Tribal nations are sovereign governments with unique public health systems designed to protect and promote the health of their citizens. These systems are grounded in cultural practices, traditions, and community needs, reflecting the inherent rights of Tribal nations to govern their own health priorities. However, public health in Indian Country faces distinct challenges and opportunities, shaped by history, policy, and persistent inequities.
American Indians and Alaska Natives experience disproportionate rates of diabetes, heart disease, cancer, and mental health conditions. These disparities are linked to systemic inequities, including inadequate health funding and social determinants of health such as poverty and limited access to education and employment.
Federal funding for Tribal public health systems is insufficient to meet community needs. Many Tribal public health programs lack the infrastructure, workforce, and resources to effectively address emerging and ongoing health concerns.
Tribal public health systems are often excluded from policy decisions and funding streams that benefit state and local counterparts, leading to inequities in public health services and support.
Despite many challenges, Tribal nations have demonstrated resilience and innovation in advancing public health initiatives:
Tribes integrate traditional practices and community engagement into their health programs, ensuring culturally relevant approaches to care.
Tribal nations collaborate with federal agencies, such as the Centers for Disease Control and Prevention (CDC), to enhance public health capacity and access to funding.
Many Tribes are pursuing public health accreditation to strengthen their systems and align with national standards.
NIHB is a key advocate and partner for Tribal nations, working to strengthen public health in Indian Country through:
Providing Tribes with tools and resources for public health program development, performance improvement, and accreditation.
Advocating for increased federal funding and equitable inclusion of Tribal public health systems in national policies.
Foster Collaboration
Collaborating with the CDC and other partners to support Tribes in addressing health disparities and improving public health outcomes.
The health and well-being of Tribal communities are vital to the overall health of the nation. By addressing systemic inequities and supporting Tribal sovereignty, we can empower Tribal nations to build resilient and effective public health systems rooted in their unique cultures and traditions.
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President Trump’s recent Executive Orders on federal funding could have serious implications for Tribal health. NIHB is actively advocating for Tribal Nations and providing key updates—click to learn more and access resources.
