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History of Funding Support

DINÉ COLLEGE The Institution of Higher Education of the Navajo Nation Presenters : EDWARD R. GARRISON, PhD, MPH MARK C. BAUER, PhD.

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History of Funding Support

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  1. DINÉ COLLEGEThe Institution of Higher Education of the Navajo NationPresenters : EDWARD R. GARRISON, PhD, MPHMARK C. BAUER, PhD MEETING THE NEEDS OF TRIBAL HEALTH PROGRAMS : DINÉ COLLEGE COLLABORATION WITH THE NAVAJO NATION DIVISION OF HEALTH, ESPECIALLY WITH RESPECT TO MOU DEVELOPMENT WITH NAVAJO CHR PROGRAM

  2. HistoryofFundingSupport • ATSDR 5-Year Cooperative Agreement, 1999 – 2004 • ATSDR 5-Year Cooperative Agreement, 2004 – 2009 • CDC Funding from NCHSTP (National Center for HIV, STD and TB Prevention) 2002 –Oct. 2006 (1-year awards)

  3. CDCSupportthroughNCHSTP • Primary Focus: Personnel position for a “Public Health Curriculum Developer” to work with Diné College Faculty – * developed seven (7) new courses and * a new Associate of Science degree program in Public Health all of which entered the Diné College General Catalog in the Fall 2004 Semester, exactly 25 years since the first two Public Health courses appeared in our General Catalog in 1979.

  4. Structural Goals of Public Health Degree Program • Provide an A.S. degree that articulates with and transfers into existing Bachelor’s degree programs at regional state universities, butalso, for those who do not or cannot transfer to a university or do not complete the A.S. degree, • Fulfill the educational requirements for immediate employment in Navajo Nation service agencies such as Community Health Representatives (CHRs), Food Stamps and WIC, which the Navajo Nation administers under federal and state contracts. • Provide a “Certificate” documenting completion of major component(s) of the sequence, for those who are not able to complete the full 2-year program.

  5. NavajoNationPartnerships CHR/Outreach Program, Navajo Nation Division of Health : More than 160 tribal employees, including supervisors, office support staff and Community Health Representatives. “Outreach” includes the Navajo Nation’s HIV/AIDS, STD and TB Prevention Programs.

  6. CHRParticipation By administrative directive of the Navajo Nation CHR/Outreach Program, and in accordance with their adopted “Scope of Work”: a. All Supervisors (both at the central office in Window Rock and at each of the 8 Service Units) are required to complete the entire A. S. degree program in Public Health at Diné College, and b. All other staff in the program, both Community Health Workers as well as administrative assistants and secretarial staff, are required to complete at least the 12-credit Certificate.

  7. CHRProgramPartnership : MOU MOU between Diné College and CHR/Outreach Program, signed August 2004, provides: • Administrative directive for all program employees to enroll in Diné College’s Public Health program • “Release Time” to attend class during working hrs. • Encouragement to take other “liberal arts” courses • Diné College to provide timely course offerings • Diné College to support its interactive television Distance Education services for the CHR students

  8. Distance Education with the CHR / Outreach Program All courses are offered via interactive television simultaneously to four (4) sites: Shiprock, New Mexico (where most originate) Tsaile, Arizona (64 to 100 miles from Shiprock) Window Rock, Arizona (95 miles from Shiprock) either: Crownpoint, NM or Tuba City, AZ (112 miles)(173 miles)

  9. Other Collaborations with Navajo Nation Division of Health1998 - Present • NIDP – Navajo Infectious Disease Program • NNHRRB – Navajo Nation Human Research Review Board • PHAC – Public Health Advisory Committee • Uranium Interagency Task Force • NARCH – Native American Research Centers for Health • Navajo Nation Epidemiology Center

  10. NavajoNationPartnerships “Navajo Infectious Disease Project” funded to Navajo Nation Division of Health by CDC (Ralph Bryan, MD and Consuelo Beck Sague, PhD, tech. monitors) “Seminar in Public Health” – Fall 1998 and Spring 2000, began the modern era of Public Health course offerings

  11. NavajoInfectiousDiseaseProgram • Contract from CDC to the Navajo Nation to enhance NNDOH capabilities in developing and delivering public health programs • Included a Continuing Education / Staff Development component, which was implemented as a joint project between NNDOH and Dine College: PUH 191 “Seminar in Public Health” offered Fall 1998 and Spring 2000 at Tsaile, with PictureTel connection to Shiprock ( Diné College’s first Distance Education classes )

  12. NavajoNationHumanResearchReviewBoard • Established by the Navajo Nation Research Act to regulate conduct of research that involves Navajo persons as human subjects • Constituted in accordance with regulations from the National Institutes of Health for “Institutional Review Boards” ( IRBs ) • Reviews all research and coordinates with the NNDOH Office of Research, Planning and Evaluation • Mark C. Bauer, PhD, of the Faculty of Diné College, is a member of the NNHRRB, appointed by the President of the Navajo Nation.

  13. PublicHealthAdvisoryCommittee • Established during Summer 2002 on invitation from the NNDOH, to provide advice and guidance to facilitate the transition of NNDOH to a proposed Navajo Navajo Department of Health (comparable to a State Health Department) • Participants: - Representatives from County and State Health Depts. – AZ, NM, UT - Regional Colleges and Universities with Public Health expertise – Univ. of Arizona, Diné College - Others: CDCTribal Liaison Office in Albuquerque

  14. Inter-Agency Planning Meetings on Education and Health Exams for People Who Were Exposed to Uranium Mining and Radiation • Jointly convened by Taylor McKenzie, MD, as Navajo Nation Vice-President, and Douglas Peter, MD, Chief Medical Officer, Navajo Area IHS, in 2000 • Develop Action Plans: • Community-Based Health and Risk Assessment in Impacted Areas • Community Education / Resource Information • IHS Medical Staff Continuing Education • Survey Uranium-Contaminated Homes • Ecological Risk Assessment

  15. NativeAmericanResearchCentersforHealth • NIH funding transferred to and administered by Indian Health Service (IHS) program officers. • Two established NARCHs in Arizona: • Inter-Tribal Council of Arizona (Phoenix) with projects at Tohono O’Odham and Hualapai • White Mountain Apache. • Navajo Nation NARCH, funded August 2002, with Taylor McKenzie, MD, as Principal Investigator.

  16. Navajo Nation NARCH • One current research activity : NavajoEthno-MedicalEncyclopedia (NEME) Project. Projected as a 10-volume compilation of traditional Navajo healing knowledge, actively funded during the 1960s and 1970s and suspended in 1981 when funding was no longer available. Was at that time intended to become part of the teaching curriculum of the American Indian School of Medicine, which was authorized under Title VI of the Indian Health Care Improvement Act (PL 94-437), which was signed into law on September 30, 1976. Principal Investigator : Martha A. Austin-Garrison Diné College (subcontract)

  17. NavajoEthno-MedicalEncyclopedia The complete projected scope of the Navajo Ethno-Medical Encyclopedia (NEME) was sketched out in ten volumes, as follows: I. Nílhch’ih The Sacred Wind Spirit II. Nitsáhákees Thought and Mind Processes, or Mental Health III. Iigeh dóó Ootsá dóó Achí Marriage, Conception, Pregnancy and Birth IV. Ch’iyáán Food and Nutrition V. Doo Ál’íinii Prescriptions for a Healthy Life VI. Ajoolhéii Incompatibilities of Mind and Body VII. Ts’ííhniidóóh Disease and Sickness VIII. Tídílht’é Injuries IX. Lhóód Sores X. Aniné Death

  18. Navajo Nation NARCH Also substantial curriculum development and workforce enhancement activities involving the two institutions that are subcontracting with the Navajo Nation in the implementation of this project: a. Diné College and b. Mel and Enid Zuckerman College of Public Health at the University of Arizona.

  19. NavajoNationNARCHProject Interaction between Navajo Nation Division of Health, Diné College and the College of Public Health at Univ. of Arizona (AzCOPH) led to AzCOPH support for a. development of Diné College’s new degree program in Public Health b. a new “Certificate in Public Health” (12 Diné College credits in Public Health) which was awarded (for the first time) to 17 CHRs at a ceremony in Gallup, NM on July 7, 2006 c. AzCOPH support of our SREP Program and of our Public Health courses, including numerous guest lectures

  20. NavajoNationEpidemiologyCenter Began operations September 15, 2005 with two Navajo professionals on 2-year assignment from Navajo Area Indian Health Service: Cheryl Mason, MPH Ben Muneta, MD DinéCollegePartnerships : 1. Placed one SREP student intern in Summer 2006, who was subsequently promptly hired as staff 2. Discussions underway for Diné College to provide GIS expertise and services 3. MOU will likely be developed to formalize relationship

  21. MemorandaofUnderstandingwithRegionalUniversities College of Public Health, University of Arizona 5-2003 Institute for Public Health , Univ. of New Mexico 8-2005 College of Health and Social Services, New Mexico State University 9-2005 Loma Linda University School of Public Health 11-2005 Department of Health Sciences, Northern Arizona University (in process)

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