Authors: Fine, Gregory, NCUIH
Publication Year: 2008
Last Updated: 2016-03-04 15:25:23
Journal: NCUIH
Keywords: NCUIH, National Council of Urban Indian Health, strategy, timeline, FY 2008, Budget

Short Abstract:

We have another tough year ahead for Urban Indian Health. NCUIH is again anticipating the Urban Indian Health line item in the IHS budget to be zeroed out. We are ready to employ the political capital we have gained from last years congressional renouncement of the proposed budget, and have been busy planning for and producing materials that will be key in our advocacy efforts this year. We are better situated then in years past and we will again achieve success. Following are highlights of our advocacy plan. This will be an evolving and changing plan as conditions require. NCUIH is in a position to anticipate needs and assist Congress to move through the budget process this year.

Abstract:

We have another tough year ahead for Urban Indian Health. NCUIH is again anticipating the Urban Indian Health line item in the IHS budget to be zeroed out. We are ready to employ the political capital we have gained from last years congressional renouncement of the proposed budget, and have been busy planning for and producing materials that will be key in our advocacy efforts this year. We are better situated then in years past and we will again achieve success. Following are highlights of our advocacy plan. This will be an evolving and changing plan as conditions require. NCUIH is in a position to anticipate needs and assist Congress to move through the budget process this year.

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Authors: IHS
Publication Year: 2004
Last Updated: 2016-03-04 15:06:48
Journal: I.H.S. Agency Report
Keywords: budget, needs assessment, program expansion, Current Services , Program expansion, National worksession appropriations, Current services forecast, Area ITU Budget Recommendations

Short Abstract:

Abstract:

FY 2005 Needs-Based Budget IHS

Adjusted 2004 Presidents Budget

Base Appropriation

Current Services , Program expansion, National work session appropriations, Current services forecast, Area ITU Budget Recommendations

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Authors: Dillinger TL, Jett SC., Macri MJ., Grivetti LE
Publication Year: 1999
Last Updated: 2016-02-22 14:08:43
Journal: International Journal of Food Sciences and Nutrition
Keywords: Adult; Aged; Cross-Sectional Studies; Dietary Services/Organization & Administration; Female; Food Preferences; Food Services/Utilization; Food Services/Statistics & Numerical Data; Government Programs/Utilization; Government Programs/Supply & Distribution; Male; Middle Age; Nutrition; Rural Health/Statistics & Numerical Data; Urban Health/Statistics & Numerical Data

Short Abstract:

This article examines the use of supplemental food programs by two Native American populations and assesses some of the heath and cultural impacts of these programs. A cross-sectional survey of 80 American Indian families, 40 families residing on the Round Valley Indian Reservation and 40 in Sacramento, California was conducted to determine access, use, and appropriateness of supplemental feeding programs.

Abstract:

This article examines the use of supplemental food programs by two Native American populations and assesses some of the health and cultural impacts of these programs. A cross-sectional survey of 80 American Indian families, 40 families residing on the Round Valley Indian Reservation and 40 in Sacramento, California was conducted to determine access, use and appropriateness of supplemental feeding programs. Respondents at both the rural and urban geographic location showed considerable familiarity with available supplemental feeding programs. USDA Food Commodities were utilized most at Round Valley, raising the concern that provided staples which were highly processed and contained significant amounts of sodium, sucrose, and fat, could contribute to the problems of obesity and diabetes. Native American in Sacramento used food banks and food closets as their primary source of supplemental foods, and some expressed concern that the foods provided were highly sweetened and high in fat. While some nutrition advising was available at both geographical localities, access was inadequate. The study found that the foods provided by the supplemental food programs varied considerably in their nutritional quality and healthier foods such as fresh fruit, vegetables, and meats were either completely lacking or in short supply. In addition, culturally sensitive nutritional counseling and the development of education modules to instruct program recipients in the preparation of healthy meals and how to manage obesity and diabetes were needed and requested within the California Native American communities surveyed.

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Authors:
Publication Year: 1980
Last Updated: 2016-02-22 13:35:47
Journal: Indian Health Service, Staff Office of Planning, Evaluation, and Research
Keywords: Community Health Planning; Cost-Benefit Analysis; Costs and Cost Analysis; Delivery of Health Care, Integrated; Guideline Adherence; Health Care Costs; Health Care Evaluation Mechanisms; Health Care Facilities, Manpower, and Services; Health Personnel; Health Services Accessibility; Manpower, and Services; Models, Organizational; Needs Assessment; Organizational Policy; Outcome and Process Assessment (Health Care); Policy Making; Program Development; Program Evaluation; Regional Health Planning

Short Abstract:

This document is a summary of the Western Nevada Health Delivery Study.  The geographic area addressed by this study is known as the Schurz Service Unit of the Phoenix Area Indian Health Service (IHS).  The target population (12 tribes) consists of the Indians residing within this area.  Three main purposes of this study were to: 1) assess the total health care needs of the Indians in western Nevada; 2) set area-wide goals aimed at satisfying those needs; and 3) develop a phased strategy for moving from the present situation to the desired improvements.

Abstract:

This document is a summary of the Western Nevada Health Delivery Study. The geographic area addressed by this study is known as the Schurz Service Unit of the Phoenix Area Indian Health Service (IHS). The target population (12 Tribes) consists of the Indians residing within this area. Three main purposes of this study were to: 1) assess the total health care needs of the Indians in western Nevada; 2) set area-wide goals aimed at satisfying those needs; and 3) develop a phased strategy for moving from the present situation to the desired improvements. Based on initial data analyses. Five alternative health care delivery designs that would adequately provide for the projected demand for future health care services were developed and presented to the Tribal Task Force for consideration. The alternative designs were evaluated with reference to several factors: 1) agreement with Tribal and Urban Specific Health Plans; 2) travel time; 3) potential for recruitment of health care staff; 4) projected utilization; and 5) potential cost savings. The design that was selected by the Tribal Task Force formed the basis for the Master Health Plan that was then developed. The prioritization was completed by a process that involved a preliminary listing of priorities: 1) a discussion among Tribal Task Force and Tribal Council members of the preliminary listing; and 2) a vote on a final ranking of priorities by the Task Force members. The final set of priorities voted on by the Tribal Task Force formed the basis for the Implementation Plan. This Final Report of the study documents that the scope of direct IHS health care services is deficient in meeting the health care needs of the Schurz Service Unit Population. In addition, the report documented the significant shortcomings of the present Contract Health Services (CHS) system. The low utilization rate reported for the Schurz Service Unit is largely due to two factors: 1) recent decreases in CHS utilization related to increasing cost per health service and limited CHS funding; and (2) the unavailability and inaccessibility of direct ambulatory care services. On the other hand, the general outline for the proposed optimal health care delivery system for Western Nevada (developed on the basis of the systems analysis) contains the following main components: 1) Outpatient Care; 2) Inpatient Care; 3) Field Health Services and Tribal Health Programs; and (4) Dental, Optometric, and Audiologic services. The system of decentralized ambulatory health facilities outlined has the following characteristics: 1) It is acceptable to most of the Tribes in Western Nevada as it generally coincides with the recommendations of the Tribal and Urban Specific Health Plans; 2) It is a system in which 88.5% of the Indian population is accessible to one of the ambulatory health centers; 3) Accessibility to health care is greatly improved for the majority of the population; 4) Each proposed facility provides a visible and clearly defined point of entry into the system, enabling Indians to receive services for all their health care needs; 5) Each proposed facility is a base for dispensing a comprehensive range of care either through direct service or through referral; 6) There is the possibility of increased control of inpatient utilization because of increased IHS physician access to local hospitals. The study makes detailed recommendations on facility, equipment and personnel requirements for an optimal area-wide health care delivery system. Recommendations are linked to the IHS Resource Allocation Criteria (RAC).

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Authors: Kochevar AJ, Smith KL., Bernard MA.
Publication Year: 2001
Last Updated: 2016-02-11 14:43:54
Journal: Journal of the Oklahoma State Medical Association
Keywords: exercise, female, male, Oklahoma, physical therapy, middle age, elder, elders, activity, exercise, activity

Short Abstract:

The purpose of this study was to evaluate the efficacy of a community-based exercise course applied to a group of American Indians (AI) who, because of physician recommendation and/or self-motivation, desired to increase their physical activity.

Abstract:

The purpose of this study was to evaluate the efficacy of a community-based exercise course applied to a group of American Indians (AI) who, because of physician recommendation and/or self-motivation, desired to increase their physical activity. Changes is physiological measurements and self-perceived measurements were determined following a moderate-intensity exercise program implemented through a randomized controlled trial to a population of American Indian elders between the ages of 55 and 75 living in an urban area. It was hypothesized that the exercise subjects would show improvement in all of the study variables examined, including three subjective measurements in emotional health, seven subjective measurements in physical health, and several physiological indices. The subjects participated in a six-week exercise class designed for health elderly persons as well as those struggling from arthritis, heart disease, obesity, and/or non-insulin dependent diabetes. Results were measured using both subjective self-perceived and objective physiological measurements; T-tests were used to analyze the data, using subjects as their own controls and using a separate control group. Following the intervention, the exercise participants significantly improved their self-perceived physical health (p=0.001), emotional health (p=0.025) when compared with baseline values. The exercise subjects also significantly increased the self-perceived frequency with which they performed chores that gave them exercise (p=0.035) and significantly increased the self-perceived frequency that they participated in activities specifically for exercise (p=0.023) when compared with pre-intervention measurements. A corresponding trend in objective indices was also observed: following the intervention period, exercise participants were found to significantly lower their systolic blood pressure (p=0.046) and significantly lower their respirations (p=0.048) as compared with initial values. Findings of this study suggest that senior AI adults who participated in the exercise program subjectively and objectively improved their health status. The authors think that this type of program would be an excellent resource for physicians to recommend to their elderly patients in need of increased physical activity. A literature search found no previously published clinical data documenting the response of AI elders to exercises that developed flexibility, muscular strength, and muscular endurance.

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