Alaska's Tribal Health Organizations Are Essential, and Powerful

*Medical research has done wonders to rid populations of diseases; however, the U.S. health care system has failed to appropriate the right resources to Medicare patients with one or more chronic conditions. Health Quality Partners in Doylstown, PA enrolls Medicare patients with at least one chronic illness and hospitalization and sends a trained nurse to see them on a routine basis, whether they are healthy or sick. As a result, the HQP program has reduced hospitalizations and cut Medicare costs.

Across the country, hospitals are embracing intensive intervention programs to help victims of violence — including those who have criminal histories — after they have been brought in for treatment of injuries. Such programs can help prevent retaliation, reduce the chance a patient will be violently injured again, and put people on track for success.

Thirteen years ago the Wayuu tribe, located in Colombia, removed it’s male chiefdom and instead asked women to be their leaders. According to the Wayuu tribe they are the only indigenous tribe in Colombia that exclusively has women leaders. ”We wanted women to use their way of dialogue to resolve our conflicts, and we wanted to transform our culture.”

In a rapidly gentrifying Mexico City neighborhood, two artists refurbished an icon and set up an altar for Santa Mari La Juaricua, a saint to protect residents from eviction. The saint raises awareness and acts as a reminder about housing issues and the icon has been taken up by the residents and has been used in processions and protests.

The solar-powered freezer donated by Green Life Energy allows vaccines to be stored at the appropriate temperature, providing more access to necessary immunizations, specifically for those in rural communities. Nurses say the freezer box has the capacity to hold up to 500 doses of different vaccines, including polio, measles, tuberculosis, and the COVID-19 vaccine.

Montana's Indian Education for All program ensures that both Native and non-Native students have the opportunity to learn the history and culture of local Indigenous peoples, such as through an experiential bison harvest.

Great Circle Recovery is the first tribally run opioid treatment clinic in the state and is opening up its second location. Approximately 250 people visit the clinic on a daily basis to access medications that help those suffering from addiction. The centers also provide access to counselors, case management and other medical services to support patients on their recovery journey.

New Kituwah Academy Elementary provides immersive language education for members of the Eastern Band of Cherokee Indians, helping to keep the band’s language and culture alive. Students speak exclusively in Cherokee until third grade and then use both English and Cherokee throughout the school day to build proficiency in both languages.

Two nonprofits came together to manage Hawai'i's Kaua‘i’s Hā‘ena State Park in a community-led way, creating a more equitable relationship between the tourism industry and the local community. Native Hawaiians work at the park, lead restoration projects and run educational programs. And to prevent overtourism, tourists must make reservations and pay to enter.

Birth in Color's doulas are filling the maternity care gap as rural labor and delivery rooms close, disproportionately impacting people of color. Doulas provide physical, emotional and informational support before, during and after childbirth, and advocate on the mother’s behalf. Doula care leads to improved birth outcomes and lower rates of C-sections, and in April 2022 doula services were added under the state’s Medicaid program.