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Capacity Development and Health Systems Support
Our capacity development work is focused on supporting transformative change that is guided, led, and sustained by the communities it is designed to benefit. By strengthening public health systems, processes, and service delivery, capacity development plays a key role in improving program implementation and achieving better health outcomes.
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Health Promotion and Community Engagement
Health promotion campaigns are designed to engage and empower individuals and communities to adopt healthier behaviors and make informed choices that reduce the risk of illness and improve overall well-being. Our team has led diverse efforts in this space, developing culturally responsive and impactful campaigns across a range of health priorities—including sexual health, HIV, STIs, hepatitis, opioid use, and substance use prevention and treatment.
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Cultural Safety and Cultural Humility
Cultural safety and cultural humility in health systems require ongoing self-reflection and a commitment to lifelong learning. Our work in this area is grounded in the understanding that providing better care for Indigenous peoples begins with listening—being open to hearing directly from communities about what respectful, effective, and culturally meaningful care truly looks like.
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Advocacy
Our advocacy is rooted in the pursuit of health equity for Indigenous peoples, grounded in the understanding that health is not only a human right, but a treaty right. We work with policymakers, Tribal leaders, and health systems to educate about the structural changes needed to uphold Tribal sovereignty and ensure access to culturally safe, community-led care. Our efforts focus on advancing policies that expand services for chronic and infectious diseases, substance use care, harm reduction, and the protection of Indigenous rights within public health systems.
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Sexual Health
Building an effective framework for sexual health and STI response in Indigenous communities requires a holistic and integrated approach. This includes balancing individual and community protective factors, ensuring access to responsive clinical services, supporting community-driven public health interventions, and strengthening public health surveillance to inform programming. Our work in this area is grounded in systems-level change and meaningful partnerships.
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Research and knowledge building
At the core of our research efforts is a commitment to advancing health and wellness in Indigenous communities,while uplifting Indigenous leadership, knowledge systems, and researchers. Our approach centers respect, reciprocity, and the belief that research should serve—and be guided by—the communities it aims to benefit.
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2SLGBTQ+ Health Equity
We are committed to advancing health equity for Two-Spirit, transgender, nonbinary, and gender-expansive relatives across Indigenous communities. We recognize that gender diversity has always existed in our cultures and that healing includes honoring the full identities of all our people.
Our work supports the development of affirming, culturally grounded, and trauma-informed care through workforce training, technical assistance, and systems change. We partner with communities to uplift Indigenous-led models of care, reduce stigma, and expand access to gender-affirming services that reflect the sacredness and sovereignty of every person.
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Opioid and Substance Use
Our work in opioid and substance use response is rooted in healing, harm reduction, and community resilience. We support Tribal Nations and Indigenous organizations in developing culturally responsive strategies to prevent overdose, expand access to care, and strengthen pathways to recovery and wellness.
This includes building systems of support that center Indigenous knowledge, address stigma, and integrate services across behavioral health, primary care, and community programs.
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Workforce Development
Our workforce development efforts are focused on strengthening a thriving, culturally rooted Indigenous public health workforce. We invest in building the capacity of individuals and systems to support Native professionals, paraprofessionals, and community-based workers in leading and delivering high-quality, culturally grounded care.
This includes supporting the training, advancement, and integration of Community Health Aides (CHA), Behavioral Health Aides (BHA), Community Health Representatives (CHR) and other frontline providers who serve as trusted healers and connectors within their communities.
Publications
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Toward a New Era for the Indian Health System.
The Indian Health System is poorly resourced and understaffed. Now is a promising time to reflect on big solutions for fostering a transformative, rather than transactional, relationship between the federal government and tribal nations.
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A Tale of Two Epidemics.
In recent years, the Department of Veterans Affairs health care system has mounted a response to hepatitis C that should be the envy of any health system. On the other hand, the Indian Health Service is struggling to meet the needs of its patients with hepatitis C.
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Creating a path forward: understanding the context of sexual health and sexually transmitted infections in American Indian/Alaska Native populations .
Longstanding disparities show a clear need to increase the availability of integrated, low-barrier STI prevention and treatment services.