Culminating a year of planning and presentations to the Centers for Medicare & Medicaid Service (CMS) Tribal Technical Advisory Group (TTAG) Data Subcommittee, Dr. Kevin English, Director of the Albuquerque Area Southwest Tribal Epidemiology Center, presented “Tribal Epidemiology Centers 101” at the March 15, 2023 CMS TTAG meeting. The full TTAG is comprised of members representing each of the 12 geographic areas of the Indian Health Service (IHS) and the three national Indian organizations. The TTAG provides advice and input to CMS on policy and program issues impacting American Indians and Alaska Native people served by CMS programs.

In his presentation, Dr. English shared the mission and goals of the 12 Tribal Epidemiology Centers and the work they do at the request of, and in partnership with the Tribes, Tribal organizations, urban Indian organizations, and their communities. In total, about 50 TTAG committee members and other partners joined for the presentation and a robust Q&A discussion. Presentations to groups like the CMS TTAG are crucial for building awareness about the scope of services the TECs can provide. These activities were supported through a variety funding opportunities including the coordination and collaboration activities made possible by the Tribal Epidemiology Centers Public Health Infrastructure program funded by the Centers for Disease Control and Prevention, National Center for Chronic Disease and Prevention and Health Promotion, Healthy Tribes Program.

 

Tribal Epidemiology Centers 101

 

---

For more information about each of the 12 TECs, visit https://tribalepicenters.org/12-tecs/.

 

One major project the ITCA TEC was able to complete was the Regional Community Health Profile (CHP). Additionally, increased training in statistical analysis along with enhanced coding software has allowed the TECPHI team an avenue to improve systems and efficiency in developing reports resulting in 43 Tribal-specific CHPS.

Using SAS software, the Tribal reports were all automated. While there is work to be done in terms of customization for each Tribe, formatting, and additional statistical analysis along with current counts, the TEC has made strides in being able to provide better information to those we serve. This is also impacted by the partnerships the TEC has been able to build and maintain and strong relationships with the Arizona, Nevada, and Utah health departments have allowed us to access updated data each year.

Over the last year the TEC has been able to update overall IHS data and get updated COVID information to be used in the future. In general, access to data has been greatly improved and will allow ITCA to provide more timely and relevant information to those in our service area.

 

View/Download File (PDF 5.3 MB)

 

---

 

Each summer California Tribal Epidemiology Center (CTEC) invites college students and recent graduates to participate in the Summer Research Assistant Program (SRAP). Tribal and Urban Indian Health Programs can participate as host sites for Summer Research Assistants (SRA). The CTEC team serves as mentors for each SRA. This summer’s 2022 SRAP, seven SRAs are working on projects ranging from diabetes prevention, data collection, COVID-19 case data analysis, public health advisory, and accreditation processes.

We met with Chiagoziem Okonkwo, an SRA from the summer of 2021. Chiagoziem worked with the Indian Health Council (IHC) to create a multilevel prevention project to address commercial tobacco-related harms.

 

“I grew up in Nigeria. We are not taught anything at all about the Native American community or culture. It was so interesting to learn about research and the Native community as a whole. I felt like I was a big part of the IHC and what we were doing.”
 
– Chiagoziem Okonkwo

 

Builds Essential Skills

Chiagoziem reflected on the skills she gained during the SRAP. “I would say that the two big takeaways were how to conduct key informant interviews (KIIs) and the concept of community–based participatory research. I realized I would like to start an organization like CTEC in Nigeria. When it comes to communities that have been historically misrepresented in research, the Nigerian community definitely represents that. KIIs were interesting, learning how to conduct them and learning that I like to talk a lot.”

Guides Education and Career Choices

For Chiagoziem, the SRAP introduced the concept of presenting research in film formats. She recalls, “That was the first time I saw something like that, and it made me really interested in film, editing, and cinematography…CTEC played a role. I will
be graduating in June 2024 from UCLA with a Psychology Major with a minor in film.”

Makes a Difference

CTEC supported 22 SRAs from 2017 to 2022. Every SRA has a story about their experience and the difference that the SRAP made. For Chiagoziem, the difference was everything. “It did not happen on purpose, but I think back to the application process… it was the summer of my first year of my undergraduate. I felt unqualified. But being able to work toward it and actually get the SRA encouraged me that I could go after everything that I want. I would never know what the outcome would be… I should always try. That is one skill that I learned from my experience. Keep trying.”

 

Chiagoziem Okonkwo
 

 

#keeptrying
#buildingcapacity
#internshipsmatter
#goafterwhatyouwant
#publichealthworkforce

---

In 2022, the Rocky Mountain Tribal Epidemiology Center (RMTEC) formalized a collaborative partnership with the Chef Ann Foundation, No Kid Hungry, and the Coalition to End Childhood Hunger to bring a comprehensive diabetes prevention approach to the Tribal schools in the RMTEC region. With the help and expertise of these partners, RMTEC aims to transform Tribal school food programs at the local level through diabetes education and training of school food service workers.

The RMTEC School Food Institute sponsors a set of online courses offered by the Chef Ann Foundation that provide professional development and training on successful “scratch-cook” operations in schools, giving school food service professionals the tools and knowledge to make fresh, healthy school meals for its students and staff.

In April 2022, RMTEC staff, along with staff from the Chef Ann Foundation, visited the Blackfeet and Flathead Tribal sites to provide onsite scratch-cook training. The chefs trained school food service staff on making simple, healthy meals with fresh ingredients and served the meals in the schools. Staff also received education and training on using locally available ingredients. It is RMTEC’s hope to expand these partnerships to include all Tribal sites in the Rocky Mountain region over the next few years.

The School Food Institute

---