Much has 

been done to ensure the security of current funding and mechanisms to provide increased and 

ongoing support for public health programs in tribal communities. CDC understands the need to 

work together with tribal governments, tribal health partners, and other U.S. government 

13 
 

 

agencies to fund tribal public health programs effectively and efficiently. CDC is dedicated to 

hearing and consulting with tribes to ensure the needs of tribal communities are communicated 

and met considering constraints in federal funding. 

In Fall 2022 under CDC’s Tribal Public Health Capacity Building and Quality Improvement 

Umbrella Cooperative Agreement, the National Network of Public Health Institutes (NNPHI) 

hosted its first cohort of the Indigenous Public Health Leaders Program (IPHL). This six-month 

leadership program is designed for emerging public health leaders working in tribal departments 

of health, or in Indian Health Service, tribal or urban healthcare facilities serving AI/AN 

communities. In providing funding for workforce training and expansion, CDC is helping to 

ensure that there are sufficient public health professionals, with the skills and abilities to 

confidently navigate the future needs of public health within tribal communities. 

The Notice of Funding Opportunity for the next iteration of the Tribal Public Health Capacity 

Building and Quality Improvement Umbrella Cooperative Agreement, Strengthening Public 

Health Systems and Services in Indian Country, published in April 2023 with a project start date 

of August 31, 2023. This is a five-year cooperative agreement with an anticipated base funding 

of $5 million for 25 recipients. The program’s purpose is to strengthen the quality, performance, 

and infrastructure of tribal public health systems, including workforce, data and information 

systems, and programs and services. A limited competition justification was approved by HHS, 

allowing CDC to limit competition to potential applicants from federally recognized AI/AN tribes 

and regional AI/AN tribally designated organizations. 

14 
Appendix 

Acronym List 

AI/AN American Indian/Alaska Native 

ATSDR Agency for Toxic Substances and Disease Registry 

CDC Centers for Disease Control and Prevention 

CIOs Centers, institutes, and offices 

CSTLTS Center for State, Tribal, Local, and Territorial Support 

COVID-19 2019 Novel Coronavirus Disease 

DIP Division if Injury Prevention 

DMI Data Modernization Initiative 

DPP Diabetes Prevention Program 

DRH Division of Reproductive Health 

DVP Division of Violence Prevention 

GHWIC Good Health and Wellness in Indian Country 

HHS US Department of Health and Human Services 

IHS Indian Health Service 

IPV Intimate Partner Violence 

IPHL Indigenous Public Health Leaders Program 

NCBDDD National Center for Birth Defect and Developmental Disabilities 

NCCDPHP National Center for Chronic Disease Prevention and Health Promotion 

NCIRD National Center for Immunization and Respiratory Disease 

NCIPC National Center for Injury Prevention and Control 

NIHB National Indian Health Board 

NNPHI National Network of Public Health Institutes 

OD2A Overdose Data to Action 

OMB Office of Management and Business 

OPHDT Office of Public Health Data, Surveillance, and Technology 

OTASA Office of Tribal Affairs and Strategic Alliances 

PCEs Positive Childhood Experiences 

PHAP Public Health Associates Program 

PDMPs Prescription Drug Monitoring Programs 

SAMSHSA Substance Abuse and Mental Health Services Administration 

SES Senior Executive Series 

TAC Tribal Advisory Committee 

TDMI Tribal Data Modernization Initiative 

TEWG Tribal Expert Work Group 

15