Return to flip book view

Message TRIBAL SUCCESS STORIESTRIBAL SUCCESS STORIES2020-2024PUBLIC HEALTH PROGRAMMING SUPPORTED BY THE INTER TRIBALCOUNCIL OF ARIZONA, INC. TRIBAL EPIDEMIOLOGY CENTER

INTRODUCTIONThe Inter Tribal Council of Arizona, Inc. TribalEpidemiology Center (ITCA TEC) is one of 12 TECsacross the United States serving AmericanIndian Tribes. ITCA TEC serves Tribes in theIndian Health Service (IHS) Phoenix-TucsonService Areas (Arizona, Nevada, and Utah) withpublic health focused programming support.This support strengthens Tribal Nations'sovereignty and self-determination, asmandated by federal laws and policies requiringthe federal government to fulfill its trust andtreaty responsibilities to help and support TribalNations and their people.All of ITCA TEC funds directly support Tribesthrough training, technical assistance, and smallgrants. The Tribal Success Stories book includes16 selected Tribally-driven Public Health SuccessStories from 2020 - 2024. ITCA TEC has includedsuccesses from two of its many programs thatserve Tribes — the vaccination health promotiondisease prevention program and the TribalEpidemiology Center Public HealthInfrastructure program.1

2FORT MCDERMITT PAIUTE AND SHOSHONE TRIBEFort McDermitt Wellness Center: A Holistic Approach to Community Health ......................8HUALAPAI TRIBEHualapai Picture, Story, and History Book: Nya Mađvich – My Homeland ..............................10Heart of Tribes Youth Cultural Art Project ..................................................................................................12SALT RIVER PIMA-MARICOPA INDIAN COMMUNITYPuppet Power: Protecting Youth through Creativity and Culture ...............................................14SHOSHONE-PAIUTE TRIBES OF THE DUCK VALLEY RESERVATIONBuilding Careers & Community Health ........................................................................................................18Healing through Tradition ....................................................................................................................................20CONTENTSTOHONO O’ODHAM NATIONEnhancing Health & Safety in Remote Tribal Communities .............................................................22SAN CARLOS APACHE TRIBERocky Mountain Spotted Fever Prevention Made Easy Using UTVs ...........................................16COCOPAH INDIAN TRIBECocopah Air Quality Program .............................................................................................................................64Critical Incident Stress Management Train the Trainer .......................................................................

3YAVAPAI APACHE NATIONBilly Smith Trail Improvement Plan ................................................................................................................34WASHOE TRIBE OF NEVADA AND CALIFORNIAEstablishing a Public Health Department ..................................................................................................26Community Health Programming ..................................................................................................................28Ending the HIV/HCV/STI Epidemic: Enhancing STI Prevention & Care ......................................30COVID-19 Immunization Project .......................................................................................................................32Public Health Programming: Advancing Care and Awareness ..................................................... 24INTER TRIBAL COUNCIL OF ARIZONA, INC.Promoting Shingles, Tetanus, and Hepatitis Vaccination in Tribal Communities ...............36Fostering COVID-19 Vaccine Confidence & Promoting Seasonal Vaccines .............................38Strengthening Public Health Infrastructure through Collaborative Projects ........................40Connecting Communities and Empowering Tribal Health Programs .......................................42CONTENTS

The Cocopah Indian Tribe has achieved aremarkable milestone in building resilience andcapacity for emergency response. Through athree-day Critical Incident Stress Management(CISM) training, 34 agencies in Yuma Countyjoined forces to create a robust network of firstresponders.Prior to this initiative, the Tribe relied on a team ofjust three individuals. Now, a multidisciplinaryteam representing Behavioral Health, Police, Fire,Cultural Resources, Environmental Protection,Security, Housing, Human Relations, EmergencyManagement, and Tribal Community Members4CRITICAL INCIDENTSTRESS MANAGEMENTTRAIN THE TRAINERCOCOPAH INDIAN TRIBESOMERTON, ARIZONAThis project was partially funded through the support of the ITCA TEC Tribal subcontract program with the Centers for Disease Control andPrevention, Strengthening Public Health Systems and Services in Indian Country, Tribal Overdose Prevention Program - 5NU38TO000020First responders attend the Cocopah Indian Tribe Critical Incident Stress Management Train the Trainer.

5stands ready to respond to crises across the three Cocopahreservations. This transformative effort ensures timely andcompassionate care for Tribal Members during critical incidents,enhancing health and wellness for the community.Inter Tribal Council of Arizona Inc. Tribal Epidemiology Center(ITCA TEC) played a pivotal role in this success by providingtechnical assistance, securing a top-tier CISM trainer, andsupporting the program’s development every step of the way.This initiative not only strengthens the Cocopah Tribe but alsobenefits neighboring Tribal and non-Tribal communities. With37 trained participants sharing their knowledge with theirrespective teams, the “ripple effect” of this project will impactcountless lives — creating a network of preparedness and carefor years to come.Through this collaborative effort, the Cocopah Indian Tribe hasestablished a foundation for excellence in emergency response,setting an inspiring example for other communities to follow.“” PRIOR TOTHIS...THE TRIBERELIED ON ATEAM OF JUSTTHREEINDIVIDUALS.NOW, A MULTI-DISCIPLINARYTEAM...STANDSREADY TORESPOND TOCRISES ACROSSTHE THREECOCOPAHRESERVATIONS.COCOPAH NOW: RESPONDING TO FIRST RESPONDERS IN CRISISWATCHMike Fila, Cocopah Emergency Manager, talks with Yuma ProvingGround Firefighter/Paramedic Barry Wise, and Navajo Nation PublicHealth Emergency Preparedness Manager Dariel Yazzie about CriticalIncident Stress Management.P

6COCOPAH AIR QUALITYMONITORING PROGRAMCOCOPAH INDIAN TRIBESOMERTON, ARIZONAThe Cocopah Air Quality MonitoringProgram is a vital initiative dedicated toimproving the health and wellness of theCocopah Indian Tribe. This project focuseson collecting PM , PM1, and VOCmeasurements to establish a baseline forair quality across the Tribe’s threereservations. By using this data, the Tribeis not only identifying current air qualityissues but also laying the foundation forfuture improvements and communityeducation efforts.In 2020, the American Lung Associationgave Yuma County a score of “F” forground ozone pollution and found that10% of the population—including 2% ofchildren—suffers from asthma.2.510Teledyne API T640X air quality machine purchased to monitor airquality in real time.

With the data collected, the Cocopah Tribe plans tocollaborate with external agencies to explore solutionsfor reducing pollution and improving communityhealth outcomes. These efforts are critical in addressingillnesses related to air quality and providing a healthierliving environment for all Tribal members.Support from the Inter Tribal Council of Arizona, Inc.Tribal Epidemiology Center (ITCA TEC) played a key rolein the program’s expansion. ITCA TEC provided fundingfor a third EPA-certified Teledyne T640 monitor,allowing for comprehensive monitoring across all threereservations. Previously, only the North and Westreservations had monitors; now, the East reservationcan benefit from the same level of air qualitysurveillance, impacting approximately 280 residentsthere and 1,200 individuals across all three reservations.The Cocopah Air Quality Monitoring Programexemplifies how focused initiatives and strategicsupport can address environmental health challengesand empower communities to make informeddecisions for their well-being.“”7This project was partially funded through the support of the ITCA TEC Tribalsubcontract program with the Indian Health Service, Epidemiology Program forAmerican Indian/Alaska Native Tribes and Urban Indian Communities - U1B1IHS0003WITH THE DATACOLLECTED, THECOCOPAH TRIBEPLANS TO...EXPLORESOLUTIONS FORREDUCINGPOLLUTION ANDIMPROVINGCOMMUNITY HEALTHOUTCOMES…PROVIDING AHEALTHIER LIVINGENVIRONMENT FORALL TRIBALMEMBERS.W

The Fort McDermitt Wellness Center has become a cornerstone of health and wellness within thecommunity, embracing a holistic philosophy that integrates physical and mental well-being. Byfostering healthy lifestyle choices and addressing both physical and emotional resilience, the WellnessCenter has transformed how the community approaches overall wellness. With the support andguidance of the Inter Tribal Council of Arizona, Inc. Tribal Epidemiology Center (ITCA TEC), the WellnessCenter implemented programs that have significantly improved quality of life. These programs haveled to notable outcomes, including increased participation in physical activities, improved mentalhealth, and a stronger sense of community. Residents report feeling more energized, less stressed, andmore connected to one another, showcasing the profound benefits of this holistic approach.The Fort McDermitt Wellness Center continues to inspire healthier, happier lives, proving that a holisticapproach to wellness can create lasting positive change in the community.8This project was partially funded through the support of the ITCA TEC Tribal subcontract program with the Centers for Disease Control andPrevention, Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement - Supplement B, COVID-19:Prevention of suicide, intimate partner violence, and adverse childhood events (ACEs) in Indian Country, Supplemental funds - 6NU38OT000326FORT MCDERMITT WELLNESSCENTER: A HOLISTIC APPROACHTO COMMUNITY HEALTHFORT MCDERMITT PAIUTE AND SHOSHONE TRIBEMCDERMITT, NEVADAFORT McDERMITTWELLNESS CENTER

The Wellness Center’s focuson physical fitness hasbrought new energy to thecommunity. Programs such aswalking challenges and seniorfitness classes haveencouraged residents of allages to stay active, buildsocial connections, andenhance their physical health.EXERCISE INITIATIVESHealth fairs, wellness camps,and educational workshopshave strengthenedcommunity bonds andincreased awareness ofhealthy practices. Nutrition,stress management, and thebenefits of physical activityare explored in engaging,accessible ways.COMMUNITYWELLNESS EVENTSRecognizing the critical linkbetween mental and physicalhealth, the center hasintroduced mindfulnessworkshops and relaxationtechniques. These activitieshelp community membersmanage stress, improvemental clarity, and cultivateemotional resilience.MINDFULNESS-BASED ACTIVITIES9

10HUALAPAI PICTURE,STORY, AND HISTORYBOOK: NYA MAĐVICH— MY HOMELANDHUALAPAI TRIBEPEACH SPRINGS, ARIZONANya Mađvich – My Homeland is a labor oflove, celebrating the beauty, resilience, andpride of the Hualapai community through acollaborative storytelling effort. This initiativegave community members the opportunityto have professional photographs ofthemselves taken while wearing traditionalattire and posing in culturally meaningfulspaces. These photographs will becometreasured keepsakes for their families.Preserving history and culture is animportant cornerstone of Tribal public health.This project was partially funded through the support of the ITCA TEC Tribal subcontract program with the Indian Health Service,Epidemiology Program for American Indian/Alaska Native Tribes and Urban Indian Communities - U1B1IHS0003

A significant highlight of theproject was the involvement ofelder Tribal members, who sharedtheir stories and historicalaccounts. These recordings, madein collaboration with a local radiostation, are being preserved forfuture generations as both awritten record and a listen-alongaudio experience. The process wasboth enriching and transformative, as participants reflected on their personal histories and thecollective journey of the Tribe.The book not only showcases the beauty of the Hualapai community, but also fosters a sense ofconnection and pride among Tribal members. Families can gather to explore its pages, sharingcultural knowledge and strengthening bonds across generations.Through this effort, Nya Mađvich – My Homeland has reached families, elders, and the broadercommunity, leaving a legacy of stories, images, and memories that will inspire pride and connectionfor years to come.NYA MAĐVICH – MY HOMELANDWATCHListen and view the community of the Hualapai Tribe alongside thebook Nya Mađvich - My Homeland.11

12HEART OF TRIBESYOUTH CULTURAL ARTPROJECTHUALAPAI TRIBEPEACH SPRINGS, ARIZONAThe Heart of Tribes (H.O.T.) Youth CulturalArt Project has brought creativity andinspiration to the Hualapai community,providing a unique space for youth toexplore their artistic talents and discovercultural representation in their favoritemedia, from books and comics to cartoonsand movies.Those who attended were highly engaged,embracing the opportunity to developtheir artistic skills. The project created asafe and supportive environment,encouraging young artists to experiment,share their work, and receive constructivefeedback from mentors. Seeing the youthThis project was partially funded through the support of the ITCA TEC Tribal subcontract program with the Indian Health Service,Epidemiology Program for American Indian/Alaska Native Tribes and Urban Indian Communities - U1B1IHS0003Two Hualapai youth stand outside during theH.O.T. Youth Cultural Art Project.

sketch with determination and expressexcitement about future events was a testamentto the program’s positive impact. By offering an outlet for creativity andconnection, the project fostered mental andemotional well-being. Youth participants foundjoy in activities that encouraged them to step outof their comfort zones and celebrate theirindividuality, all while being surrounded bysupportive adults who nurtured their interests.Overall, the H.O.T. Youth Cultural Art Projecthighlights the power of creativity in buildingconfidence, cultural pride, and community bonds,setting the stage for a brighter future for Hualapaiyouth.13“”THE H.O.T. YOUTHCULTURAL ART PROJECTHAS BROUGHT CREATIVITYAND INSPIRATION TO THEHUALAPAI COMMUNITY.TPICTURED RIGHT: Hualapai youth participating in the H.O.T YouthCultural Art Project.

14PUPPET POWER:PROTECTING YOUTHTHROUGH CREATIVITYAND CULTURESALT RIVER PIMA-MARICOPAINDIAN COMMUNITYSALT RIVER, ARIZONADuring the COVID-19 pandemic, the SaltRiver Pima-Maricopa Indian Community’s(SRPMIC) new Public Health Departmentintroduced an innovative and culturallyresonant approach to health education:puppets!These specially designed puppets, pairedwith engaging storylines, became thenewest health educators, teaching Nativeyouth how to protect themselves and theircommunities during a time of uncertainty.This project was partially funded through the support of the ITCA TEC Tribal subcontract program with the Centers for Disease Controland Prevention, Supporting Tribal Public Health Capacity in Coronavirus Preparedness and Response - 2020 - NU1ROTT000205Salt River Pima-Maricopa Indian Community puppet, Rainn, spreadingpublic health messages.

The puppets captured the attention and imagination ofyoung audiences, delivering essential COVID-19prevention messages in a way that resonated with theircultural values and learning styles. Storylines werethoughtfully developed to incorporate Native traditionsand values, making the health messages not onlyrelatable but also memorable.By connecting with youth, the puppets encouragedthem to take an active role in protecting their health andthat of their families, fostering a sense of responsibilityand community.With the support of the Inter Tribal Council of Arizona,Inc. Tribal Epidemiology Center (ITCA TEC), thisinnovative program transformed the way healtheducation was delivered to youth during the pandemic,using puppets to bridge the gap between critical healthinformation and cultural connection. SRPMIC envisionsthese puppets as a lasting tool to inspire and educate,paving the way for healthier, empowered generations.“”THE PUPPETSCAPTURED THEATTENTION ANDIMAGINATION OFYOUNGAUDIENCES,DELIVERINGESSENTIAL COVID-19 PREVENTIONMESSAGES IN AWAY THATRESONATED WITHTHEIR CULTURALVALUES ANDLEARNING STYLES.15SRPMIC PUBLIC HEALTH INFORMATIONWATCHShowcase dedicated to the SRPMIC Public Health Information teamand the messaging they want to share with the Community.T

16ROCKY MOUNTAINSPOTTED FEVERPREVENTION MADEEASY USING UTVSSAN CARLOS APACHE TRIBESAN CARLOS, ARIZONARocky Mountain spotted fever (RMSF) has been a serious public health threat to the San CarlosApache Tribe (SCAT) since 2004, reaching epidemic levels and causing multiple fatalities. Thisdeadly tickborne disease, transmitted by brown dog ticks (Rickettsia rickettsia) found mostly onfree-roaming dogs, posed a unique challenge due to its rapid progression and severe long-termneurological impacts. In response to this pressing danger, the community adopted provenprevention strategies, including pesticide spraying, application of flee and tick prevention collarson dogs, and spay and neuter campaigns.A major milestone in this effort came in 2023 when the Inter Tribal Council of Arizona, Inc. TribalEpidemiology Center (ITCA TEC) provided funding for three utility terrain vehicles (UTVs) tosupport RMSF prevention efforts. These UTVs have transformed the work of SCAT’s AnimalControl Officers by increasing efficiency, expanding coverage, and enhancing safety.This project was partially funded through the support of the ITCA TEC Tribal subcontract program with the Indian Health Service,Epidemiology Program for American Indian/Alaska Native Tribes and Urban Indian Communities, Rocky Mountain spotted fever supplementalfunds - U1B1IHS0003San Carlos Apache Tribe’s Animal Control Officers standing next to one ofthe UTVs purchased for Rocky Mountain Spotted Fever prevention efforts.

Previously, Animal Control Officers carried heavy backpack sprayers,refilling them every 2.5 homes. Now, using the UTVs, they can treatup to 14 homes per refill, covering rough terrain with ease andsignificantly reducing the physical strain of their work.The impact has been profound. Data from 2023, the year UTVs wereintroduced, shows an increase in homes visited and treatedcompared to the previous year. By the following year, fewer homesrequired spraying due to a decline in tick hotspots—clear evidencethat the UTVs have enhanced RMSF prevention efforts and reducedtick presence in the community. The increased mobility provided bythe UTVs has also allowed for an additional winter sprayingcampaign, further strengthening prevention efforts.Beyond funding, ITCA TEC has been an essential partner, providingtraining, resources, and networking opportunities to enhance RMSFprevention strategies. These efforts, combined with the dedication ofSCAT staff and community volunteers, have made a tangibledifference in reducing the threat of RMSF. Today, the community ishopeful that the days of RMSF-related fatalities are behind them,thanks to innovative solutions like UTVs that make prevention safer,faster, and more effective.17“”AN INCREASE IN HOMES VISITED ANDTREATED [AND] A DECLINE IN TICKHOTSPOTS [SHOWS] CLEAR EVIDENCETHAT THE UTVS HAVE ENHANCED RMSFPREVENTION EFFORTS AND REDUCEDTICK PRESENCE IN THE COMMUNITY.ASCAT’s Animal Control Officersspraying pesticides.Pesticide sprayers in one of theUTVs purchased.SCAT Animal Control Officer sprayingpesticides from the UTV.

18BUILDING CAREERS &COMMUNITY HEALTHThe Owyhee Community Health Facilityhas achieved remarkable strides inaddressing workforce challenges andenhancing community health through itsinnovative education initiatives. Byproviding funding for Medical Assistant(MA) and Phlebotomy courses, the projecthas empowered Tribal Members andstrengthened the clinic’s capacity to serveits community effectively. Thesecertifications will help address staffingshortages at the clinic, ensuring thecommunity has access to skilledhealthcare professionals.Beyond professional development, theprogram has profoundly impactedSHOSHONE-PAIUTE TRIBES OFTHE DUCK VALLEY RESERVATIONOWYHEE, NEVADAThis project was partially funded through the support of the ITCA TEC Tribal subcontract program with the Indian Health Service,Epidemiology Program for American Indian/Alaska Native Tribes and Urban Indian Communities - U1B1IHS0003

participants’ self-esteem and sense of purpose, reflectingthe broader benefits of gainful employment. These newcertifications allow the clinic to provide certified,compassionate care to Tribal and non-Tribal members inthe community, supporting overall health and wellness.With guidance and expertise from the Inter TribalCouncil of Arizona, Inc. Tribal Epidemiology Center (ITCATEC), this initiative flourished through collaborativeplanning and technical assistance, underscoring thevalue of strong partnerships in achieving communitygoals.By investing in its people, the Owyhee CommunityHealth Facility has demonstrated how education andopportunity can transform lives while enhancing thewell-being of an entire community.19“”THE PROGRAMHAS PROFOUNDLYIMPACTEDPARTICIPANTS’SELF-ESTEEM ANDSENSE OFPURPOSE.T

20The Shoshone-Paiute Tribes haveembraced cultural traditions as a pathwayto healing and wellness, fosteringconnections between generations andaddressing mental health challengesheightened by rural isolation and theaftereffects of COVID-19.This initiative’s success is rooted in itsfocus on holistic well-being, providingTribal Members with meaningfulopportunities for self-expression, learning,and connection. Elders discovered hiddenartistic talents through paintingworkshops, finding joy and sharpeningtheir minds with each brushstroke. Manyexpressed excitement about continuingHEALING THROUGHTRADITIONSHOSHONE-PAIUTE TRIBES OFTHE DUCK VALLEY RESERVATIONOWYHEE, NEVADAThis project was partially funded through the support of the ITCA TEC Tribal subcontract program with the Indian Health Service,Epidemiology Program for American Indian/Alaska Native Tribes and Urban Indian Communities - U1B1IHS0003 Shoshone-Paiute Elder painting during wellness program topromote mental wellness.

their new hobby, highlighting the power of creativity to uplift spiritsand improve mental health.Young community members attended Youth Culture Camp,bringing ancestral knowledge to life, learning skills like sewingribbon dresses and shirts for traditional dancing, crafting handdrums, and understanding the purpose of traditional songs.Participants painted their drums and learned sacred drum songs,deepening their connection to their cultural heritage. A nature walkwith a Tribal Elder provided lessons in the Shoshone language andtraditional ecological knowledge, creating a profound sense of prideand identity in the youth.These events extended healing beyond individuals, bringinglaughter, storytelling, and music to the community. They addressedloneliness and depression by creating spaces where people couldreconnect with their culture and each other. Each activitycontributed to the Shoshone-Paiute Tribes’ collective health andwellness.With support from the Inter Tribal Council of Arizona, Inc. TribalEpidemiology Center (ITCA TEC), trainers and Tribal presentersshared powerful personal stories of overcoming addiction,demonstrating resilience, and inspiring others to find strengthwithin themselves. This collaboration ensured the events had lastingimpacts on participants of all ages.By blending traditional practices with community-building activities,this initiative has provided healing, inspiration, and a renewed senseof cultural pride.21Motivational Speaker, Mike Scott,with youth.Two youth at YouthCulture Camp.Professional Cowboy andinspirational speaker, Dougie Hall,speaking at a Tribal wellness event.

Life-Saving Vaccination Outreach: The Vaccine MobileUnit (Toy Hauler) and Polaris Ranger have enabledhealthcare teams to administer over 1,600 COVID-19 and fluvaccines in rural areas, overcoming logistical challenges andproviding safe environments for vaccine administration.Enhanced Event Safety: Traffic signs have proven invaluablein managing traffic flow during public health events,ensuring the safety of attendees and creating visibility forvital services.Innovative Animal Health Initiative: The Spay & NeuterTrailer, introduced in December 2024, is poised to addresszoonotic diseases and improve animal health by deliveringspay, neuter, and preventive care services to pets inremote communities.22Tohono O’odham Nation has brought transformative healthand wellness improvements to their community andaddressed critical health needs in remote areas.ENHANCING HEALTH & SAFETY INREMOTE TRIBAL COMMUNITIESTOHONO O’ODHAM NATIONSELLS, ARIZONATraffic signs purchased for event safety.The Vaccine Mobile Unit enabled teams tovaccinate community members in rural areas.Polaris Ranger purchased to help healthcareteams administer vaccines.

During the peak of the COVID-19 pandemic, NativeAmerican Tribes faced devastating impacts, with highhospitalization and mortality rates. This project allowedhealthcare teams to bring critical vaccines directly tocommunity members, saving lives and reducing severeillness. The mobile units provided shelter and monitoringareas during vaccine points of dispensing, especially inareas without infrastructure. Additionally, traffic control measures enhanced safety and awarenessfor health events.Looking ahead, the Spay & Neuter Trailer aims to reduce the prevalence of diseases like RockyMountain Spotted Fever, directly benefiting community members and their pets.The Inter Tribal Council of Arizona, Inc. Tribal Epidemiology Center (ITCA TEC) played a vital role byproviding technical and financial support to acquire the Toy Hauler, Polaris Ranger, traffic signs, andSpay & Neuter Trailer. Their responsiveness and commitment were instrumental in meeting theNation’s urgent needs.While the Vaccine Mobile Unit primarily serves the Nation’s members due to its remote location, ithas also provided vaccines and flu shots to non-community members in need. The Spay & NeuterTrailer will focus on serving the Nation’s communities exclusively.This project highlights the power of innovation, collaboration, and targeted resources to improvethe health and safety of Tribal communities, setting a strong example for addressing public healthchallenges in rural areas.23This project was partially funded through the support of the ITCA TEC Tribal subcontract program with the Indian Health Service,Epidemiology Program for American Indian/Alaska Native Tribes and Urban Indian Communities, COVID vaccination supplementalfunds - U1B1IHS0003 The Spay & Neuter Trailer provides pet care services inremote communities.

PUBLIC HEALTH PROGRAMMING:ADVANCING CARE AND AWARENESSWASHOE TRIBE OF NEVADA AND CALIFORNIAGARDNERVILLE, NEVADAThe Public Health Programming: Advancing Care and Awareness initiative significantly enhanced thehealth and wellness of Tribal members by expanding education, fostering collaboration, andintroducing innovative health solutions.The project has enhanced awareness and preventive behaviors within the community throughcomprehensive patient and family education. By integrating rapid diagnostic tools like Point-of-CareTesting (POCT), the Washoe Tribal Health Center (WTHC) has streamlined the patient experience,ensuring timely diagnosis and treatment. The proposed Medical Home model strengthens patientretention and continuity of care, addressing a critical gap in healthcare for Tribal communities.Support from the Inter Tribal Council of Arizona, Inc. Tribal Epidemiology Center (ITCA TEC) providedessential funding and technical assistance, driving program success and resource integration.Serving over 2,000 individuals on and off the reservation, the Public Health Programming: AdvancingCare and Awareness initiative has improved access to care and set a strong foundation for addressinghealth disparities. The project is a beacon of hope for a healthier, more connected community.24Point-of-Care Testing machines.This project was partially funded through the support of the ITCA TEC Tribal subcontract program with the Indian Health Service,Epidemiology Program for American Indian/Alaska Native Tribes and Urban Indian Communities, Parent award, Sexually TransmittedInfection Supplemental funds, and Ending the HIV Epidemic Supplemental funds - U1B1IHS0003

EducationalAdvancements: Aneducational module wasestablished to train WTHCstaff on screening,assessment, POCT,diagnosis, and treatmentof HIV and HCV.Collaborative LectureSeries: Partnering with theUniversity of Nevada atReno, School of Medicine,WTHC launched a LectureSeries for clinical staff. Thisseries provides expertinsights into managing HIV,HCV, and STIs.Point-of-Care Testing: Rapidon-site testing for HIV, HCV,and STIs was implemented,enabling immediatediagnosis and treatment,which significantly improvedpatient retention andconnectivity to care.Data Analysis Capacity: WTHC hired a dataanalyst who refined the 2023 HIV/HCV/STIstatistical analysis and began work on the2024 report, providing valuable insights intolocal and Tribal-specific health trends.Patient Navigation & Medical Home Model: Theprogram introduced individual patient navigatorsand began the development of a Medical Homemodel dedicated to education, treatment, andongoing care for HIV/HCV patients.THE PROJECTIS A BEACONOF HOPE FOR AHEALTHIER,MORECONNECTEDCOMMUNITY.“”25PICTURED ABOVE: Point-of-Care Testing machines and printer.T

The Establishing a Public Health Department project has laid thegroundwork for a robust health department focused on improvinghealth outcomes for Tribal and non-Tribal members alike.This project strengthens health outcomes by establishing evidence-based practices, enhancing staff training, and creating a sustainableorganizational structure. Accreditation efforts will further ensurehigh-quality, accessible healthcare and public health services.The Inter Tribal Council of Arizona, Inc. Tribal Epidemiology Center(ITCA TEC) assisted with establishing this health department byproviding essential funding, training, and technical assistance forrelated activities, such as strategic planning, policy development,and public health accreditation.Serving over 3,500 individuals, this project is a critical step toward aself-sustaining, accredited health department dedicated tocommunity wellness.ESTABLISHING A PUBLIC HEALTHDEPARTMENTWASHOE TRIBE OF NEVADA AND CALIFORNIAGARDNERVILLE, NEVADA26SERVINGOVER 3,500INDIVIDUALS,THIS PROJECT ISA CRITICAL STEPTOWARD ASELF-SUSTAINING,ACCREDITEDHEALTHDEPARTMENTDEDICATED TOCOMMUNITYWELLNESS.“”S

Community NeedsAssessment: In partnershipwith the University of Nevada,Reno, the project launched acommunity needsassessment surveying 500members. This effort willprovide valuable insights intothe health needs andpriorities of the communityand inform future programsand strategic plans to ensurethey address identified gapseffectively.Policy Development:Foundational policies andprocedures were developedthrough a collaboration withMedical Consultants Network(MCN). This partnershipprovided access to a robustlibrary of policies, regulatoryresources, and a learningmanagement system (LMS).These tools are integratedwith the newly adoptedelectronic health records(EHR) system, Epic. This willcreate a streamlinedframework for staff training,credentialing, and ongoingeducation.Sustainability Planning:Sustainability efforts focusedon ensuring the long-termviability of the healthdepartment. Key initiativesinclude revenue generation,Remote Patient Monitoring(RPM), and financial systemimprovements. Accreditationefforts are also underway,with a formalized agreementwith the AccreditationAssociation for AmbulatoryHealth Care (AAAHC). Meetingthese community standardswill establish the departmentas a reliable, accreditedhealthcare provider.Data Analysis: A newly hired data analyst has refined theHIV/HCV/STI statistical analysis for 2023 and initiated the 2024report, which will include comparative data on national, state,and local levels. This data-driven approach ensures informeddecision-making and program adjustments to meet thecommunity’s evolving needs.Staff Development: Plans arein progress for a HumanResources Departmentfocused on recruiting andretaining qualified staff. Staffwill benefit from ongoingeducation, licensure tracking,and certification opportunitiesthrough the LMS, fostering awell-trained workforce tosupport the healthdepartment’s mission.27This project was partially funded through the support of the ITCA TEC Tribal subcontract program with the Indian Health Service, EpidemiologyProgram for American Indian/Alaska Native Tribes and Urban Indian Communities, Parent award, Sexually Transmitted Infection Supplementalfunds, and Ending the HIV Epidemic Supplemental funds - U1B1IHS0003

COMMUNITY HEALTHPROGRAMMINGThe Washoe Tribal Health Center (WTHC)has taken major steps to improve healthoutcomes in rural areas with its newlyestablished Community Health Program(CHP), benefiting both Tribal and non-Tribal members.In June 2024, the Washoe Tribal HealthBoard and the Washoe Tribal Councilapproved the CHP’s organizationalstructure, focus, and job descriptions,enabling hiring to begin. One LicensedVocational Nurse (LVN) is on board, withplans to add a Director, Registered Nurse(RN), and Community Health Workers(CHWs). Staff training with Tribes, theIndian Health Service (IHS), and the Stateof Nevada ensured alignment withindustry standards. These efforts alsoWASHOE TRIBE OF NEVADAAND CALIFORNIAGARDNERVILLE, NEVADAWashoe Tribe Behavioral Health building.28

supported the Behavioral Health Department in integrating CHWs into its services.To enhance outreach, the program acquired fourvehicles and retrofitted the Mobile Clinic Van to deliverscreenings, assessments, and vaccinations. Plans are underway to expand services through RemotePatient Monitoring (RPM) and a Chronic Disease Management system. RPM technology will alsoexpand alert notifications from 9 to 30 patients, improving care for vulnerable populations.The CHP increases access to care and supports patient-centered solutions, particularly for less-mobile and rural populations. By combining staff outreach and innovative technology, the programaims to improve community health outcomes.Grant funding from the Inter Tribal Council of Arizona, Inc. Tribal Epidemiology Center (ITCA TEC)made this progress possible, enabling training, research, and resource acquisition. Collaborativesessions provided crucial insights into billing, reimbursements, and electronic medical records,ensuring a sustainable foundation for the CHP.With a service area covering 3,500 individuals, the CHP is transforming healthcare delivery andenhancing well-being across the Washoe Tribal community and beyond.29This project was partially funded through the support of the ITCA TEC Tribal subcontract program with the Indian Health Service, EpidemiologyProgram for American Indian/Alaska Native Tribes and Urban Indian Communities, Parent award, Sexually Transmitted Infection Supplementalfunds, and Ending the HIV Epidemic Supplemental funds - U1B1IHS0003 This Mobile Clinic Van was retrofitted to deliver screenings,assessments, vaccinations, and immunizations.

ENDING THEHIV/HCV/STI EPIDEMIC:ENHANCING STIPREVENTION & CARE30The Washoe Tribal Health Center (WTHC)achieved remarkable milestones in itsmission to improve health outcomesrelated to sexually transmitted infections(STIs), human immunodeficiency virus(HIV), and Hepatitis C virus (HCV).Through strategic collaborations,innovative educational programs, andenhanced patient care models, the projecthas reached over 2,000 individuals.WASHOE TRIBE OF NEVADA ANDCALIFORNIAGARDNERVILLE, NEVADAThis project was partially funded through the support of the ITCA TEC Tribal subcontract program with the Indian Health Service, EpidemiologyProgram for American Indian/Alaska Native Tribes and Urban Indian Communities, Parent award, Sexually Transmitted Infection Supplementalfunds, and Ending the HIV Epidemic Supplemental funds - U1B1IHS0003 Lab technician using Point-of-Care Testing machine.

Educational Advancements:The project developed acomprehensive trainingmodule for WTHC staff,focusing on screening,assessment, point-of-caretesting (POCT), diagnosis, andtreatment of STIs. Plans areunderway to integrate thismodule into the MedicalConsultants Network (MCN)Learning ManagementSystem (LMS), extending itsreach and accessibility.Collaborative Lecture Series:Partnering with theUniversity of Nevada, Reno,School of Medicine, WTHClaunched a Lecture Series forclinical staff, with theinaugural session held onSeptember 25, 2024. Thiscollaboration enhancesclinical expertise andawareness of HIV, HCV, andSTIs.Patient-Centered Care: Apatient navigator programwas established to providepersonalized education andsupport, strengthening theconnection between patientsand WTHC resources. Effortsare also underway to adaptthis education into the MCNLMS program and to developa Medical Home model forSTI care.On-Site Rapid Testing: Theimplementation of POCT forHIV, HCV, and STIs allowsrapid diagnosis andtreatment while patients arestill on-site, significantlyimproving retention andtimely care.19The project has elevated the standard of care for TribalMembers by:Empowering clinical staff with specialized training andtools.Enhancing patient education to promote awareness,preventive behaviors, and better health outcomes.Reinforcing a Medical Home model to improve continuity ofcare and retention.Facilitating rapid diagnosis and treatment through POCT,which ensures timely intervention.Building on these achievements, WTHC is planning to expand education for the entire NativeAmerican population residing within the Washoe Tribe’s service area. The progress achieveddemonstrates the transformative potential of collaboration and innovation in Tribal health care.31

COVID-19IMMUNIZATIONPROJECTThe COVID-19 Immunization Project hasachieved significant progress in boostingimmunization efforts and improvingpublic health within the Washoe Tribalcommunity. This initiative, which has thepotential to reach over 3,500 individuals,exemplifies the power of strategicinvestments and innovation in health caredelivery.WASHOE TRIBE OF NEVADAAND CALIFORNIAGARDNERVILLE, NEVADAThis project was partially funded through the support of theITCA TEC Tribal subcontract program with the Indian HealthService, Epidemiology Program for American Indian/AlaskaNative Tribes and Urban Indian Communities, Parent award,Sexually Transmitted Infection Supplemental funds, andEnding the HIV Epidemic Supplemental funds - U1B1IHS0003 AccuVax system—an “ATM for immunizations.”32

This project has directly contributed to the health and wellness of community members by:Increasing immunization rates through improved access and education.Enhancing health monitoring with robust data systems to track and address immunizationneeds.Strengthening collaborations with programs like Head Start and the Elder Council to reachdiverse age groups and address specific health concerns.LOOKING AHEAD: With its focus on innovative solutions and collaboration, the project serves asa model for addressing public health challenges and improving outcomes for Tribal and non-Tribal populations. These efforts continue to strengthen the foundation for a healthier, moreresilient community.Enhanced Access toVaccinations: Projectfunding enabled theacquisition of essentialvaccines, ensuring accessfor Tribal members.Clinical Expertise: Theinclusion of a ClinicalVaccine Pharmacistprovided specializedsupport for immuni-zation efforts andpatient care.Data-Driven Insights: The hiring of adata analyst enhanced the accuracy anddepth of HIV/HCV/STI statistical reportingfor 2023, with ongoing work on the 2024report. These analyses inform targetedstrategies using comparative data atnational, state, local, and Tribal levels.Technology Integration: Funding supported the implementation of the AccuVax system—an“ATM for immunizations”—and its integration with the newly adopted electronic health records(EHR) system, Epic, facilitating streamlined management of patient immunization records, clinicappointments, and data coordination.33

BILLY SMITH TRAILIMPROVEMENT PLANThis project delivers a meaningfulresource for physical activity and mentalwell-being. By improving the Billy SmithTrail, the initiative has created awelcoming space for Yavapai ApacheNation community members to connectwith nature, exercise, and prioritize theirhealth.The project was proposed, planned, andcompleted within the designatedtimeframe, ensuring timely delivery of thisvaluable community resource. The improved trail now serves as a venuefor Wellness Walk events, encouragingphysical activity at an individual’spreferred pace.YAVAPAI APACHE NATIONCAMP VERDE, ARIZONABilly Smith Trail and picnic tables.34

The trail’s serene location offers breathtaking views of Tribal lands, from tranquil early mornings tostunning sunsets, promoting a sense of peace and balance. It provides an outdoor space whereindividuals and families can engage in physical activity, fostering overall health and strengtheningcommunity bonds.The Inter Tribal Council of Arizona, Inc. Tribal Epidemiology Center (ITCA TEC) played a key role insupporting the project through training, technical assistance, and funding. Their support made itpossible to create a resource that benefits the entire community.Situated conveniently near Tribal executive offices, the trail is easily accessible to staff, who canenjoy walks before, during, or after work hours. Its inviting design has made it a popular destinationfor over 1,400 individuals in the community.This project exemplifies the impact of thoughtful planning and collaboration in promoting health,wellness, and community connection through access to nature and outdoor activity.35This project was partially funded through the support of the ITCA TEC Tribal subcontract program with the Indian Health Service,Epidemiology Program for American Indian/Alaska Native Tribes and Urban Indian Communities - U1B1IHS0003

INTER TRIBAL COUNCIL OF ARIZONA, INC.TRIBAL EPIDEMIOLOGY CENTERPHOENIX, ARIZONAPROMOTING SHINGLES,TETANUS, AND HEPATITISVACCINATION IN TRIBALCOMMUNITIES36The Inter Tribal Council of Arizona, Inc. TribalEpidemiology Center (ITCA TEC) has taken aproactive approach to promoting criticalvaccinations in Tribal communities across theIndian Health Service (IHS) Phoenix-Tucson ServiceAreas. With the unique health challenges of Tribalcommunities in mind, ITCA TEC launched targetedcampaigns to increase awareness and access tovaccines for shingles, tetanus (DTAP), and hepatitis.This project was partially funded through the support of the Northwest Portland AreaIndian Health Board Tribal Epidemiology Center contract C21-133 through Grant 1 NH23IO22 644-01-00 awarded by the Centers for Disease Control and Prevention and theNorthwest Portland Indian Health Board VacciNative Program

Shingles VaccinePromotion: Inpartnership with theITCA Area Agency onAging and Tribal staff,ITCA TEC promoted thenew two-dose shinglesvaccine among TribalElders. Care packageswith summer skin careitems and shinglesvaccine information,along with a “HealthySummer Skin” socialmedia campaign, helpedraise awareness.Hepatitis VaccinationCampaign: To combathigh rates of liver diseaseamong American Indianmen, ITCA TEC partneredwith Tribal HealthDepartments to distributepromotional materialsand durable tactical bagsfilled with liver healthinformation and hepatitisvaccine resources. Theseefforts were paired with asocial media campaignpromoting liver healthand vaccination.Tetanus (DTAP)Awareness Campaign:Recognizing the risk oftetanus from soil, ITCA TECcollaborated with TribalHealth Departments todistribute gardening kitscontaining educationalmaterials about tetanusprevention and theimportance of DTAPvaccination.937

INTER TRIBAL COUNCIL OF ARIZONA, INC.TRIBAL EPIDEMIOLOGY CENTERPHOENIX, ARIZONAFOSTERING COVID-19 VACCINECONFIDENCE & PROMOTINGSEASONAL VACCINES38In response to the ongoing challenges of vaccinehesitancy and misinformation in Tribal communities, theInter Tribal Council of Arizona, Inc. Tribal EpidemiologyCenter (ITCA TEC) developed innovative strategies topromote COVID-19 and seasonal vaccines across theIndian Health Service (IHS) Phoenix-Tucson Service Areas.Increasing COVID-19 Vaccine Confidence: ITCA TECbegan creating social media posts focused on COVID-19vaccinations in 2021. When the social media campaignfirst launched, the response revealed a significant volumeof negative comments related to COVID-19 vaccines.Because of this, ITCA TEC conducted an on-going analysisof these interactions to understand the concerns andThis project was partially funded through the support of the ITCA TEC Tribal subcontract program with the Indian Health Service, EpidemiologyProgram for American Indian/Alaska Native Tribes and Urban Indian Communities, COVID vaccination funding supplement - U1B1IHS0003

triggers driving negative sentiments. With thisunderstanding, they reframed their content tobetter resonate with their audience and adjustedtheir mode of messaging to effectively supportvaccine confidence and coverage.39Seasonal Vaccine Billboard Campaign: In fall 2024, ITCA TEC launched a large-scale billboardcampaign to encourage seasonal vaccinations, including COVID-19. Featuring culturally-relevantartwork and messaging, 29 billboards were strategically placed near Tribal reservations and urbanareas across the IHS Phoenix-Tucson Service Areas. With an estimated 80 million views, thecampaign served as a highly visible reminder for community members to prioritize health andvaccinations.The combination of adaptive social media outreach, high-visibility billboard campaigns, andcollaboration with healthcare providers demonstrates ITCA TEC’s commitment to improving COVID-19 vaccine confidence, addressing misinformation, and supporting Tribal Health Departments intheir mission to protect community health.Recognizing the need for a broader approach, ITCATEC pivoted to work directly with healthcare providersand vaccine administrators. They created the VaccineConfidence Toolkit, a comprehensive resource for public health professionals featuring strategies,messaging templates, and tools to improve vaccine confidence.ITCA TEC also developed printed materials—including postcards, rack cards, and posters—to bedisplayed in Tribal health offices and clinics, providing accessible, culturally-relevant vaccineinformation directly to community members in trusted healthcare settings.VACCINE CONFIDENCE TOOLKITResources to help identify and address vaccine hesitancy and promote vaccine confidence.

INTER TRIBAL COUNCIL OF ARIZONA,INC. TRIBAL EPIDEMIOLOGY CENTERPHOENIX, ARIZONASTRENGTHENING PUBLICHEALTH INFRASTRUCTURETHROUGH COLLABORATIVEPROJECTS40The Inter Tribal Council of Arizona, Inc. Tribal Epidemiology Center Public Health Infrastructure(TECPHI) team achieved significant milestones, fulfilling four Subaward applications andaddressing critical Tribal health needs through targeted projects.COLLABORATIVE PROJECTS & IMPACTThe TECPHI team worked on diverse initiatives, each addressing critical areas of public health:Community Health Assessment (CHA): Assisted an Arizona Tribal health department in developinga comprehensive CHA plan to improve overall community well-being and identify service gaps.Behavioral Health Needs Assessment (NA): Supported a Nevada Tribal behavioral healthdepartment in planning an NA to enhance prevention, treatment, and culturally-sensitive programs.This project was funded through the support of the ITCA TEC Public Health Infrastructure program with the Centers for DiseaseControl and Prevention - NU58DP007227The TECPHI team and Tribal Public Health employees work togetheron collaborative projects.

Bicycle Infrastructure Evaluation: Partnered with a Tribe to assesscycling education programs and develop evaluation tools, including aunique logic model inspired by bicycling.Health Education Evaluation: Assisted a Tribal public healthdepartment in creating evaluation tools and a survey question libraryto assess their culturally relevant health education program.STRENGTHENING PARTNERSHIPS AND RELATIONSHIPSFrequent collaboration fostered trust and strong relationships,allowing the TECPHI team and Tribal staff to expand expertise andbuild on previous successes. Participation in community events andworking groups further strengthened these partnerships, creating anetwork of shared knowledge and support.FEEDBACK AND GROWTHQuarterly evaluations showed the value of TECPHI’s guidance, notingimprovements in data methodologies, community connections, andpublic health infrastructure. Feedback received highlighted the team’sresponsiveness and its critical role in advancing Tribal health initiatives.These projects delivered practical resources, including purposestatements, tailored surveys, and evaluation plans, enabling Tribes tomake informed public health decisions.Through collaboration and culturally sensitive approaches, the TECPHIteam empowers Tribes to address health challenges and build sustainablepublic health systems.41PICTURE RIGHT: TECPHI and Public Health employees work together during a brainstorming session.

42CONNECTING COMMUNITIESAND EMPOWERING TRIBALHEALTH PROGRAMSThis project was funded through the support of the ITCA TEC Public Health Infrastructure program with the Centers for Disease Controland Prevention - NU58DP007227INTER TRIBAL COUNCIL OF ARIZONA,INC. TRIBAL EPIDEMIOLOGY CENTERPHOENIX, ARIZONAThe Inter Tribal Council of Arizona, Inc.(ITCA) Tribal Epidemiology CenterPublic Health Infrastructure (TECPHI)Team works to facilitate andstrengthen public health capacitywithin Tribal Health Programs through:In-depth technical assistance onvarious public health topics, such asepidemiologic data analysis, datavisualization, and programevaluation.The ITCA TECPHI team launched PublicHealth Working Groups (PHWG) tofoster collaboration and shareYear-long subaward projects thatprovide funding and sustainedtechnical assistance for targetedTribal public health projects.Coordination of events to providetraining and opportunities for theTribal public health workforce tocollaborate and share resources andinformation.TECPHI works with Tribes to facilitate and strengthen public health capacity.

TECPHI has since hosted five PHWG meetings with the followingtopics: Behavioral Health Programs and Infrastructure; HIV, HCV, andSTI Programs and Infrastructure; Maternal and Child Health;Substance Use and Overdose Prevention; and Program Evaluation.Presentations have been provided by ITCA staff, other TribalEpidemiology Centers (Northwest Portland Area Indian Health Board,Southern Plains Tribal Health Board, Albuquerque Area SouthwestTribal Epidemiology Center), state public health entities, universities,and programs working directly in Tribal communities, reaching 110participants from 11 Tribes and 15 organizations. The PHWG meetingshave shared best practices, highlighted available resources, andpromoted collaboration by incorporating facilitated discussionsamong partners and programs to address challenges and fosterconnections with others in Tribal Health.Looking ahead, TECPHI will continue expanding the PHWG series byhosting meetings in varied locations, offering training workshops,and adapting to the evolving needs of Tribal public healthprofessionals.43After holding a strategic planning meeting, three main goals wereset for PHWG meetings:Provide a collaborative public space to enhance relationships.1.Promote and improve awareness of Tribal Epidemiology Centerservices.2.Provide public health training and education at no cost.3.resources with the public health workforce serving Tribes in Arizona,Nevada, and Utah.PICTURED LEFT: Presentations at a Public Health Working Group meeting.

IF YOU WOULD LIKE TOIMPLEMENT A PUBLICHEALTH PROJECT AT YOURTRIBE, PLEASE CONTACT:Jamie Ritchey PhD, MPH2214 N Central AvenuePhoenix, AZ, 85004Tribal Epidemiology Center DirectorInter Tribal Council of Arizona, Inc.(602) 258-4822jamie.ritchey@itcaonline.comtecinfo@itcaonline.com Our mission is to build Tribally-drivenpublic health capacity in the IHSPhoenix-Tucson Service Areas byassisting Tribes with public healthtechnical assistance, training, andfunding support to enhance AmericanIndian health and wellness.

TRIBAL PUBLIC HEALTHSUCCESS STORIESTRIBAL PUBLIC HEALTHSUCCESS STORIES2020-2024PUBLIC HEALTH PROGRAMMING SUPPORTED BY THE INTER TRIBALCOUNCIL OF ARIZONA, INC. TRIBAL EPIDEMIOLOGY CENTER Shoshone-Paiute Elder painting duringwellness program to promote mental wellnessSalt River Pima-Maricopa IndianCommunity puppet, Rainn,spreading public health messagesHualapai youth in cultural prevention program

INTRODUCTIONInter Tribal Council of Arizona, Inc. TribalEpidemiology Center (ITCA TEC) is one of 12 TECsacross the United States serving AmericanIndian Tribes. ITCA TEC serves Tribes in theIndian Health Service (IHS) Phoenix-TucsonService Areas (Arizona, Nevada, and Utah) withpublic health focused programming support. Our mission is to build Tribally-driven publichealth capacity in the IHS Phoenix-TucsonService Areas by assisting Tribes with publichealth technical assistance, training, andfunding support in order to enhance AmericanIndian health and wellness. The Tribal Success Stories book includes specificprojects that the Tribes planned andimplemented, and wanted to share with a largeraudience. ITCA TEC has included successes fromtwo of its' many programs — the vaccinationhealth promotion disease prevention programand the Tribal Epidemiology Center PublicHealth Infrastructure program.1

TRIBAL SUCCESS STORIESTRIBAL SUCCESS STORIES2020-2024PUBLIC HEALTH PROGRAMMING SUPPORTED BY THE INTER TRIBALCOUNCIL OF ARIZONA, INC. TRIBAL EPIDEMIOLOGY CENTER

TRIBAL SUCCESS STORIESTRIBAL SUCCESS STORIES2020-2024PUBLIC HEALTH PROGRAMMING SUPPORTED BY THE INTER TRIBALCOUNCIL OF ARIZONA, INC. TRIBAL EPIDEMIOLOGY CENTER

INTRODUCTIONInter Tribal Council of Arizona, Inc. TribalEpidemiology Center (ITCA TEC) is one of 12 TECsacross the United States serving AmericanIndian Tribes. ITCA TEC serves Tribes in theIndian Health Service (IHS) Phoenix-TucsonService Areas (Arizona, Nevada, and Utah) withpublic health focused programming support. Our mission is to build Tribally-driven publichealth capacity in the IHS Phoenix-TucsonService Areas by assisting Tribes with publichealth technical assistance, training, andfunding support in order to enhance AmericanIndian health and wellness. The Tribal Success Stories book includes specificprojects that the Tribes planned andimplemented, and wanted to share with a largeraudience. ITCA TEC has included successes fromtwo of its' many programs — the vaccinationhealth promotion disease prevention programand the Tribal Epidemiology Center PublicHealth Infrastructure program.1

3Establishing a Public Health Department ..................................................................................................WASHOE TRIBE OF NEVADA AND CALIFORNIACommunity Health Programming ..................................................................................................................WASHOE TRIBE OF NEVADA AND CALIFORNIAEnding the HIV/HCV/STI Epidemic: Enhancing STI Prevention & Care ......................................WASHOE TRIBE OF NEVADA AND CALIFORNIACOVID-19 Immunization Project .......................................................................................................................WASHOE TRIBE OF NEVADA AND CALIFORNIABilly Smith Trail Improvement Plan ................................................................................................................YAVAPAI APACHE NATIONAdvancing Vaccine Awareness & Health in Tribal Communities ..................................................INTER TRIBAL COUNCIL OF ARIZONATECPHI .............................................................................................................................................................................INTER TRIBAL COUNCIL OF ARIZONAStory nameTRIBE NAMEStory nameTRIBE NAMECONTENTS222426283032343638

ADVANCING VACCINEAWARENESS & HEALTH INTRIBAL COMMUNITIESINTER TRIBAL COUNCIL OF ARIZONA, INC.TRIBAL EPIDEMIOLOGY CENTERPHOENIX, ARIZONAIn the wake of the COVID-19 pandemic, promoting vaccination in Tribal communities presentedunique challenges. The Inter Tribal Council of Arizona, Inc., Tribal Epidemiology Center (ITCA TEC)rose to the occasion, developing innovative, culturally-tailored vaccine promotion strategies tosupport Tribal Health Departments across the Phoenix-Tucson Service Area.32ITCA TEC launched multiple initiatives addressing various vaccines, including:Shingles Vaccine Promotion: In partnership with the ITCA Area Agency on Aging and Tribalstaff, ITCA TEC promoted the new two-dose shingles vaccine among Tribal Elders. Care packageswith summer skin care items and shingles vaccine information, along with a “Healthy SummerSkin” social media campaign, helped raise awareness.Tetanus (DTAP) Awareness Campaign: Recognizing the risk of tetanus from soil, ITCA TECcollaborated with Tribal Health Departments to distribute gardening kits containing educationalmaterials about tetanus prevention and the benefits of DTAP vaccination.

Hepatitis Vaccination Campaign: To combat high rates of liver disease among American Indianmen, ITCA TEC partnered with Tribal Health Departments to distribute promotional materialsand durable tactical bags filled with liver health information and hepatitis vaccine resources.These efforts were paired with a social media campaign promoting liver health and vaccination.33ITCA TEC also implemented broad-scale vaccine promotion efforts, including:COVID-19 Vaccination Campaigns:Through 477 targeted social media posts andobservational analyses of vaccine-relatedcontent, ITCA TEC identified strategies tocombat misinformation and bolster vaccineconfidence. Reports and toolkits, such as theVaccine Confidence Toolkit, were shared withTribal Health Departments to aid their efforts.Seasonal Vaccine Billboard Campaign: In fall2024, ITCA TEC launched a culturally relevantbillboard campaign promoting seasonalvaccines, including COVID-19. Spanning 29locations near Tribal reservations and urbanareas, the campaign delivered an estimated80 million views, encouraging Tribal andcommunity members to prioritize vaccination.These initiatives exemplify ITCA TEC’s commitment to addressing health disparities andpromoting preventive care in Tribal communities. Through innovation, collaboration, andculturally tailored approaches, ITCA TEC continues to empower Tribal Health Departments andimprove health outcomes for Tribal members.The vaccine wraparound projects and Vaccine Confidence Toolkit were supported by Grant 1 NH23 IO22 644-01-00 and Contract C21-133awarded by the Centers for Disease Control and Prevention and the Northwest Portland Indian Health Board VacciNative Program.The assessments and reports were funded by Indian Health Service Department of Health and Human Services Grant No. U1B9400002/12.