Making Amends: Recommended Strategies and Actions to Improve the Health and Safety of American Indian and Alaska Native Mothers and Infants

Authors: U.S. Secretary of Health and Human Services Advisory Committee on Infant and Maternal Mortality (ACIMM)

Publication Year: 2022

Last Updated: December 2022

Journal:

Keywords: Awareness; Ethnicity; Federal Health Care; Health Care Access; Health Disparities; IHS; Infant Mortality; Medicare; Medicaid; Minority Groups; Misclassification of AI/AN; Pregnancy; Women's Health; Social Determinants of Health

 

Short Abstract: Report submitted in to US HHS Secretary with recommendations for the federal government to reconcile past actions and step up to the obligations to American Indians and Alaska Natives (AI/AN). Recommendations are based on the findings of previous reports on the health of AI/AN people, populations, and communities, ACIMM’s analysis of maternal health and birth outcome-related data, presentations by representatives of federal health programs, and the testimony and input of over 88 individuals with relevant lived and professional experience.

 

Abstract: Report submitted in to US HHS Secretary with recommendations for the federal government to reconcile past actions and step up to the obligations to American Indians and Alaska Natives (AI/AN). Recommendations are based on the findings of previous reports on the health of AI/AN people, populations, and communities, ACIMM’s analysis of maternal health and birth outcome-related data, presentations by representatives of federal health programs, and the testimony and input of over 88 individuals with relevant lived and professional experience. 59 strategies are offered to support three overarching recommendations: I. Make the health and safety of AI/AN mothers and infants a priority for action. II. Improve the living conditions of AI/AN mothers and infants and assure universal access to high quality healthcare III. Address urgent and immediate challenges that disproportionately affect AI/AN women before, during, and after pregnancy.

 

Source: Link to Original Article.

Funding:

Code:

Source: https://www.hrsa.gov/sites/default/files/hrsa/advisory-committees/infant-mortality/birth-outcomes-AI-AN-mothers-infants.pdf

Type of Resource: Report

American Indian Health Policy: Historical Trends and Contemporary Issues

Authors: Donald Warne and Linda Bane Frizzell

Publication Year: 2014

Keywords: Federal Health Care; Health Care Access; Health Care Reform; IHS; Medicare; Medicaid; Affordable Care Act

 

Short Abstract: The United States has a trust responsibility to provide services to American Indians and Alaska Native (AI/AN) persons. However, a long-standing history of underfunding of the Indian Health Service (IHS) has led to significant challenges in providing services. Twentieth-century laws, including the Snyder Act, Transfer Act, Indian Self Determination and Education Assistance Act, and Indian Health Care Improvement Act (IHCIA) have had an effect on the way health services are provided. IHCIA was reauthorized as part of the Patient Protection and Affordable Care Act (ACA). Several provisions in ACA allow for potential improvements in access to services for AI/AN populations and are described herein. Although policy developments have been promising, IHS underfunding must be resolved to ensure improved AI/AN health.

 

Source: Link to Original Article.

Funding:

Type of Resource: Peer-reviewed scientific article

Racialization as a Barrier to Achieving Health Equity for Native Americans

Authors: Vikas Gampa, MD, Kenneth Bernard, MD, MBA, and Michael J. Oldani, PhD, MS

Publication Year: 2020

Last Updated: October 2020

Journal: AMA Journal of Ethics

Keywords: Race

 

Short Abstract: The concept of race has long been known to be complex. Especially within the American Indian/Alaskan Native populations. The concept of race itself has very European roots, and has had long lasting negative effects on the AI/AN population. Using this metric in medicine has proved to be rather controversial especially in terms of the AI/AN community, which is why this particular article highlights the concerns around using this method.

 

Source: Link to Original Article.

Source: https://journalofethics.ama-assn.org/article/racialization-barrier-achieving-health-equity-native-americans/2020-10