Alaska Native Tribal Health Consortium

STATEWIDE BULK FUEL PROJECT MANAGEMENT/CONTRACT MANAGEMENT

PURPOSE: TITLE: STRONGER, TOGETHER: EXPANDING CLIMATE ADAPTATION TECHNICAL ASSISTANCE FOR FRONTLINE ALASKA NATIVE COMMUNITIES RECIPIENT: ALASKA NATIVE TRIBAL HEALTH CONSORTIUM PROJECT TYPE: IMPLEMENTATION OF RESILIENCE AND ADAPTATION ACTIONS (TRACK TWO) FUNDING AMOUNT: $74,950,045 CONGRESSIONAL DISTRICT(S): ALASKA AT LARGE SUMMARY: ALASKA IS AN UNDERSERVED STATE AND IS ON THE FRONT LINES FOR A NUMBER OF CLIMATE IMPACTS, ESPECIALLY REMOTE NATIVE ALASKAN COMMUNITIES WHO DEPEND ON TRADITIONAL SUBSISTENCE PRACTICES. THIS PROJECT ENVISIONS TRANSFORMING THE LANDSCAPE OF ALASKA TRIBAL CLIMATE ADAPTATION ACTIVITIES FROM A STATE OF VERY LIMITED CAPACITY TO A THRIVING NETWORK OF PRACTITIONERS THAT ARE MAKING RAPID PROGRESS TOWARD ADDRESSING EXTREMELY COMPLEX, LONG-TERM PROBLEMS SUCH AS COMMUNITY RELOCATION, BEHAVIORAL HEALTH, AND FOOD SOVEREIGNTY. THE INSPIRATION FOR THIS VISION, AND THE FOUNDATION FOR ACHIEVING IT, IS BASED ON THE STRENGTH AND RESILIENCY OF ALASKA NATIVE CULTURES. THE PROJECT WILL FOCUS ON THREE MAJOR ADAPTATION ACTIONS: 1) ESTABLISHING A COMMUNITY CLIMATE RISK ASSESSMENT PROGRAM; 2) EXPANDING STATEWIDE TRIBAL ADAPTATION TECHNICAL ASSISTANCE; AND 3) NETWORKING AND KNOWLEDGE SHARING. THIS PROJECT IS EXPECTED TO SERVE NEARLY 100 ALASKA NATIVE COMMUNITIES STATEWIDE AND PROVIDE FUNDING FOR 42 NEW FULL-TIME EQUIVALENT POSITIONS WITH ADDITIONAL SUPPORT FOR 21 EXISTING POSITIONS.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM SEEKS FUNDING TO RENOVATE AND EXPAND THE ALASKA NATIVE MEDICAL CENTER (ANMC) TO BETTER MEET THE MEDICAL NEEDS OF OUR ALASKA NATIVE AND AMERICAN INDIAN BENEFICIARIES THROUGHOUT THE STATE. THE PROJECT WILL FOCUS ON RENOVATING APPROXIMATELY 8,290 SQUARE FEET AND ADDING APPROXIMATELY 9,150 SQUARE FEET OF NEW SPACE TO ANMC. THIS ALIGNS WITH HRSA’S INTENTION FOR THE FUNDING TO IMPROVE HEALTH OUTCOMES AND ACHIEVE HEALTH EQUITY THROUGH ACCESS TO QUALITY SERVICES, A SKILLED HEALTH WORKFORCE, AND INNOVATIVE, HIGH-VALUE PROGRAMS AS THIS PROJECT WILL ENABLE THE ANMC EMERGENCY DEPARTMENT TO IMPROVE THE CAPACITY AND FLOW OF PATIENTS THROUGH ASSESSMENT, TRIAGE AND TREATMENT. THIS WILL ULTIMATELY ALLOW PATIENTS TO RECEIVE THE PROPER LEVEL OF CARE EFFICIENTLY, WHICH WILL INCREASE POSITIVE HEALTH OUTCOMES FOR PATIENTS PRESENTING TO THE EMERGENCY DEPARTMENT.

DESCRIPTION:THE PURPOSE OF THIS AWARD IS TO PROVIDE FUNDING UNDER THE INFLATION REDUCTION ACT (IRA) TO ALASKA NATIVE TRIBAL HEALTH CONSORTIUM (ANTHC). THE RECIPIENT WILL IMPLEMENT GREENHOUSE GAS (GHG) REDUCTION PROGRAMS, POLICIES, PROJECTS, AND MEASURES IDENTIFIED IN A PRIORITY CLIMATE ACTION PLAN (PCAP) DEVELOPED UNDER A CLIMATE POLLUTION REDUCTION GRANTS (CPRG) PLANNING GRANT. ACTIVITIES CONDUCTED THROUGH THIS GRANT WILL BENEFIT ALL RESIDENTS AND VISITORS TO CHEVAK, TOKSOOK BAY, TUNUNAK, AND NIGHTMUTE IN ALASKA THROUGH FOUR MAIN OBJECTIVES: IMPLEMENTATION OF AMBITIOUS MEASURES THAT WILL ACHIEVE SIGNIFICANT CUMULATIVE GHG REDUCTIONS BY 2030 AND BEYOND; PURSUIT OF MEASURES THAT WILL ACHIEVE SUBSTANTIAL COMMUNITY BENEFITS, PARTICULARLY IN LOW-INCOME AND DISADVANTAGED COMMUNITIES; COMPLEMENTING OTHER FUNDING SOURCES TO MAXIMIZE THESE GHG REDUCTIONS AND COMMUNITY BENEFITS; AND, PURSUIT OF INNOVATIVE POLICIES AND PROGRAMS THAT ARE REPLICABLE AND CAN BE 'SCALED UP' ACROSS MULTIPLE JURISDICTIONS. ACTIVITIES:THE ACTIVITIES INCLUDE INSTALLING TWO 1MW WIND TURBINES EACH WITH BATTERY STORAGE, PLUS A 300KW WIND-TO-HEAT BOILER ON TOKSOOK BAY GRID. SUBRECIPIENT:NO SUBAWARDS ARE INCLUDED IN THIS ASSISTANCE AGREEMENT.OUTCOMES:THE ANTICIPATED DELIVERABLES INCLUDE THE INSTALLATION OF TWO 1MW WIND TURBINES EACH WITH BATTERY STORAGE, PLUS A 300KW WIND-TO-HEAT BOILER ON TOKSOOK BAY GRID. THE EXPECTED OUTCOMES INCLUDE A DECREASE IN WATER AND SEWER COSTS, DECREASE IN GHG EMISSIONS, INCREASE IN JOB CREATION, INCREASED POWER RELIABILITY, AND A DECREASE IN UNSUBSIDIZED ELECTRICITY COST. THE INTENDED BENEFICIARIES INCLUDE ALL RESIDENTS AND VISITORS TO CHEVAK, TOKSOOK BAY, TUNUNAK, AND NIGHTMUTE IN ALASKA.

DESCRIPTION:THIS AGREEMENT PROVIDES FUNDING UNDER THE INFLATION REDUCTION ACT (IRA) TO THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM. SPECIFICALLY, THE PROJECT PROPOSES TO BUILD COMMUNITY-SCALE PHOTOVOLTAIC SOLAR ARRAYS AND BATTERY STORAGE SYSTEMS, AND PROVIDE WORKFORCE TRAINING IN THE COMMUNITIES OF BREVIG MISSION, ELIM, KOYUK, SAVOONGA, AND TELLER. THE PROJECT WILL REDUCE GREENHOUSE GAS EMISSIONS, ENHANCE GRID RELIABILITY, AND EMPOWER COMMUNITIES AS LOCALLY OWNED INDEPENDENT POWER PRODUCERS (IPPS). ACTIVITIES:THE ACTIVITIES INCLUDE THE CONSTRUCTION AND INSTALLATION OF COMMUNITY-SCALE PHOTOVOLTAIC SOLAR ARRAYS AND BATTERY STORAGE SYSTEMS IN FIVE COMMUNITIES, AND WORKFORCE DEVELOPMENT PROGRAMS FOR CONSTRUCTION, OPERATION, AND MAINTENANCE OF SOLAR AND BATTERY STORAGE SYSTEMS. SUBRECIPIENT:THE SUBAWARD RECIPIENT, KAWERAK, WILL PROVIDE A WORKFORCE DEVELOPMENT PROGRAM WITH MULTI-SECTORAL PARTNERSHIPS TO BRING TOGETHER OUTSIDE EXPERTISE TO ENABLE RURAL COMMUNITY MEMBERS TO ACCESS HIGH-QUALITY CAREERS FOCUSED ON DEVELOPING RENEWABLES IN THE AREA. THE PROGRAM WILL INCLUDE TECHNICAL SKILL AND ON-THE-JOB TRAINING AND PROVIDE THE TRAINING IN NOME SO THAT IT IS ACCESSIBLE TO ALL COMMUNITIES.OUTCOMES:THE ANTICIPATED DELIVERABLES INCLUDE FIVE OPERATIONAL COMMUNITY-SCALE SOLAR ARRAYS; FIVE BATTERY ENERGY STORAGE SYSTEMS; AND THE ESTABLISHMENT AND EXECUTION OF A WORKFORCE TRAINING PROGRAM FOR SOLAR PANEL INSTALLATION, OPERATION, AND MAINTENANCE. THE EXPECTED OUTCOMES INCLUDE INCREASED POWER RELIABILITY FOR RESIDENTS; LOWER AIR POLLUTION; DECREASED GREENHOUSE GAS EMISSIONS; LOWER ELECTRICITY COSTS; DECREASES IN LOCAL WATER AND SEWER COSTS; AN INCREASE IN LOCAL JOBS AND WORKFORCE CAPABILITY. THE INTENDED BENEFICIARIES ARE DISADVANTAGED COMMUNITIES.

DESCRIPTION:THIS AGREEMENT PROVIDES FUNDING UNDER THE INFLATION REDUCTION ACT (IRA) TO ALASKA NATIVE TRIBAL HEALTH CONSORTIUM (ANTHC). SPECIFICALLY, THE PROJECT WILL BUILD TWO WIND TURBINES IN KOTZEBUE, ALASKA. ACTIVITIES:THE ACTIVITIES INCLUDE BUILDING TWO NEW 1 MW WIND TURBINES AND ENGAGING WITH THE LOCAL COMMUNITY THROUGHOUT THE PROCESS. ANTHC WILL MANAGE THE CONSTRUCTION OF THE PROJECT, BUT THE INFRASTRUCTURE WILL BE OWNED BY THE NATIVE VILLAGE OF KOTZEBUE. THE TRIBE WILL MANAGE STAKEHOLDER ENGAGEMENT AND MANAGE AND MAINTAIN THE SYSTEM AS AN INDEPENDENT POWER PRODUCER ONCE IT IS BUILT. SUBRECIPIENT:NATIVE VILLAGE OF KOTZEBUE WILL FORM A PROJECT ADVISORY BOARD AND FACILITATE REGULAR COMMITTEE MEETINGS; CONDUCT AT LEAST ONE PUBLIC MEETING ANNUALLY DURING THE DURATION OF THE PROJECT; PRESENT DURING AT LEAST ONE TRIBAL COUNCIL MEETING ANNUALLY THROUGHOUT THE PROJECT PERIOD; AND FURTHER COORDINATE BETWEEN ANTHC, NATIVE VILLAGE OF KOTZEBUE, AND KOTZEBUE ELECTRIC ASSOCIATION. OUTCOMES:THE ANTICIPATED DELIVERABLES INCLUDE TWO 1 MW DIRECT DRIVE WIND TURBINES WITH 61-METER BLADES ADDED TO THE KOTZEBUE MICROGRID. THE PROJECT WILL INSTALL ALL EQUIPMENT NECESSARY TO CONNECT TO THE EXISTING POWER SYSTEM, INCLUDING BURIED CABLE, A 1250 KVA TRANSFORMER, AND TWO ELECTRICAL SECTIONALIZERS. THE EXPECTED OUTCOMES INCLUDE REDUCING GREENHOUSE GAS EMISSIONS, ENHANCING GRID RELIABILITY, DECREASING UTILITY COSTS, CREATING NEW JOBS, AND EMPOWERING NATIVE VILLAGE OF KOTZEBUE AS A LOCALLY OWNED INDEPENDENT POWER PRODUCER. THE INTENDED BENEFICIARIES ARE DISADVANTAGED COMMUNITIES.

MERTARVIK TOWN SITE DEVELOPMENT AND SANITATION FACILITY DESIGN

EPIDEMIOLOGY GRANT

OPIOID OVERDOSE PREVENTION IN TRIBAL COMMUNITIES

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ANTHC PRIMARY CARE CLINICS (FY2010) HEALTH FACILITIES PLANNING DESIGN AND CONSTRUCTION

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ALASKA NATIVE GOOD HEALTH AND WELLNESS

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CORONAVIRUS TELEHEALTH RESOURCE CENTERS

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RYAN WHITE PART C OUTPATIENT EIS PROGRAM

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ALASKA NATIVE CENTER FOR HEALTH RESEARCH (ANCHR) - PROJECT SUMMARY/ABSTRACT – OVERALL THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM (ANTHC) VISION IS THAT “ALASKA NATIVE PEOPLE ARE THE HEALTHIEST PEOPLE IN THE WORLD”. TO ACHIEVE THIS VISION AND TO ADDRESS THE MANY HEALTH DISPARITIES FACED BY OUR ALASKA NATIVE (AN) PEOPLE, ANTHC RECOGNIZES THE NEED FOR RESEARCH. CURRENT HEALTH RESEARCH ACTIVITIES AT ANTHC BUILD ON A 65-YEAR HISTORY OF RESEARCH WITH AN PEOPLE AND ENCOMPASS A WIDE SPECTRUM OF HEALTH ISSUES. RESEARCH HAS MADE A DRAMATIC CONTRIBUTION ON THE LIVES OF THE AN PEOPLE AND ANTHC RECOGNIZES THE IMPORTANCE OF MAINTAINING A ROBUST RESEARCH DEPARTMENT WITH STAFF WHO ARE DEDICATED TO RESEARCH WITH AN PEOPLE AND WHO UNDERSTAND THE IMPORTANCE OF TRIBALLY DRIVEN RESEARCH. THE OVERALL GOALS OF THE PROPOSED ALASKA NATIVE CENTER FOR HEALTH RESEARCH (ANCHR) ARE TO DEVELOP A CADRE OF INVESTIGATORS IN ALASKA ENGAGED IN RESEARCH TO ADDRESS HEALTH DISPARITIES IN THE ALASKA NATIVE POPULATION; EXPAND THE CAPACITY FOR HEALTH DISPARITIES RESEARCH IN ALASKA; AND ENCOURAGE THE RECRUITMENT OF AN INVESTIGATORS INTO HEALTH DISPARITIES RESEARCH CAREERS AT ANTHC AND OTHER ORGANIZATIONS IN ALASKA. THESE GOALS FULLY ALIGN WITH THE ANTHC VISION AND MISSION THROUGH PARTNERSHIPS WITH COMMUNITIES, TRIBAL HEALTH ORGANIZATIONS (THO), ACADEMIC INSTITUTIONS, AND OTHERS TO OPTIMIZE HEALTH THROUGH ADDRESSING AN HEALTH DISPARITIES. HIRING OF NEW STAFF, PARTICULARLY ALASKA NATIVE OR AMERICAN INDIAN (AN/AI) INDIVIDUALS WILL EXPAND OUR CAPACITY TO ACHIEVE OUR GOAL. WE WILL ACCOMPLISH THESE GOALS THROUGH THE FOLLOWING SPECIFIC AIMS: AIM 1: DEVELOP A CADRE OF ANCHR INVESTIGATORS BASED AT ANTHC AND OTHER THOS AND ACADEMIC INSTITUTIONS IN ALASKA ENGAGED IN RESEARCH TO ADDRESS IDENTIFIED AN HEALTH DISPARITIES, THROUGH ENSURING ROBUST AND SUSTAINED MENTORSHIP OF RESEARCH PROJECT LEADS (RPLS), RECRUITMENT OF AN INDIVIDUALS AS PROJECT LEADS AND SUPPORT TO RPLS IN GENERATING PRELIMINARY DATA AND IN WRITING RESEARCH PROPOSALS TO SECURE INDEPENDENT FUNDING. AIM 2: STRENGTHEN CAPACITY TO SUPPORT THE RPLS AND OTHER INVESTIGATORS THROUGH THE RESEARCH CORE IN RESEARCH DESIGN, EPIDEMIOLOGY, BIOSTATISTICS, DATA MANAGEMENT, QUALITATIVE RESEARCH METHODS, RESEARCH STAFF AND COMMUNITY ENGAGEMENT AND ENSURING THERE IS TRIBAL ENGAGEMENT, CONSULTATION, AND OVERSIGHT THROUGHOUT THE DURATION OF ALL PROJECTS. AIM 3: ESTABLISH AND FUND TRAINING/EDUCATIONAL OPPORTUNITIES TO EXPAND THE SKILLS OF RPLS AND OTHER INVESTIGATORS AND ACTIVELY RECRUIT AN PEOPLE INTO HEALTH RESEARCH CAREERS, INCLUDING PARTICIPATION IN THE NARCH FUNDED ALASKA INDIGENOUS RESEARCH PROGRAM AND NIH GRANT WRITING TRAINING AND GRANT MOCK REVIEWS. COBRE FUNDING FOR RESEARCH PROJECTS AND THE OPPORTUNITY TO HIRE AND TRAIN NEW INVESTIGATORS, WILL EMPOWER THE ANCHR TO EXPAND OUR CAPACITY TO CONDUCT RESEARCH TO ADDRESS HEALTH DISPARITIES IN THE AN POPULATION.

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WORKING TOGETHER TO ADDRESS THINGS THAT MATTER: STRATEGIES TO IMPROVE PREVENTION AND CONTROL OF

BUILDING PUBLIC HEALTH INFRASTRUCTURE FOR ALASKA NATIVE PEOPLE COMPONENT A

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ALASKA TRIBAL HEALTH SYSTEM (ATHS) CRC SCREENING PROGRAM

CONNECTING TWO WORLDS OF PATIENT AND COMMUNITY DATA IN THE ALASKA TRIBAL HEALTH SYSTEM

SPECIAL DIABETES PROGRAMS FOR INDIANS

06/07/08 5309B INTERMODAL PARKING F

ENDING THE HIV/HCV/SYPHILIS EPIDEMICS IN INDIAN COUNTRY II (ETHIC II) - TO ADDRESS THE RATES OF HIV, HCV AND SYPHILIS THAT DISPROPORTIONATELY AFFECT ALASKA NATIVE AND AMERICAN INDIAN (AN/AI) COMMUNITIES, ANTHC IS PROPOSING TO WORK ON PROJECTS THAT ADDRESS FOCUS AREA ONE AND FOCUS AREA TWO. THE PROGRAMS COLLABORATING ON THIS PROPOSAL INCLUDE THE ANTHC HIV/EARLY INTERVENTION SERVICES PROGRAM (HIV/EIS), THE LIVER DISEASE AND HEPATITIS PROGRAM (LDHP), AND THE HIV/STD PREVENTION PROGRAM. THESE THREE PROGRAMS HAVE WORKED IN COLLABORATION FOR MANY YEARS TO SUPPORT HIV, HCV, AND STI (SYNDEMICS) PREVENTION, CLINICAL CARE AND TREATMENT IMPROVEMENTS AND INITIATIVES ACROSS THE ALASKA TRIBAL HEALTH SYSTEM (ATHS) TO SUPPORT TRIBAL HEALTH ORGANIZATIONS (THOS), COMMUNITY PARTNERS, AND INDIVIDUALS FOR OVERALL HEALTH AND WELLNESS ACROSS THE STATE. THE HIV/STD PREVENTION PROGRAM IS PROPOSING TO ADDRESS FOCUS AREA ONE THROUGH TWO GOALS THAT CENTER TRIBAL HEALTH AND PROMOTE COLLABORATION AND CONNECTION FOR SYNDEMICS PREVENTION AND CARE STATEWIDE. THESE GOALS INCLUDE: 1) STRENGTHEN PARTNERSHIPS WITHIN AND ACROSS THOS TO IMPROVE SYSTEMS OF CARE FOR AN/AI PEOPLE AND 2) INCREASE KNOWLEDGE AND AWARENESS OF THE RELATIONSHIP BETWEEN SEXUAL HEALTH AND OVERALL HEALTH AND WELL-BEING. THIS PROGRAM WILL ESTABLISH A STATEWIDE SYNDEMICS PREVENTION AND CARE NETWORK WITHIN THE ATHS. IN TANDEM WITH THE ESTABLISHMENT OF THE STATEWIDE TRIBAL NETWORK, THE PROGRAM ALSO PROPOSES TO CONTINUE HOSTING THE LOCAL ‘TRIBAL CAMPUS HIV/STI COLLABORATIVE GATHERING’, A NETWORK ESTABLISHED IN 2024 FOR HIV/STI PROFESSIONALS TO GATHER AND COLLABORATE ON PREVENTION, TREATMENT AND CARE NEEDS LOCAL TO THE ANTHC/ANMC/SCF SHARED CAMPUS IN ANCHORAGE. ALSO, A MASTER OF PUBLIC HEALTH STUDENT INTERN WILL BE ONBOARDED TO WORK TOWARDS ENHANCING SYNDEMICS PREVENTION AMONG COLLEGE-AGED YOUTH, BY PROVIDING TRAINING TO YOUNG-ADULT SERVING STAFF THAT HIGHLIGHTS THE RELATIONSHIP BETWEEN SEXUAL HEALTH AND OVERALL HEALTH AND WELLBEING. ALL PROGRAMMING WILL BE SUPPLEMENTED WITH SYNDEMICS PREVENTION RESOURCES, SUCH AS THE IKNOWMINE.ORG WEBSITE, A CRITICAL RESOURCE FOR RURAL, TRIBAL PARTNERS IN ALASKA TO ACHIEVE SYNDEMICS PREVENTION AND CARE OUTREACH AT THE LOCAL LEVEL. HIV/EIS AND LDHP WILL LEAD PROJECTS UNDER FOCUS AREA TWO. OBJECTIVES INCLUDE: 1) STRENGTHEN PARTNERSHIPS BETWEEN THE HIV/EIS AND LDHP PROGRAMS, INITIALLY WITH THE ANMC WALK-IN/URGENT CARE CLINIC, AND THEN BROADLY ACROSS THE ATHS, 2) REVIEW AND REFINE STI TREATMENT POLICIES FOR NON-AN/AI PARTNERS, 3) ENHANCE FOLLOW-UP FOR INDIVIDUALS WHO INITIATE PEP TO INCREASE THE RATE OF POST PEP LAB COMPLETION AND LINKAGE TO CARE FOR ADDITIONAL PREVENTION SERVICES AS INDICATED, 4) INCREASE HIV VIRAL SUPPRESSION RATE TO 93% BY INCREASING PROVIDER APPOINTMENT AVAILABILITY WITH WALK-IN ACCESS OPTIONS, ENHANCED PARTNERSHIPS WITH SERVICE AGENCIES AND DOC FOR IMPROVED LINKAGE TO CARE PRIOR TO RELEASE, AND ENHANCED TREATMENT ADHERENCE OPTIONS, 5) PRIORITIZE TIMELY STI TREATMENT, WITH EXPANDED IWANTTHEKIT TESTING OPTIONS THIS INITIATIVE AIMS TO ENSURE INDIVIDUALS WHO TEST POSITIVE THROUGH THE PROGRAM RECEIVE NOTIFICATION AND LINKAGE OPTIONS FOR TREATMENT WITHIN 72 HOURS, 6) PROVIDE TRAINING MODULES ON BEST PRACTICES FOR HCV, HIV, AND STI MANAGEMENT, 7) INCREASE PARTICIPATION OF INFECTIOUS DISEASE AND LIVERCONNECT ECHO MEMBERS IN PRESENTING CASES DURING ECHO SESSIONS BY 20% BY 2027, AND 8) TARGET OUTREACH EFFORTS TO FOCUS ON RE-ENGAGING INDIVIDUALS LOST TO HCV FOLLOW-UP IN ANCHORAGE AND RURAL AREAS, AIMING FOR A 10% ANNUAL INCREASE IN RE-ENGAGED PATIENTS AND IMPROVED CONTINUITY OF CARE ANNUALLY. OVERALL, THESE INITIATIVES REPRESENT A TRANSFORMATIVE APPROACH TO HEALTHCARE IN ALASKA, WITH A FOCUS ON OPTIMIZING PATIENT CARE, STREAMLINING PROCESSES, AND ENHANCING PROVIDER KNOWLEDGE TO IMPROVE HEALTH OUTCOMES FOR VULNERABLE AN/AI POPULATIONS ACROSS THE STATE. OUR TEAMS ARE KNOWN AS EXPERTS IN OUR RESPECTIVE FIELDS OF HIV, HCV AND STD PREVENTION, SCREENING, MANAGEMENT, AND TREATMENT IN ALASKA ACROSS THE ATHS.

ANTHC PRIMARY CARE & BEHAVIORAL HEALTH FY 2009

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SANITATION ENERGY EFFICIENCY

RURAL ALASKAN VILLAGE WWD GRANTS-COMBINATION WATER WASTE PROJECT

ANTHC TRP

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THIS AGREEMENT PROVIDES ASSISTANCE TO THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM TO BUILD ITS CAPACITY TO ADMINISTER ENVIRONMENTAL PROGRAMS TO SERVE ALASKA TRIBES STATEWIDE, AND IMPROVE HEALTH AND ENVIRONMENT IN RURAL COMMUNITIES. SPECIFICALLY, THE RECIPIENT WILL LEARN THROUGH TRAINING, CONDUCT EDUCATION AND OUTREACH ACTIVITIES, PROVIDE IDEAS FOR INNOVATIVE PROJECT SOLUTIONS, CONDUCT LOCAL ENVIRONMENTAL OBSERVER NETWORK (LEO) ACTIVITIES, AND EXPAND THE ANTHC ALASKA HEALTHY COMMUNITIES (AKHC) PLATFORM DESIGNED TO ASSIST TRIBES IN SHARING STORIES, DEVELOP AND TRACK PROJECTS BASED ON THEIR LOCAL PRIORITIES, EASILY ACCESS COMMUNITY SPECIFIC DATA, AND STORE IMPORTANT WORK PRODUCTS. PLEASE NOTE ADMINISTRATIVE TERM & CONDITION H: EXPIRING INDIRECT COST RATE AGREEMENT. INDIRECT COSTS MAY NOT BE DRAWN DOWN WITHOUT A CURRENT, APPROVED RATE ON-FILE WITH EPA.

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

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ANTHC TECPHI ? COMPONENT A - ANTHC TECPHI - COMPONENT A

ANTHC NARCH XII - PROJECT SUMMARY/ABSTRACT: THE OVERALL GOAL OF THE ANTHC NARCH XII PROGRAM IS TO BUILD ON PREVIOUS WORK BY ANTHC NARCH AND OTHER PROGRAMS, EXISTING STRENGTHS AND PARTNERSHIPS, AND IDENTIFIED NEEDS TO CONTINUE TO INCREASE THE CAPACITY OF ALASKA NATIVE PEOPLE AND TRIBAL HEALTH ORGANIZATIONS TO CONDUCT TRIBALLY-DRIVEN RESEARCH IN PURSUIT OF ANTHC’S VISION THAT ALASKA NATIVE PEOPLE ARE THE HEALTHIEST PEOPLE IN THE WORLD. THE SPECIFIC AIMS FOR THE OVERALL NARCH ARE TO: 1) INCREASE THE CAPACITY OF ALASKA NATIVE PEOPLE AND TRIBAL HEALTH ORGANIZATIONS TO DESIGN AND CONDUCT HEALTH RESEARCH WHILE INCLUDING INDIGENOUS WAYS OF KNOWING; 2) CONDUCT TRIBALLY-DRIVEN HEALTH RESEARCH FOCUSED ON IMPROVING THE HEALTH OF ALASKA NATIVE PEOPLE AND REDUCING HEALTH DISPARITIES; AND 3) EXPAND ON EXISTING ANTHC PARTNERSHIPS. THE ANTHC NARCH XII PROGRAM CONSISTS OF MULTIPLE COMPONENTS. THESE INCLUDE AN ADMINISTRATIVE CORE (DESIGNED TO ENSURE THE SUCCESS OF THE OVERALL NARCH AND MEET THE NEEDS OF ANTHC), A CAPACITY BUILDING PROJECT (THE ALASKA INDIGENOUS RESEARCH PROGRAM), AND ONE RESEARCH PROJECT. THE RESEARCH PROJECT FOCUSES ON AN AREA WHERE HEALTH DISPARITIES EXIST FOR ALASKA NATIVE POPULATIONS AND RELATES TO ENVIRONMENTAL FACTORS INFLUENCING HEALTH. SPECIFICALLY, THIS INCLUDES A FOCUS ON EVALUATING WHETHER NOVEL, TARGETED WATER, SANITATION, AND HYGIENE INTERVENTIONS REDUCE WATER-WASH DISEASE DISPARITIES AND IMPROVE HEALTH. THE OVERALL ANTHC NARCH XII PROGRAM WILL CONTINUE TO INCREASE RESEARCH CAPACITY IN ALASKA AND ADDRESS HEALTH DISPARITIES, ULTIMATELY LEADING TO IMPROVED HEALTH OF THE ALASKA NATIVE POPULATION.

GOOD HEALTH AND WELLNESS IN INDIAN COUNTRY - COMPONENT 2 - BACKGROUND: AMERICAN INDIANS AND ALASKA NATIVE (AI/AN) PEOPLE SUFFER FROM A HIGH CHRONIC DISEASE BURDEN AND MULTIPLE CHRONIC DISEASE DISPARITIES. HEART DISEASE, DIABETES, AND STROKE ARE AMONG THE TOP 10 LEADING CAUSES OF DEATH AMONG AI/AN PEOPLE. AI/AN PEOPLE HAVE SIGNIFICANTLY HIGHER HEART DISEASE AND STROKE MORTALITY RATES THAN U.S. WHITES AND THE PREVALENCE OF DIABETES AMONG AI/AN PEOPLE HAS INCREASED 158% SINCE 1990. THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM (ANTHC) IS A STATEWIDE, TRIBALLY-DESIGNATED HEALTH SERVICES ORGANIZATION THAT SERVES THE NEARLY 170,000 AI/AN PEOPLE AND ALL 229 FEDERALLY-RECOGNIZED TRIBES IN THE INDIAN HEALTH SERVICE (IHS) ALASKA AREA. PURPOSE: THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM (ANTHC) ALASKA NATIVE EPIDEMIOLOGY CENTER (ANEC) IS APPLYING FOR THE CDC-RFA-DP19-1903, GOOD HEALTH AND WELLNESS IN INDIAN COUNTRY (GHWIC) COMPONENT 3 FUNDING OPPORTUNITY TO SERVE AS THE TRIBAL COORDINATING CENTER (TCC) TO ACHIEVE THE PURPOSE OF REDUCING RATES OF MORTALITY AND MORBIDITY FROM COMMERCIAL TOBACCO USE, DIABETES, HEART DISEASE AND STROKE; REDUCE THE PREVALENCE OF OBESITY; AND PREVENTION OF OTHER CHRONIC DISEASE RISK FACTORS AND CONDITIONS (E.G., ORAL HEALTH, DEMENTIA, COPD) IN AMERICAN INDIANS AND ALASKA NATIVE (AI/AN) POPULATIONS. ANEC WILL ESTABLISH THE TCC TO 1) PROMOTE ACHIEVEMENTS, VALUE, AND IMPACT OF THE NATIONAL GHWIC PROGRAM THROUGH THE USE OF A COMMUNICATION PLAN; 2) COLLABORATE WITH THE CENTERS FOR DISEASE CONTROL AND PREVENTION?S (CDC) EVALUATORS IN THE DEVELOPMENT AND IMPLEMENTATION OF A GHWIC NATIONAL EVALUATION PLAN (NEP); AND 3) FACILITATE THE EFFICIENT PEER-TO-PEER EXCHANGE OF CHRONIC DISEASE PREVENTION KNOWLEDGE?SUCH AS BEST- OR PROMISING-PRACTICES, LESSONS LEARNED, AND SUCCESS STORIES?INCLUDING NURTURING AND STEWARDING A VIRTUAL GHWIC COMMUNITY OF PRACTICE. IN THIS ROLE, ANEC PROPOSES TO PROVIDE EVALUATION TECHNICAL ASSISTANCE AND TECHNOLOGICAL SUPPORT TO ALL COMPONENT 1 AND COMPONENT 2 RECIPIENTS (C1C2RS). OUTCOMES: BY THE END OF THE 5-YEAR PROJECT PERIOD, ANEC WILL ACHIEVE THE SHORT-TERM OUTCOMES ASSOCIATED WITH THE COMPONENT 3 STRATEGY OF ESTABLISHING A TCC FOR CONDUCTING NATIONAL GHWIC PROGRAM COLLABORATIVE ACTIVITIES ACROSS ALL THREE C3 STRATEGIES. SHORT-TERM OUTCOMES INCLUDE: 1) INCREASED NUMBER OF PROMISING PRACTICES AND SUCCESS STORIES IDENTIFIED DEMONSTRATING A MEASURABLE IMPACT OF THE PROGRAM; 2) INCREASED NUMBER OF C1C2RS USING THEIR DATA AND EVALUATION FINDINGS TO MONITOR PROGRESS IN ACHIEVING THE NOFO OUTCOMES AND TO INFORM PROGRAM IMPROVEMENTS; AND 3) INCREASED PARTICIPATION AMONG C1C2RS IN A COLLABORATIVE COMMUNITY OF PRACTICE. BY THE END OF THE PROJECT PERIOD THE INTERMEDIATE-TERM OUTCOMES ACHIEVED WILL INCLUDE: 1) INCREASED NUMBER OF GHWIC PROMISING PRACTICES AND SUCCESS STORIES DISSEMINATED AMONG AI/AN COMMUNITIES; 2) INCREASED NUMBER OF C1C2RS SUBMITTING DATA TO CDC TO EVALUATE THE NATIONAL PROGRAM IN AGGREGATE; AND 3) INCREASED NUMBER OF PROMISING PRACTICES, LESSONS LEARNED, AND SUCCESS STORIES IDENTIFIED, SHARED, AND IMPLEMENTED OVER TIME. THROUGH THIS FUNDING, ANEC WILL ALSO MAKE PROGRESS TOWARD THE LONG-TERM OUTCOMES, BEYOND THE SCOPE OF THIS PROJECT PERIOD, WHICH ARE INCREASED ADOPTION AND IMPLEMENTATION OF GHWIC PROMISING PRACTICES WITHIN AI/AN COMMUNITIES AND INCREASED IMPLEMENTATION OF QUALITY IMPROVEMENT ACTIVITIES.

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PUBLIC HEALTH AND HEALTH SYSTEMS PARTNERSHIPS TO INCREASE COLORECTAL CANCER SCREENING AMONG ALASKA NATIVE PEOPLE

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ANTHC NARCH X

WWD ALASKAN VILLAGES GRANTS - WASTE DISPOSAL

WWD ALASKAN VILLAGES GRANTS - COMBINATION WATER & WASTE DISPOSAL

WWD ALASKAN VILLAGES GRANTS - COMBINATION WATER & WASTE DISPOSAL

WWD ALASKAN VILLAGES GRANTS - DOMESTIC WATER

PROJECT WANGKUTA ("PROJECT US")

A CULTURAL APPROACH GHWIC COMPONENT 2 - BACKGROUND: ALASKA NATIVE AND AMERICAN INDIAN (AN/AI) PEOPLE SUFFER FROM A HIGH CHRONIC DISEASE BURDEN AND MULTIPLE CHRONIC DISEASE DISPARITIES. FOUR OF THE TOP SEVEN CAUSES OF DEATH FOR AN PEOPLE ARE THE CHRONIC DISEASES OF CANCER, HEART DISEASE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), AND CEREBROVASCULAR DISEASE. AN ADULTS EXPERIENCE SIGNIFICANTLY HIGHER RATES OF ORAL DISEASE, TOBACCO USE, OBESITY, AND SOCIAL ISOLATION, ALL OF WHICH ARE MAJOR CONTRIBUTORS TO THESE CHRONIC DISEASES. THESE RISK FACTORS ARE CLOSELY ASSOCIATED WITH THE DISRUPTION TO AN HEALTH AND CULTURE THAT CAME WITH COLONIZATION AND ASSIMILATION. THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM (ANTHC) IS A STATEWIDE, TRIBALLY OWNED AND OPERATED, NON-PROFIT HEALTH ORGANIZATION THAT SERVES THE NEARLY 170,000 AN/AI PEOPLE AND ALL 229 FEDERALLY RECOGNIZED TRIBES IN THE ALASKA INDIAN HEALTH SERVICE (IHS) AREA. PURPOSE: THE ANTHC’S WELLNESS AND PREVENTION (WP) IS APPLYING FOR COMPONENT 2 OF A CULTURAL APPROACH TO GOOD HEALTH AND WELLNESS IN INDIAN COUNTRY (GHWIC), CDC-RFA-DP-24-0025. THE PURPOSE OF THIS PROJECT IS TO REDUCE RATES OF DEATH AND DISABILITY FROM CHRONIC DISEASES AND TO REDUCE THE PREVALENCE OF COMMERCIAL TOBACCO USE, PREDIABETES AND DIABETES, HIGH BLOOD PRESSURE, OBESITY, ORAL DISEASE AND OTHER CHRONIC DISEASE RISK FACTORS AND CONDITIONS AMONG AN/AI PEOPLE IN THE ALASKA IHS AREA. THROUGH PARTNERSHIPS WITH TRIBES, VILLAGES AND ELIGIBLE TRIBAL ORGANIZATIONS (TVEOS), WP WILL IMPLEMENT EVIDENCE-INFORMED, CULTURALLY ATTUNED POLICY, SYSTEMS, AND ENVIRONMENTAL CHANGE STRATEGIES AND ACTIVITIES TO: 1) INCREASE AND STRENGTHEN COMMUNITY LINKAGES WITH CLINICAL SYSTEMS, 2) SUPPORT THE DEVELOPMENT OF TEAM-BASED CARE, AND 3) IMPLEMENT HOLISTIC, CULTURALLY RESPONSIVE AND COMMUNITY-DRIVEN STRATEGIES AND ACTIVITIES. THIS WORK WILL REINFORCE AND BUILD ON PREVIOUS AND CURRENT SUCCESSFUL GHWIC WORK. WP WILL ACHIEVE THE FOLLOWING SHORT-TERM OUTCOMES OF THE COMPONENT 2 STRATEGIES: 1) INCREASED REACH OF TECHNICAL ASSISTANCE (TA), TRAINING, AND RESOURCES TO ALL TVEOS AND OTHER TRIBAL ENTITIES WITHIN OUR AWARD AREA ACROSS ALL C1 STRATEGIES AND ACTIVITIES, AND INCREASED REACH OF EVIDENCE-BASED PSE CHANGES THAT PROMOTE HEALTH AND WELLNESS AND ENCOURAGE HEALTHIER BEHAVIORS, 2)INCREASED PARTNERSHIPS WITH TVEOS AND OTHER TRIBAL ENTITIES WITHIN OUR AWARD AREA TO SUPPORT ACTIVITIES ACROSS ALL C1 STRATEGIES, 3) INCREASED REACH OF TAILORED MESSAGES TO ENCOURAGE HEALTHIER BEHAVIORS, AND 4) INCREASED SUPPORT FOR PSE CHANGES THAT PROMOTE WELLNESS AND PREVENT CHRONIC DISEASES AND THEIR RISK FACTORS. WP WILL ALSO ACHIEVE THE INTERMEDIATE OUTCOMES OF 1) INCREASED REACH OF GHWIC C1 STRATEGIES AND ACTIVITIES AND PSE CHANGES THAT PROMOTE WELLNESS AND PREVENT CHRONIC DISEASES AND THEIR RISK FACTORS WITHIN OUR AWARD AREA (PSE CHANGES FOR STRENGTHENING CULTURE AND REDUCING TOBACCO USE, PREDIABETES AND DIABETES, HIGH BLOOD PRESSURE, OBESITY, AND ORAL DISEASE), 2) INCREASED CAPACITY AMONG ALL TVEOS AND OTHER TRIBAL ENTITIES WITHIN OUR AWARD AREA TO IMPLEMENT GHWIC C1 STRATEGIES AND ACTIVITIES., AND 3) INCREASED ADOPTION OF PSE CHANGES TO PROMOTE HEALTH AND PREVENT CHRONIC DISEASES AND THEIR RISK FACTORS. WP WILL ALSO MAKE PROGRESS TOWARD LONG-TERM OUTCOMES BEYOND THE TIMELINE OF THIS PROJECT PERIOD, INCLUDING REDUCED MORBIDITY/ MORTALITY DUE TO CHRONIC DISEASES AND THEIR RISK FACTORS; INCREASED RESILIENCE AND USE OF CULTURAL PRACTICES TO PREVENT, MANAGE, AND CONTROL CHRONIC DISEASES; INCREASED SENSE OF MENTAL, EMOTIONAL, AND PHYSICAL WELLBEING AMONG COMMUNITY MEMBERS;  INCREASED EFFECTIVE CHRONIC DISEASE SELF-MANAGEMENT; AND INCREASED IMPLEMENTATION OF PSE CHANGES THAT PROMOTE HEALTH AND WELLNESS AND PREVENT CHRONIC DISEASES.  THESE IMPROVEMENTS WILL, IN TURN, HELP ANTHC ACHIEVE ITS VISION THAT “ALASKA NATIVE PEOPLE ARE THE HEALTHIEST PEOPLE IN THE WORLD.”

ANTHC GRANT CENTER FOR ENVIRONMENTALLY THREATENED COMMUNITIES

BUILDING TRIBAL PUBLIC HEALTH INFRASTRUCTURE COMPONENT B

IMPROVING POPULATION HEALTH AMONG ALASKA NATIVE PEOPLE: AN INTERVENTION TO REDUCE DISPARITIES IN CHRONIC DISEASE RISK FACTORS

BUDGET: $2.7 MILLION PURPOSE: SAFEGUARD THE HEALTH, SAFETY, CULTURES, AND LIFEWAYS OF ALASKA NATIVE COMMUNITIES ON THE FRONTLINES OF CLIMATE CHANGE. ACTIVITIES: THIS PROJECT WILL FUND PERSONNEL TIME FOR SIX STAFF MEMBERS OF THE CONSORTIUMS CLIMATE INITIATIVES PROGRAM, SIX INTERNS, AND SUSTAIN THE ALASKA TRIBAL CLIMATE CHANGE ADVISORY GROUP. MANAGERIAL AND OPERATIONAL STAFF FUNDED BY THIS PROJECT WILL MANAGE ANTHC PROGRAMS, PROJECTS, AND PERSONNEL UNDER THE CLIMATE INITIATIVES PROGRAM. ADDITIONALLY, THE PROJECT WILL FUND STAFF TIME DEVOTED TO PROVIDING DIRECT TECHNICAL ASSISTANCE SUPPORT FOR ALASKA NATIVE COMMUNITIES TO DEVELOP AND IMPLEMENT CLIMATE ADAPTATION SOLUTIONS. THE ALASKA TRIBAL CLIMATE CHANGE ADVISORY GROUP ENSURES THAT ALL TRIBAL CLIMATE CHANGE EFFORTS ARE LED BY AND PRIORITIZED ACCORDING TO THE NEEDS OF ALASKA NATIVE PEOPLE. OUTCOMES: REDUCED RISK TO COMMUNITY LIFE, HEALTH, AND CULTURE; EQUITY AND INCLUSION; CLIMATE ADAPTATION WORKFORCE DEVELOPMENT; TRIBAL CLIMATE ADVOCACY CAPACITY; AND IMPROVED PARTNERSHIP WITH NOAA. BENEFICIARIES: THIS PROJECT EXCLUSIVELY BENEFITS REMOTE ALASKA NATIVE COMMUNITIES HIT FIRST AND WORST BY CLIMATE CHANGE. SUBRECIPIENT ACTIVITIES: NONE.

DESCRIPTION:ALASKA NATIVE TRIBAL HEALTH CONSORTIUM (ANTHC) WILL BUILD ENVIRONMENTAL PROGRAM CAPACITY FOR THEIR STAFF SO THAT THEY CAN PROVIDE STELLAR SERVICE TO ALASKA TRIBES STATEWIDE IN THE AREAS OF ADMINISTRATIVE AND TECHNICAL CAPACITY IN FY25 AND FY26. CONSORTIUM EFFORTS ARE GROUPED IN 5 DIFFERENT FOCUS AREAS FOR THE PURPOSES OF THIS DESCRIPTION: (1). HIRING, TRAINING, AND OVERSIGHT FOR EXISTING AND NEW ANTHC STAFF WHO WILL BE TASKED WITH A DIVERSE SET OF GAP OUTPUTS RELATED TO WORKING CLOSELY WITH ALASKA TRIBES STATEWIDE ON ENVIRONMENTAL PLANNING ACTIVITIES; (2). A SPECIFIC FOCUS ON GAP RESILIENCY AND OUTREACH WITH ALASKA TRIBES WILL TAILOR PROGRAM DEVELOPMENT AND ASSISTANCE THRU SURVEY, ASSESSMENT, AND DEVELOPMENT OF STRATEGIES THAT SUPPORT CAPACITY DEVELOPMENT AND LONG-TERM SUSTAINABILITY OF GAP PROGRAMS IN ALASKA. A STATEWIDE ASSESSMENT WILL SHED LIGHT ON SYSTEMIC BARRIERS, INTERNAL AND EXTERNAL CHALLENGES TRIBES ARE EXPERIENCING IN MAINTAINING THEIR GAP PROGRAMS. THE ASSESSMENT WILL BE PROVIDED TO ALL GAP AND NON-GAP TRIBES. RESULTS OF THE ASSESSMENT WILL BE SUMMARIZED AND BARRIERS TRIBES HAVE EXPERIENCED IN SUSTAINING ENVIRONMENTAL PROGRAMS IN ALASKA WILL BE IDENTIFIED; (3). DEVELOPMENT OF VIRTUAL PLANNING MANUALS AND OTHER TOOLS; (4). COMPREHENSIVE AND TARGETED ADMINISTRATIVE, FISCAL, AND PROGRAMMATIC TECHNICAL ASSISTANCE, TRAINING AND SUPPORT. THIS INCLUDES AN FY23 STATEWIDE GAP TRAINING, SEVERAL RURAL VILLAGE SITE VISITS WHICH INCLUDE ONE-ON-ONE TRAINING WITH TRIBAL CONSORTIA MENTORS, AND THE DEVELOPMENT OF A GAP SUPPORT HOTLINE FOR RESPONDING TO AND DOCUMENTING GAP ADMINISTRATIVE ISSUES ; AND (5). ADMINISTRATIVE, SOLID WASTE AND CLIMATE RESILIENCE SUBAWARDS AND PROJECT SUPPORT. THIS INCLUDES DEVELOPMENT OF SUB-AWARD AGREEMENTS AND OVERSIGHT OF AWARDEE PERFORMANCE. ANTHC STAFF WILL PROVIDE GUIDANCE AND TECHNICAL ASSISTANCE TO AWARDEES IN DOCUMENTING THEIR PROJECT FROM BEGINNING TO END, AND WILL SHARE PROJECT RESULTS WITH OTHER TRIBES THROUGH A PRESENTATION DURING THE ANNUAL ALASKA TRIBAL CONFERENCE ON ENVIRONMENTAL MANAGEMENT OR OTHER LARGE TRIBAL CONFERENCE. AS THIS IS A COOPERATIVE AGREEMENT, EPA WILL HAVE SUBSTANTIAL INVOLVEMENT.ACTIVITIES:WORKPLAN ACTIVITIES WILL INVOLVE ADMINISTRATIVE AND TECHNICAL CAPACITY BUILDING FOR CONSORTIUM STAFF, SO THAT THEY CAN PROVIDE STELLAR SERVICE TO ALASKA TRIBES STATEWIDE TO INCLUDE ONE-ON-ONE IGAP TECHNICAL ASSISTANCE FOR ETEP DEVELOPMENT AND OTHER PLANNING. SEVERAL TRAININGS WILL BE PROVIDED INCLUDING STATEWIDE GAP TRAINING AND 7 GENERATIONS TRAINING, IGAP TRAINING, AND ALASKA TRIBAL ENVIRONMENTAL CONFERENCE PLANNING EFFORTS. A STATEWIDE ASSESSMENT ACTIVITY WILL SUMMARIZE BARRIERS TRIBES HAVE EXPERIENCED IN SUSTAINING ENVIRONMENTAL PROGRAMS IN ALASKA AND WILL CONTRIBUTE TO SOLUTIONS BY DEVELOPING A TRIBAL CERTIFICATION PROGRAM IN PARTNERSHIP WITH ALASKA PACIFIC UNIVERSITY. ADMINISTRATIVE, CLIMATE AND SOLID WASTE PROJECT SUB-AWARDS WILL BE ISSUED AND ANTHC WILL OVERSEE THE PERFORMANCE OF THE AWARDEES.SUBRECIPIENT:THE PURPOSE OF SUBAWARDS IS TO CARRY OUT A STATEWIDE CLIMATE, RESILIENCE, AND SOLID WASTE SUBAWARD PROGRAM IN ALASKA FOR REMOTE TRIBAL COMMUNITIES. TECHNICAL ASSISTANCE TO TRIBES FOR COMPLETING LOCAL COMMUNITY PROJECTS WILL BE AMONG THE ROLES OF ANTHC STAFF.OUTCOMES:THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM AND THE EPA EXPECT ENVIRONMENTAL PROGRAM CAPACITY BUILD THRU THIS COOPERATIVE AGREEMENT TO EXPAND BY ENGAGING OVER 200 TRIBAL COMMUNITIES ACROSS ALASKA. OUTCOMES WILL INVOLVE ADMINISTRATIVE MANAGEMENT IMPROVEMENTS AS WELL AS TECHNICAL ENVIRONMENTAL CAPACITY BUILDING AMONG DIVERSE GEOGRAPHIC REGIONS OF ALASKA. KEY POINTS OF CONTACT AT EACH TRIBE WILL BE ABLE TO INCREASE THE TRIBES' RESILIENCY THRU TRAINING AND TAKE ACTIONABLE ACTIONS, THE ACTIONS WILL LEAD TO POSITIVE ENVIRONMENTAL OUTCOMES THAT WILL SUSTAIN STRONG TRIBAL ENVIRONMENTAL PROGRAMS, AND HEALTHY ECOSYSTEMS. THE CONSORTIUM WILL ISSUE CRITICAL SOLID WASTE SUBAWARDS THAT WILL ENABLE RURAL ALASKAN COMMUNI

OPIOID-IMPACTED FAMILY SUPPORT PROGRAM

WWD ALASKAN VILLAGES GRANTS - COMBINATION WATER & WASTE DISPOSAL

PARTNERSHIPS TO IMPROVE HEALTH: WORKING TOGETHER TO PREVENT CHRONIC DISEASE AND PROMOTE IMMUNIZATION AMONG ALASKA NATIVE PEOPLE

WWD ALASKAN VILLAGES GRANTS - WASTE DISPOSAL

WWD ALASKAN VILLAGES GRANTS - DOMESTIC WATER

ALASKA NATIVE EPIDEMIOLOGY CENTER: TRIBAL EPIDEMIOLOGY CENTERS PUBLIC HEALTH INFRASTRUCTURE (TECPHI) COMPONENT B - THERE ARE APPROXIMATELY 9.7 MILLION AMERICAN INDIAN AND ALASKA NATIVE (AIAN) PEOPLE IN THE UNITED STATES (US).1 AIAN PEOPLE EXPERIENCE HIGHER RATES OF INEQUITIES ACROSS THE SOCIAL DETERMINANTS OF HEALTH WHICH CONTRIBUTE TO POOR HEALTH OUTCOMES AND HEALTH DISPARITIES COMPARED TO OTHER RACIAL AND ETHNIC GROUPS IN THE NATION. FOR EXAMPLE, AIAN PEOPLE EXPERIENCE LOWER LIFE EXPECTANCY AND HIGHER RATES OF A NUMBER OF LEADING CAUSES OF MORTALITY INCLUDING CHRONIC LIVER DISEASE AND CIRRHOSIS, DIABETES, CHRONIC LOWER RESPIRATORY DISEASE, AND UNINTENTIONAL INJURY, AS WELL AS CHRONIC DISEASE RISK FACTORS LIKE SMOKING, OBESITY, AND PHYSICAL INACTIVITY.2 AIAN PEOPLE ALSO EXPERIENCE DISPARITIES ACROSS THE SOCIAL DETERMINANTS OF HEALTH SUCH AS POVERTY AND EDUCATIONAL ATTAINMENT, CONTRIBUTING TO HEALTH DISPARITIES. TRIBAL PUBLIC HEALTH HAS BEEN CHRONICALLY AND SIGNIFICANTLY UNDER-RESOURCED. THE CDC-RFA-DP22-2206 TRIBAL EPIDEMIOLOGY CENTERS PUBLIC HEALTH INFRASTRUCTURE (TECPHI) PROGRAM FUNDING OPPORTUNITY SPONSORED BY THE CENTERS FOR DISEASE CONTROL (CDC) RECOGNIZES THE CRITICAL NEED TO BUILD TRIBAL PUBLIC HEALTH CAPACITY AND INFRASTRUCTURE SO TRIBAL EPIDEMIOLOGY CENTERS (TECS), TRIBES, TRIBAL ORGANIZATIONS, AND URBAN INDIAN ORGANIZATION (T/TO/UIOS) CAN MORE FULLY DELIVER THE 10 ESSENTIAL PUBLIC HEALTH SERVICES TO THEIR PARTNERS AND STRENGTHEN THE PUBLIC HEALTH CAPACITY OF T/TO/UIOS TO MEET NATIONAL PUBLIC HEALTH ACCREDITATION STANDARDS. ULTIMATELY, THE TECPHI PROGRAM WILL ENHANCE BOTH TEC AND T/TO/UIO ABILITY TO ADDRESS PRIORITY HEALTH ISSUES AND REDUCE HEALTH DISPARITIES. THIS SYSTEMS-BASED AND COLLECTIVE EFFORT IS ESSENTIAL TO ADDRESS AIAN COMMUNITY HEALTH DISPARITIES AND IMPROVE HEALTH OUTCOMES WITH A DATA-DRIVEN AND CULTURALLY-RELEVANT APPROACH. THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM’S (ANTHC) ALASKA NATIVE EPIDEMIOLOGY CENTER (ANEC)—ONE OF THE 12 TECS IN THE NATION—PROPOSES TO CONTINUE TO SERVE AS THE NETWORK COORDINATING CENTER (NCC) UNDER THE FUNDING ANNOUNCEMENT ENTITLED CDC-RFA-DP22-2206 TRIBAL EPIDEMIOLOGY CENTERS PUBLIC HEALTH INFRASTRUCTURE (TECPHI) COMPONENT B. WHILE BASED IN THE INDIAN HEALTH SERVICE (IHS) ALASKA AREA, ANTHC WILL SERVE ALL 12 IHS AREAS AS THIS IS A NATION-WIDE ROLE. IN THIS ROLE, ANEC WILL BUILD ON THE STRONG FOUNDATIONAL WORK ACHIEVED SERVING AS THE NCC FOR THE CURRENT CDC TECPHI PROGRAM (CDC-RFA-DP17-1704PPHF17) FUNDED 2017-2022. USING EVALUATION DATA AND PARTNER FEEDBACK FROM THE CURRENT PROGRAM, ANEC WILL PROVIDE OPPORTUNITIES FOR PEER-TO-PEER SHARING AND LEARNING, AND PROVIDE TRAINING TO SUPPORT THE COMPONENT A AWARDEES (CAAS) IN INCREASING THEIR ABILITY TO DELIVER THE 10 ESSENTIAL PUBLIC HEALTH SERVICES TO T/TO/UIO PARTNERS. ANEC WILL COLLABORATIVELY DEVELOP AND IMPLEMENT THE OVERALL EVALUATION APPROACH OF THE PROGRAM TO MONITOR AND REPORT ON PROGRESS AND PERFORMANCE. FINALLY, ANEC WILL PROVIDE CENTRAL PROJECT COORDINATION, LOGISTICS, SUSTAINABILITY, AND COMMUNICATION EFFORTS ON BEHALF OF THE CDC AND THE CAAS, AS APPROPRIATE. AS THE TECPHI PROGRAM NCC, ANEC WILL DRAW AND BUILD UPON PAST EXPERIENCES, SUCCESSES, LESSONS LEARNED, AND ESTABLISHED RELATIONSHIPS AMONG PARTNERS TO SUPPORT THE CAAS IN MEETING THE SPECIFIED OUTCOMES OF THE FUNDING OPPORTUNITY.

CLINICAL SITES FOR THE IDEA STATES PEDIATRIC CLINICAL TRIALS NETWORK

WWD ALASKAN VILLAGES GRANTS - COMBINATION WATER & WASTE DISPOSAL

WWD ALASKAN VILLAGES GRANTS - DOMESTIC WATER

WWD ALASKAN VILLAGES GRANTS - DOMESTIC WATER

WWD ALASKAN VILLAGES GRANTS - WASTE DISPOSAL

BACK TO BASICS: ADDRESSING CHILDHOOD OBESITY THROUGH TRADITIONAL FOODS IN ALASKA

ANTHC 988 TRIBAL RESPONSE - THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM (ANTHC) 988 TRIBAL RESPONSE PROJECT WILL FOCUS ON PROVIDING SYSTEMS AND RESOURCES TO IMPROVE RESPONSE TO 988 CONTACTS IN MULTIPLE ALASKAN COMMUNITIES. ANTHC WILL PARTNER WITH ALEUTIAN PRIBILOF ISLAND ASSOCIATION, MANIILAQ ASSOCIATION, NORTON SOUND HEALTH CORPORATION, AND ANTHC’S BEHAVIORAL HEALTH WELLNESS CLINIC TO DEVELOP RESOURCES THAT WILL IMPROVE EXISTING RESOURCES AND OUTCOMES FOR 988 CONTACTS ORIGINATING IN TRIBAL COMMUNITIES. ANTHC WILL ALSO WORK CLOSELY WITH THE ALASKA CARELINE TO DEVELOP A QUALITY IMPROVEMENT PLAN FOCUSED ON CONNECTING INDIVIDUALS AT RISK OF SUICIDE TO LOCAL TRIBAL BEHAVIORAL HEALTH CARE SERVICES.

ALASKA DENTAL SUPPORT CENTER

FAMILY-CENTERED SERVICES FOR ALASKA NATIVE YOUNG ADULTS AND YOUTH WITH SUBSTANCE USE DISORDERS

ALASKA NATIVE TRIBAL HEALTH CONSORTIUM COMPREHENSIVE CANCER PROGRAM - CANCER IS THE LEADING CAUSE OF DEATH AMONG ALASKA NATIVE PEOPLE; IT ACCOUNTS FOR ONE-FIFTH OF ALL DEATHS. ALASKA NATIVE PEOPLE EXPERIENCE STATISTICALLY DIFFERENT CANCER INCIDENCE AND MORTALITY RATES FROM OTHER U.S. POPULATIONS, AS WELL AS FROM EACH OTHER. THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM (ANTHC) IS A TRIBAL HEALTH ORGANIZATION FORMED IN 1997 TO PROVIDE HEALTH CARE SERVICES ON BEHALF OF THE ROUGHLY 189,000 ALASKA NATIVE PEOPLE IN THE STATE OF ALASKA. THESE SERVICES INCLUDE, BUT ARE NOT LIMITED TO, SPECIALTY MEDICAL CARE AND COMMUNITY HEALTH SERVICES, AS WELL AS CONSTRUCTION OF WATER, SANITATION AND HEALTH FACILITIES. CANCERS AMONG ALASKA NATIVE PEOPLE IN ALASKA HAVE BEEN TRACKED SINCE 1974 BY THE ALASKA NATIVE TUMOR REGISTRY (ANTR), A NATIONAL CANCER INSTITUTE SURVEILLANCE, EPIDEMIOLOGY, AND END RESULTS (SEER) PROGRAM LOCATED IN THE ALASKA NATIVE EPIDEMIOLOGY CENTER (ANEC) AT ANTHC. THE ANTHC NCCCP FIRST APPLIED FOR AND RECEIVED FUNDS FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION IN 2005. THIS APPLICATION IS FOR THE FOURTH FIVE-YEAR IMPLEMENTATION GRANT. PROGRAM ACTIVITIES ARE IMPLEMENTED ALONG THE CANCER CARE CONTINUUM: PREVENTION, SCREENING AND EARLY DETECTION, DIAGNOSIS, TREATMENT, SURVIVORSHIP, CLINICAL CARE, AND PALLIATIVE CARE. PROGRAM EFFORTS FOR THE UPCOMING FIVE-YEAR PERIOD WILL SPECIFICALLY FOCUS ON PREVENTION, SCREENING AND EARLY DETECTION, AND SURVIVORSHIP. THE ALASKA NATIVE PEOPLE ARE AN UNDERSERVED POPULATION WITH AN INCREASED CANCER RISK DUE TO SIGNIFICANT HEALTH DISPARITIES IN INCIDENCE, MORBIDITY, AND MORTALITY. THE OBJECTIVES AND STRATEGIES OF THIS GRANT FOCUS ON ADDRESSING THOSE DISPARITIES. IN COLLABORATION WITH INTERNAL AND EXTERNAL PARTNERS, THE NCCCP WILL UTILIZE EVIDENCE-BASED INTERVENTIONS (EBIS) TO INSTITUTE POLICY, SYSTEMS AND ENVIRONMENTAL (PSE) CHANGE IN TOBACCO, NUTRITION, PHYSICAL ACTIVITY, AND OBESITY. STATEWIDE AND LOCAL COMMUNITY ACTIVITIES WILL CONTRIBUTE TO AN INCREASE IN COLORECTAL, LUNG, BREAST, AND CERVICAL CANCER SCREENING. SURVIVORSHIP ACTIVITIES WILL WORK TO REDUCE MORBIDITY AND CANCER RECURRENCE AND INCREASE THE SURVIVOR’S QUALITY OF LIFE. PROGRAM ACTIVITIES WILL FOCUS ON ADDRESSING HEALTH DISPARITIES, THROUGH CULTURAL RESPONSIVE EDUCATION, MATERIALS, AND COMMUNICATIONS, PROVIDER TRAINING ON ADVERSE CHILDHOOD EXPERIENCES AND TRAUMA INFORMED CARE, AND COMMUNITY DRIVEN INTERVENTIONS. SURVEILLANCE AND EVALUATION MEASURES WILL PROVIDE THE FRAMEWORK FOR PROGRAM DEVELOPMENT AND IMPROVEMENT. THE MAIN PROPOSED OUTCOMES OF THIS PROJECT ARE AS FOLLOWS: - INCREASE IN ALASKA NATIVE ELDERS AND YOUTH THAT MEET THE RECOMMENDED PHYSICAL ACTIVITY GUIDELINES. - REDUCE RATE OF CANCER INCIDENCE AND RECURRENCE. - INCREASE IN NUMBER OF ALASKA NATIVE YOUTH THAT MEET THE PHYSICAL ACTIVITY GUIDELINE RECOMMENDATIONS. - INCREASE PUBLIC AWARENESS ABOUT CANCER PREVENTION RELATED TO HPV VACCINE. - INCREASE CRC SCREENING RATES. - IMPROVE QUALITY OF LIFE OF ALASKA NATIVE CANCER SURVIVORS.

WWD ALASKAN VILLAGES GRANTS - COMBINATION WATER & WASTE DISPOSAL

MORE OUTSIDE YOUR DOOR (MOYD) - ABSTRACT THE RURAL ALASKA COMMUNITY ACTION PROGRAM (RURAL CAP), WHICH ADMINISTERS HEAD START SCHOOLS IN RURAL ALASKA, REPORTS THAT 68% OF ALASKA NATIVE CHILDREN AGES 3 TO 5 YEARS ARE OVERWEIGHT AND 43% ARE OBESE. DIET, PHYSICAL ACTIVITY, AND SLEEP HYGIENE ARE PRIMARY RISK FACTORS FOR CHILDHOOD OBESITY, A RISK FACTOR FOR CARDIOMETABOLIC DISEASES LATER IN LIFE. NOTABLY, SUBCLINICAL CARDIOVASCULAR PATHOLOGY CAN BE DETECTED AS EARLY AS 3 YEARS OF AGE. ONCE LIVING OFF THE LAND AND SEA, ALASKA NATIVE (AN) PEOPLE HAVE SUFFERED DECADES OF COLONIZATION AND IN-MIGRATION, WHICH HAVE INTERFERED WITH TRADITIONAL FOOD CONSUMPTION, SIGNALING A STRIKING CHANGE IN LOCAL FOOD SYSTEMS. DIET AND PHYSICAL ACTIVITY ARE PRIME TARGETS FOR EARLY INTERVENTION, AS TASTE PREFERENCES AND EXERCISE HABITS ESTABLISHED IN CHILDHOOD FORGE LIFELONG ADHERENCE. THUS, WE HAVE DESIGNED MORE OUTSIDE YOUR DOOR (MOYD), A MULTILEVEL INTERVENTION, WHICH AT THE INDIVIDUAL LEVEL BUILDS ON OUR PRIOR EFFORTS TO PROMOTE TRADITIONAL DIET AND ACTIVITIES TO DECREASE RISK FOR OBESITY IN AN PRESCHOOLERS. AT THE FAMILY LEVEL, MOYD PROVIDES FEEDBACK TO PARENTS ABOUT THEIR CHILD’S HEALTH SCREENINGS; AT THE SCHOOL LEVEL, IT FEATURES TRADITIONAL FOODS, OUTDOOR TRADITIONAL PHYSICAL ACTIVITIES, AND A CULTURALLY CENTERED CURRICULUM. AT THE COMMUNITY LEVEL, IT OFFERS RESOURCES TO IMPROVE THE BUILT ENVIRONMENT FOR SAFE OUTDOOR PLAY THAT INVITES ALL COMMUNITY MEMBERS TO PARTICIPATE. IN PARTNERSHIP, THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM, RURAL CAP, AND COLLABORATORS WILL REFINE AND TEST THE EFFECTIVENESS OF MOYD AT 12 HEAD START PRESCHOOLS IN THE YUKON-KUSKOKWIM REGION: (1) WE WILL USE QUALITATIVE METHODS WITH HEAD START STAFF, PARENTS, AND COMMUNITY ELDERS TO OPTIMALLY TAILOR MOYD FOR SOUTHWEST ALASKA COMMUNITIES; AND (2) WE WILL CONDUCT A STEPPED-WEDGE GROUP-RANDOMIZED TRIAL TO TEST ITS EFFECT ON CHILDREN’S DIET, PHYSICAL ACTIVITY (PA), BODY MASS INDEX (BMI), AND OTHER RISK FACTORS FOR OBESITY-RELATED CHRONIC DISEASE OVER THREE YEARS. PRIMARY OUTCOMES ARE DIET (CLASSROOM MEALS, ACTIGRAPHY-BASED PHYSICAL ACTIVITY, AND BODY MASS INDEX. SECONDARY OUTCOMES INCLUDE INDIVIDUAL CHILD LEVEL MEASURES OF HEMOGLOBIN LEVELS AND EDUCATIONAL AND DEVELOPMENTAL PROGRESS; PARENT REPORT OF DIET, ACTIVITY, AND SLEEP AT HOME; AND MEASURES OF TRADITIONAL FOODS/SUGAR-SWEETENED/PROCESSED FOODS BY CARBON AND NITROGEN STABLE ISOTOPE RATIOS USING FINGERNAIL CLIPPINGS. WE WILL ALSO MEASURE OUTCOMES AT THE SCHOOL LEVEL (CLASSROOM MEALS, OUTDOOR TIME) AND COMMUNITY LEVEL (OBJECTIVE DATA ON USE OF PLAY SPACE). (3) WE WILL CONDUCT A PROCESS EVALUATION USING THE RE-AIM FRAMEWORK. OUR SPECIFIC AIMS ARE TO (1) CONDUCT PRESCHOOL STAFF AND PARENT/ELDER WORKGROUPS TO REFINE THE MOYD INTERVENTION FOR OPTIMAL EFFECTIVENESS FOR OBESITY PREVENTION AMONG AN PRESCHOOL CHILDREN; (2) TEST THE EFFECTIVENESS OF MOYD ON A) DIET, PA, OUTDOOR TIME, AND BMI; AND B) IMPROVING OTHER CLINICAL AND BEHAVIORAL RISK FACTORS FOR OBESITY-RELATED CHRONIC DISEASE IN PRESCHOOL CHILDREN; AND (3) IMPLEMENT THE RE-AIM FRAMEWORK TO EVALUATE DISSEMINATION AND IMPLEMENTATION OF THE MOYD INTERVENTION IN HEAD START PROGRAMS.

WWD ALASKAN VILLAGES GRANTS - WASTE DISPOSAL

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - WHEN ALASKA NATIVE TRIBAL HEALTH CONSORTIUM (ANTHC) OPENED THE ALASKA NATIVE MEDICAL CENTER (ANMC IN 1997 AS A 158-BED HOSPITAL, THE USER POPULATION WAS 105,540. ANMC NOW SERVES NEARLY 73,000 MORE PATIENTS THAN IT DID IN 1997, WITH ESSENTIALLY VERY LITTLE MEDICAL CENTER GROWTH SPACE THAN IT DID IN 1997. ANMC PROVIDES NEARLY AS MANY HOSPITAL INPATIENT DAYS AS ALL THE INDIAN HEALTH SERVICE (IHS) INPATIENT HOSPITALS COMBINED (46,014 HOSPITAL DAYS VS. 57,551 HOSPITAL DAYS FOR ALL IHS INPATIENT HOSPITALS). ANMC INPATIENT OCCUPANCY LEVELS ARE ROUTINELY ABOVE 90%, WHILE THE INDUSTRY STANDARD FOR HOSPITAL OCCUPANCY IS CLOSER TO 65%. THE POPULATION GROWTH TREND HAS INCREASED THE NUMBER OF ANMC EMERGENCY DEPARTMENT (ED) VISITS FROM 15,517 IN 2000, TO 63,048 VISITS IN 2019. TO ASSIST IN KEEPING UP WITH THE INCREASING CLINICAL DEMAND, ANMC HAS ADDED BEDS, INCREASING THE SIZE TO A 183-BED FACILITY. DUE TO THE GROWTH OF THE STATE’S USER POPULATION, THE MIGRATION OF AI/AN PEOPLE TO THE ROAD SYSTEM COMMUNITIES OF ALASKA, AND THE SIGNIFICANTLY CHANGING NEEDS OF AI/AN USER POPULATION, ESPECIALLY AN INCLUSIVE NEED FOR IMPROVED BEHAVIORAL HEALTH TREATMENT, THE CURRENT ANMC ED IS UNDERSIZED BY APPROXIMATELY 67%. THIS IS DETRIMENTAL TO PROVIDING QUALITY SERVICES TO MEET CURRENT DEMAND AND WHEN CONSIDERING CAPACITY NEEDS FOR ANTICIPATED FUTURE GROWTH. IN 2022, ANTHC BEGAN TO ADDRESS THIS ISSUE BY EXPANDING EMERGENCY SERVICES AT ANMC. THE PROJECT, EMERGENCY SERVICES EXPANSION (ESE), WILL ALLOW ANMC TO PROVIDE THE NEEDED EMERGENCY DEPARTMENT (ED), BEHAVIORAL HEALTH (BH) CRISIS NOW CENTER, AND A CLINICAL DECISION UNIT (CDU), AND SERVICES FOR THE CURRENT AND PROJECTED PATIENT POPULATION. THE EXPANSION AND RENOVATION WILL ACCOMMODATE INCREASED CLINICAL SERVICE AND PATIENT CAPACITY, WHILE IMPROVING PATIENT CARE QUALITY AND THE EFFICIENCY AND EFFECTIVENESS OF THE PROVIDERS AND STAFF NEED OF A CRITICAL DECISION UNIT WITH ANTHC EXPANDING EMERGENCY SERVICES, A DDING A CLINICAL DECISION UNIT (CDU) WILL HELP ADDRESS THE CROWDED HOSPITAL CONDITIONS AT ANMC. THE CDU WILL ALSO ASSIST IN INCREASING THE FUNCTIONAL CAPACITY OF EXISTING AND RENOVATED SPACE TO ADDRESS ANMC NEEDS WITHOUT THE INCREASED TIME AND EXPENSE ASSOCIATED WITH PHYSICAL EXPANSION. THE CDU WILL PROVIDE SPACE IN THE ED FOR CLINICIANS TO CLOSELY MONITOR AND OBSERVE PATIENTS THAT MAY NEED ADMISSION TO THE INPATIENT FLOORS, AS PRESENTED IN TABLE 1. AS FOR PATIENT FLOW IN THE NEW EXPANDED SPACE, THE CDU LOCATION WILL ALLOW PROVIDERS AND STAFF TO MITIGATE SOME SIGNIFICANT CHALLENGES IN THE FLOW OF ED PATIENTS. THE CDU WILL ALLOW PROVIDERS TO SAFELY TRANSFER LONGER STAY PATIENTS OUT OF THE ED INTO AN APPROPRIATE SPACE, ALLOWING THE ED PROVIDERS TO BETTER MANAGE ED CARE. THE HRSA GRANT WILL BE USED FOR CONSTRUCTION COSTS OF THE CDU. THE PROJECT IS LOCATED IN ANMC, 4315 TUDOR CENTER DRIVE, ANCHORAGE ALASKA, 99508. THE PROPERTY IS OWNED BY ANTHC. THE CPF/CDS FUNDS WOULD BE USED SOLELY ON CONSTRUCTION. THE NEW UNIT WILL BE A NEWLY CONSTRUCTED AREA, LOCATED ON THE SECOND FLOOR, SOUTH-WEST AREA OF ANMC. PATIENT CARE SPACE IS APPROXIMATELY 5600 SQ. FT. AND DESIGNED WITH 12 EXAM ROOMS. THE CONSTRUCTION WAS A BID BY A 3RD PARTY AT A FLAT RATE PROPOSAL. THE CONSTRUCTION IS EXPECTED TO BEGIN IN MAY 2025, WITH EXPECTED TO BE OPERATIONAL BY APRIL 2027.

ALASKA NATIVE TRIBAL HEALTH CONSORTIUM SUICIDE PREVENTION, INTERVENTION, AND POSTVENTION PROGRAM - THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM (ANTHC) IS A NON-PROFIT TRIBAL HEALTH ORGANIZATION WHOSE MISSION IS TO PROVIDE “THE HIGHEST QUALITY HEALTH SERVICES IN PARTNERSHIP WITH OUR PEOPLE AND THE ALASKA TRIBAL HEALTH SYSTEM”. ANTHC ENVISIONS A FUTURE WHERE “ALASKA NATIVE PEOPLE ARE THE HEALTHIEST PEOPLE IN THE WORLD” AND HAS CREATED THE MOST COMPREHENSIVE STATEWIDE TRIBAL HEALTH SYSTEM IN THE UNITED STATES WITH PROGRAMS RANGING FROM CLINICAL CARE TO COMMUNITY INTERVENTIONS. WITH THESE VALUES IN MIND ANTHC'S PROPOSED SPIP GRANT PROJECT WOULD FOCUS ON CONTINUING AND EXPANDING UPON SUICIDE PREVENTION, INTERVENTION, AND POSTVENTION SERVICES THAT CONTRIBUTE TO AN ENHANCED INFRASTRUCTURE OF ADDRESSING SUICIDE IN ALASKA THROUGH ACTIVITIES TO REDUCE THE PREVALENCE OF SUICIDE AMONG AN/AI PEOPLE. THE ANTHC SUICIDE PREVENTION PROGRAM PROPOSES TO PROVIDE SERVICE PROVIDER AND COMMUNITY-FOCUSED TRAINING, EDUCATION AND SUPPORT BY USING EVIDENCE-BASED AND PRACTICE-BASED SUICIDE PREVENTION, INTERVENTION, AND POSTVENTION TRAININGS THAT ARE CULTURALLY RELEVANT FOR THE ALASKA NATIVE POPULATIONS AND COMMUNITIES. DRIVEN BY THE CONSISTENTLY HIGH RATES OF SUICIDE IN THE STATE OF ALASKA, PARTICULARLY THE HIGH RATE OF SUICIDE AMONG THE ALASKA NATIVE (AN) POPULATION, THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM (ANTHC) SUICIDE PREVENTION PROGRAM THROUGH THE SUICIDE PREVENTION, INTERVENTION, AND POSTVENTION (SPIP) GRANT WILL IMPROVE CARE COORDINATION, EXPAND BEHAVIORAL HEALTH CARE SERVICES, AND DEVELOP/EXPAND ACTIVITIES TO IMPLEMENT EARLY INTERVENTION STRATEGIES OF ALASKA NATIVE AND/OR AMERICAN INDIAN (AN/AI) YOUTH AT RISK FOR SUICIDAL BEHAVIOR FOR TWO COMMUNITIES IN THE SOUTHWESTERN REGION OF ALASKA. THESE TRAININGS AIM TO INCREASE PARTNER COMMUNITIES CAPACITY TO IMPROVE CARE COORDINATION, TO MAKE APPROPRIATE SCREENING AND REFERRALS, AND INCREASE RESILIENCY, PROMOTE POSITIVE DEVELOPMENT, AND SELF-SUFFICIENT BEHAVIORS FOR AN/AI YOUTH. THROUGH IDENTIFIED NEEDS OF COMMUNITIES AND TRIBAL PARTNERS, FORMAL SUICIDE RESPONSE PLANS WILL BE DEVELOP TO ENSURE STABILITY OF PROJECT ACTIVITIES BEYOND THE GRANT. EXPAND BEHAVIORAL HEALTH TELEHEALTH CARE TREATMENT SERVICES TO PARTNERS AND PROVIDE EVIDENCE-BASED, CULTURALLY APPROPRIATE, TRAUMA-INFORMED SUICIDE PREVENTION, INTERVENTION, AND POSTVENTION BY COLLABORATING WITH ANTHC BEHAVIORAL HEALTH WELLNESS CLINIC. DEVELOPMENT OF STRATEGIC PLANS FOR PARTNERS TO ADDRESS HEALTH SYSTEM ORGANIZATIONAL NEEDS AND ADAPT AYUK A COMMUNITY-BASED COORDINATED SYSTEM OF CARE TO SUPPORT MENTAL HEALTH FOR CHILDREN, YOUTH, AND FAMILIES. THE ANTHC SPIP GRANT PROJECT WILL PROVIDE TRAINING TO PROJECT PARTNERS AND ANY OF THE 12 ALASKA NATIVE HEALTH CORPORATIONS AT THEIR REQUEST FOR SERVICES. THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM IS REQUESTING FUNDING TO ADDRESS SUICIDE AND ITS EFFECTS ON ALASKA NATIVE PEOPLE AND THEIR COMMUNITIES. THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM IS REQUESTING FUNDING TO ADDRESS SUICIDE AND ITS EFFECTS ON ALASKA NATIVE PEOPLE AND THEIR COMMUNITIES.

SERVICE FOCUSED SPECIAL CONGRESSIONAL INITIATIVE

RURAL ALCOHOL PREVENTION FOR NATIVE YOUTH THRIVING

WWD ALASKAN VILLAGES GRANTS - WASTE DISPOSAL

05 5309B PE ENVIR INTERMODAL BUS FAC.

WWD ALASKAN VILLAGES GRANTS - DOMESTIC WATER

RANDOMIZED CONTROLLED TRIAL OF THE STOOL DNA TEST TO IMPROVE COLORECTAL CANCER SCREENING AMONG ALASKA NATIVE PEOPLE

EVALUATION OF TELEMEDICINE FOR CHRONIC DISEASE SPECIALTY CARE

WWD ALASKAN VILLAGES GRANTS - WASTE DISPOSAL

WWD ALASKAN VILLAGES GRANTS - DOMESTIC WATER

WWD ALASKAN VILLAGES GRANTS - DOMESTIC WATER

NATIONAL TELEHEALTH RESOURCE CENTER PROGRAM

NARCH VI

ALASKA NATIVE TRIBAL HEALTH CONSORTIUM ENERGY PROGRAMS

SNAP FDPIR SAE

ALASKA NATIVE TRIBAL HEALTH CONSORTIUM SPECIAL DIABETES PROGRAM - THE SPECIAL DIABETES PROGRAM FOR INDIANS (SDPI) GRANT ALLOWS THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM (ANTHC) DIABETES PROGRAM TO PROVIDE MANY SERVICES THROUGHOUT THE ALASKA TRIBAL HEALTH SYSTEM (ATHS). GRANT ACTIVITIES AND SERVICES ARE AIMED AT REDUCING THE RISK OF DIABETES IN AT-RISK INDIVIDUALS, PROVIDING HIGH-QUALITY CARE TO THOSE WITH DIAGNOSED DIABETES, AND REDUCING THE COMPLICATIONS OF DIABETES. AS SUCH, THE ANTHC DIABETES PROGRAM FOCUSES ON SEVERAL KEY AREAS: DIRECT PATIENT CARE, COMMUNITY OUTREACH, DIABETES PREVENTION, MAINTENANCE OF A POPULATION-BASED REGISTRY FOR DIABETES, AND SUPPORT TO OUR REGIONAL TRIBAL HEALTH ORGANIZATION (THO) PARTNERS. THE CLINICAL TEAM SERVES AS THE DIABETES REFERRAL CENTER FOR ATHS. THE EMPHASIS IS ON A MULTIDISCIPLINARY APPROACH TO CARE AND ENSURING THAT PATIENTS ARE MEETING THE STANDARDS OF CARE FOR DIABETES RECOMMENDED BY THE INDIAN HEALTH SERVICE AND THE AMERICAN DIABETES ASSOCIATION. THE CLINICAL TEAM TRAVELS TO AT LEAST EIGHT ATHS FACILITIES ACROSS THE STATE FOR YEARLY DIABETES SPECIALTY CLINICS. ONE TO TWO MEDICAL PROVIDERS; A REGISTERED DIETITIAN AND/OR PHARMACIST WHO ARE BOTH CERTIFIED DIABETES EDUCATORS, ALONG WITH A PHYSICAL THERAPIST WHO HAS EXTENSIVE EXPERIENCE IN FOOT CARE TRAVEL AS A TEAM TO REMOTE ALASKA REGIONS. OUR GOAL IS TO PROVIDE UP-TO-DATE DIABETES CARE TO PATIENTS AND TO SUPPORT AND PARTNER WITH REGIONAL THO PROVIDERS. THE BACKBONE OF THE COMMUNITY OUTREACH AND DIABETES PREVENTION ACTIVITIES FOR THE ANTHC DIABETES PROGRAM INCLUDES THE ADVANCED DIABETES TRAINING COURSES FOR COMMUNITY HEALTH AIDES AND OUR PARTNERSHIP WITH CAMP FIRE ALASKA. COMMUNITY HEALTH AIDES/PRACTITIONERS; OUR FIRST-LEVEL PROVIDERS IN OVER 200 ALASKA COMMUNITIES WHO HAVE PARTICIPATED IN THIS RIGOROUS BUT FUN COURSE HAVE LOST WEIGHT, STOPPED DRINKING SODA, QUIT TOBACCO, AND HAVE BECOME STAUNCH ADVOCATES FOR HEALTHY LIVING, DIABETES PREVENTION, AND CARE AT THE VILLAGE LEVEL. ANTHC’S PARTNERSHIP WITH CAMP FIRE ALASKA DELIVERS A WELLNESS CURRICULUM TO 5-12 YEARS OLDS IN RURAL ALASKA IN A SUMMER CAMP ENVIRONMENT. MOST RECENTLY, OVER 20 RURAL VILLAGES PARTICIPATED, REACHING OVER 2000 YOUTH. THE ANTHC DIABETES REGISTRY AND SURVEILLANCE TEAM WORKS WITH ALL THE REGIONS IN ALASKA TO SUPPORT AND MAINTAIN THE LOCAL AND THE ATHS-WIDE TRIBAL DIABETES REGISTRY. THE REGISTRY TEAM PARTNERS WITH THE DATA AND ANALYTICS STAFF TO KEEP THE REGISTRY UPDATED THROUGHOUT THE YEAR AND ACCESSIBLE TO THOS VIA AN SDPI DATA DASHBOARD. THIS DATA IS USED TO CREATE CALL LISTS, CASE-MANAGE PATIENTS WITH DIAGNOSED DIABETES AND PRE-DIABETES, AND NOTE TRENDS IN STANDARDS OF CARE. THE ANTHC DIABETES REGISTRY IS ALSO USED TO REPORT THE PREVALENCE AND RATES OF COMPLICATIONS RELATED TO DIABETES, INCLUDING AMPUTATION AND END-STAGE RENAL DISEASE. IN A STATE AS LARGE AND GEOGRAPHICALLY ISOLATED AS ALASKA, MAINTAINING A STRONG NETWORK OF RESOURCES IS ESSENTIAL. ANTHC DIABETES PROGRAM HOSTS MEETINGS EVERY OTHER MONTH WITH ALL THE SDPI COORDINATORS AROUND THE STATE, FACILITATING TIMELY COMMUNICATION BETWEEN THE ANTHC DIABETES PROGRAM AND THE ATHS GRANTEES. GRANT APPLICATIONS AND REPORTING DEADLINES, UPDATES ON STAFFING AS WELL AS CURRENT ACTIVITIES, AND SUCCESSES/CHALLENGES WITH CLINICAL AND COMMUNITY ACTIVITIES ARE SOME OF THE MAIN TOPICS DISCUSSED AT THESE TIMES. ONCE OR TWICE A YEAR, THE DIABETES COORDINATORS COME TO ANCHORAGE FOR A FACE-TO-FACE MEETING OFFERED ALONG WITH CME TRAINING ON NEW OR INTERESTING TOPICS OR UPDATES CONCERNING CARE FOR DIABETES PATIENTS. TO FURTHER SUPPORT OUR ATHS PARTNERS, THE ANTHC DIABETES PROGRAM PROVIDES CONTINUING EDUCATION ON TOPICS RELATED TO DIABETES AT EACH FIELD CLINIC. ADDITIONALLY, THE ANNUAL DIABETES CONFERENCE HOSTED BY THE ANTHC DIABETES PROGRAM PROVIDES 15-16 CREDITS OF CONTINUING EDUCATION FOR RNS, RDS, PHARMACISTS, AND PROVIDERS. IT IS ALSO THE FORUM FOR EXCHANGING IDEAS AMONG THE VARIOUS SDPI GRANTEES IN THE ALASKA AREA.

PROVIDE SERVICE TO ALASKA TRIBES STATEWIDE IN BUILDING THEIR ENVIRONMENTAL CAPACITY THROUGH: CONDUCTING 7 GENERATIONS TRAINING, PROVIDING ONE-ON-ONE

WWD ALASKAN VILLAGES GRANTS - COMBINATION WATER & WASTE DISPOSAL

SANITATION ENERGY EFFICIENCY IMPLEMENTATION

RURAL ALASKAN VILLAGE WWD GRANTS-DOMESTIC WATER ONLY

RURAL ALASKAN VILLAGE WWD GRANTS-COMBINATION WATER WASTE PROJECT

WWD ALASKAN VILLAGES GRANTS - WASTE DISPOSAL

WWD ALASKAN VILLAGES GRANTS - COMBINATION WATER & WASTE DISPOSAL

WWD ALASKAN VILLAGES GRANTS - COMBINATION WATER & WASTE DISPOSAL

SNAP FDPIR SAE

CONGRESSIONALLY-MANDATED HEALTH INFORMATION TECHNOLOGY GRANTS

CONGRESSIONALLY-MANDATED HEALTH INFORMATION TECHNOLOGY GRANTS

ENERGY EFFICIENCY UPGRADES FOR SANITATION FACILITIES IN SELAWIK, AK

DESCRIPTION:EPA'S CERCLA SECTION 128(A) GRANT PROGRAM FUNDS ACTIVITIES THAT ESTABLISH OR ENHANCE THE CAPACITY OF STATE AND TRIBAL RESPONSE PROGRAMS. THE GOALS OF THIS FUNDING ARE TO PROVIDE FINANCIAL SUPPORT FOR THE ELEMENTS OF AN EFFECTIVE STATE OR TRIBAL RESPONSE PROGRAM, AS SPECIFIED IN CERCLA SECTION 128, AND TO ENSURE THAT STATES AND TRIBES MAINTAIN A PUBLIC RECORD OF SITES INCLUDED IN THEIR PROGRAMS. THE INFRASTRUCTURE INVESTMENT AND JOBS ACT ('IIJA') PROVIDED ADDITIONAL FUNDING TO CARRY OUT THE SECTION 128(A) GRANT PROGRAM. THE PURPOSE OF THIS AWARD IS TO ENHANCE THE CAPACITY OF ALASKA NATIVE TRIBAL HEALTH CONSORTIUM (ANTHC) BROWNFIELDS RESPONSE PROGRAM TO MEET THE SECTION 128(A) ELEMENTS. ANTHC WILL OVERSEE AND PERFORM PLANNING, ASSESSMENT, AND CLEANUP OF BROWNFIELDS SITES THROUGHOUT THE STATE. ANTHC'S 128(A) PROGRAM WILL BE NOT ONLY ABLE TO TRAVEL AND ADD IN THE REMOVED DELIVERABLES FROM THE INITIAL FUNDING REQUEST, BUT WILL BE ABLE TO ENHANCE SITE-SPECIFIC OPERATIONS, CREATE INNOVATIVE CONTRACT BASED SOLUTIONS, AND DEVELOP NEW DELIVERABLES.ACTIVITIES:ANTHC WILL PERFORM THE FOLLOWING ACTIVITIES: TIMELY SURVEY AND INVENTORY OF BROWNFIELD SITES, WHICH ARE PROPERTIES WHOSE EXPANSION, REDEVELOPMENT, OR REUSE MAY BE COMPLICATED BY THE PRESENCE OF HAZARDOUS SUBSTANCES. IT ALSO INCLUDES OVERSIGHT AND ENFORCEMENT AUTHORITIES TO ENSURE THAT RESPONSE ACTIONS PROTECT HUMAN HEALTH AND THE ENVIRONMENT; RESOURCES TO PROVIDE MEANINGFUL PUBLIC INVOLVEMENT; MECHANISMS FOR APPROVAL OF CLEANUP PLANS, AND VERIFICATION OF COMPLETE RESPONSES. THE OBJECTIVE OF THIS PROJECT IS TO ASSIST IN REMEDIATING AND REUSING BROWNFIELDS SITES THROUGHOUT THE STATE. SUBRECIPIENT:NO SUBAWARDS ARE INCLUDED IN THIS ASSISTANCE AGREEMENT.OUTCOMES:ANTHC WILL EXPAND PUBLIC EDUCATION AND OUTREACH TO UNDERSERVED COMMUNITIES. ANTHC WILL PROVIDE APPLICABLE TRAININGS WITH THE INDIAN GENERAL ASSISTANCE PROGRAM (IGAP) / ANTHC TRAINING AND CAPACITY PROGRAM. PROVIDE TECHNICAL ASSISTANCE AND TRAINING FOR WATER AND SEWER SYSTEM OPERATORS AND MANAGERS THAT WILL PREVENT INFRASTRUCTURE DAMAGE AND PREVENT FUTURE BROWNFIELDS. CREATE THREE INVENTORIES AND CONDUCT SITE ASSESSMENT WORK.

NATIVE AMERICAN RESEARCH CENTERS FOR HEALTH (NARCH V)

FAMILY- AND COMMUNITY-CENTERED INTERVENTIONS FOR OPIOID USE DISORDERS IN THE ALASKA TRIBAL HEALTH SYSTEM - THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM (ANTHC) AIMS TO DECREASE MENTAL HEALTH AND SUBSTANCE USE DISORDERS IN ALASKA NATIVE COMMUNITIES BY PROVIDING CULTURALLY RELEVANT PREVENTION, TREATMENT AND RECOVERY SERVICES THROUGH THIS PROJECT. TO DO SO, PROJECT STAFF WILL FOCUS ON THREE KEY OBJECTIVES: 1) INCREASE PUBLIC AWARENESS AND EDUCATION ABOUT CULTURALLY APPROPRIATE AND FAMILY CENTERED OPIOID PREVENTION, TREATMENT AND RECOVERY PRACTICES AND PROGRAMS IN AN/AI COMMUNITIES; 2) BUILD A SUPPORT SYSTEM FOR STRENGTHENING NATIVE FAMILIES IN ADDRESSING THE OPIOID CRISIS IN TRIBAL COMMUNITIES BY IMPLEMENTING CULTURALLY APPROPRIATE APPROACHES; AND 3) REDUCE UNMET TREATMENT NEEDS AND OPIOID OVERDOSE RELATED DEATHS THROUGH THE EXPANSION OF MEDICATION ASSISTED TREATMENT SERVICES THAT INCLUDE TRIBAL VALUES, CULTURE AND TREATMENTS.ANTHC WILL LEVERAGE MANY DIFFERENT ESTABLISHED PREVENTION PROGRAMS AND ACTIVITIES IN ORDER TO INCREASE AWARENESS AND UNDERSTANDING AS TO WHY A SUBSTANCE MISUSE PROBLEM EXISTS IN THE ALASKA NATIVE POPULATION, INCREASE THE UNDERSTANDING OF WARNING SIGNS AND SYMPTOMS AND TO ULTIMATELY DECREASE THE AMOUNT OF SUBSTANCE USE DISORDERS IN RURAL COMMUNITIES. LIKEWISE, THIS PROJECT WILL ALSO EXPAND THE COMMUNITY REINFORCEMENT AND FAMILY TRAINING (CRAFT) INTERVENTION MODEL WITHIN THE ALASKA TRIBAL HEALTH SYSTEM. THIS MODEL TEACHES FAMILY MEMBERS AND FRIENDS HOW TO USE EFFECTIVE COMMUNICATION AND PROBLEM SOLVING WHEN INTERACTING WITH THEIR LOVED ONE SUFFERING FROM SUBSTANCE MISUSE, HOW TO TAKE CARE OF THEMSELVES WHILE THEY HAVE A LOVED ONE STRUGGLING WITH SUBSTANCE USE AND HOW TO INCREASE EFFECTIVE BEHAVIORS TO MOTIVATE THEIR LOVED ONE TO ENTER SUBSTANCE USE TREATMENT. THE EXPANSION OF THIS MODEL WILL HELP CREATE COMPREHENSIVE SUPPORT TEAMS FOR ALASKA NATIVE PEOPLE SUFFERING FROM SUBSTANCE MISUSE AND STRENGTHEN NATIVE COMMUNITIES. FINALLY, ANTHC HAS BEGUN IMPLEMENTING A STATEWIDE TELE-BEHAVIORAL HEALTH MODEL TO SHRINK THE GAPS IN ACCESS TO CARE AND THE LACK OF RURAL PROVIDERS. THE TREATMENT RECOVERY ENHANCEMENTS ACROSS TELEHEALTH (TREAT) IS AN EMERGING CLINICAL SERVICE AT ANTHC THAT WILL OFFER STATEWIDE, ON-DEMAND BEHAVIORAL HEALTH TREATMENT. IT IS A UNIQUE MODEL THAT BLENDS CONTEMPORARY BEHAVIORAL HEALTH SERVICES WITH ELDER FACILITATORS AND CULTURE BEARERS IN A WAY THAT ALLOWS FOR ON-DEMAND BEHAVIORAL HEALTH SERVICES STATEWIDE. THIS MODEL WILL BE INCORPORATED INTO THIS PROJECT TO EXPAND SERVICES TO RURAL COMMUNITIES THAT CURRENTLY DO NOT HAVE ACCESS TO SPECIALTY PROVIDERS OR MEDICATION ASSISTED TREATMENT SERVICES. THIS WILL REDUCE WAIT TIME FOR BOTH ASSESSMENT AND TREATMENT, PROVIDE A SAFETY NET FOR REGIONAL TRIBAL HEALTH ORGANIZATIONS WHO DO NOT HAVE THE CAPACITY TO PROVIDE THESE SERVICES. OVERALL, THIS PROJECT WILL INCREASE THE FAMILY-CENTERED SUPPORT FOR CLIENTS STRUGGLING WITH SUBSTANCE MISUSE AND INCREASE THE EDUCATION AND RESOURCES AVAILABLE TO DECREASE MENTAL HEALTH AND SUBSTANCE USE DISORDER IN ALASKA NATIVE COMMUNITIES.

06-09 5309B ANMC INTERMODAL PARKING FAC.

06-09 5309B ANMC INTERMODAL PARKING

ALASKA NATIVE RURAL EMERGING AND RE-EMERGING INFECTIOUS DISEASE PREVENTION, SCREENING AND INTERVENTION PROGRAM - THE ALASKA TRIBAL HEALTH SYSTEM IS A HIGHLY ORGANIZED SYSTEM THAT PROVIDES CARE, PUBLIC HEALTH SERVICES, EDUCATION AND COMMUNITY NETWORKING THAT HAS LED TO TREMENDOUS STRIDES IN THE GOAL OF MAKING ALASKA NATIVE PEOPLE ?THE HEALTHIEST PEOPLE IN THE WORLD?. DESPITE THESE GAINS, CURRENT EMERGING INFECTIOUS DISEASES ARE HAVING A SIGNIFICANT IMPACT ON THE HEALTH AND WELL-BEING OF THE ALASKA NATIVE POPULATION. THESE THREATS INCLUDE, COVID-19, HEPATITIS C, CHRONIC HEPATITIS B, HIV, RESPIRATORY VIRUS, INCLUDING RESPIRATORY SYNCYTIAL VIRUS (RSV), INFLUENZA, TUBERCULOSIS, SEXUALLY TRANSMISSIBLE INFECTIONS AND INVASIVE VIRAL INFECTIONS, INCLUDING HAEMOPHILUS INFLUENZA (H.FLU) AND STREPTOCOCCUS PNEUMONIA. THE PURPOSE OF THIS PROJECT IS TO BRING THE TOOLS TO RECOGNIZE, DIAGNOSE, TREAT AND PREVENT EMERGING INFECTIOUS DISEASES TO RURAL ALASKA NATIVE COMMUNITIES, INCLUDING HCV, HIV, COVID-19, TB, STD AND OTHER INVASIVE VIRUSES. PROJECT STAFF WILL DEVELOP TOOLS SPECIFICALLY FOR ANCILLARY HEALTHCARE WORKERS TO ACHIEVE THIS GOAL. USING THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM'S ROBUST DATA ANALYTIC SYSTEM, PROJECT STAFF WILL DOCUMENT PROGRESS IN REDUCING INFECTIOUS RATES, MORBIDITY AND MORTALITY FOR INFECTIOUS DISEASES AND IDENTIFY NOVEL EMERGING INFECTIOUS THREATS EARLY.

SPECIAL DIABETES PROGRAMS FOR INDIANS

NATURAL HISTORY PREVENTION OF VIRAL HEPATISIS IN ALASKA NATIVE PEOPLE

WWD ALASKAN VILLAGES GRANTS - WASTE DISPOSAL

WWD ALASKAN VILLAGES GRANTS - COMBINATION WATER & WASTE DISPOSAL

HIGH ENERGY COST GRANT

ADDING AN ADDITIONAL $554568 TO THE PROJECT AND AMENDMENT OF AWARD PERIOD TO MARCH 1 2020 THROUGH FEBRUARY 28 2025.

EARLY INTERVENTION FOR CHILDHOOD CARIES TO ADDRESS ALASKA NATIVE DISPARITIES IN ORAL HEALTH - PROJECT SUMMARY/ABSTRACT BY 6 YEARS OF AGE 73% OF ALASKA NATIVE (AN) CHILDREN IN THE YUKON-KUSKOKWIM (Y-K) REGION OF SOUTHWESTERN ALASKA HAVE HAD A FULL MOUTH DENTAL RECONSTRUCTION (FMDR), REQUIRING GENERAL ANESTHESIA FOR EXTENSIVE EARLY CHILDHOOD CARIES (ECC). ECC, DEFINED AS “THE PRESENCE OF ONE OR MORE DECAYED, MISSING (DUE TO CARIES) OR FILLED TOOTH SURFACES IN ANY PRIMARY TOOTH IN A CHILD BETWEEN BIRTH AND 71 MONTHS OF AGE”, AFFECTS SLEEP, EATING HABITS, AND PERFORMANCE IN SCHOOL. REASONS FOR HIGH ECC RATES INCLUDE LACK OF COMMUNITY WATER FLUORIDATION, HIGH CONSUMPTION OF SUGAR-SWEETENED BEVERAGES AND REMOTENESS FROM DENTAL CARE. CARE COORDINATION HAS BEEN RECOMMENDED AS A METHOD FOR IMPROVING THE REACH AND COORDINATION OF DENTAL SERVICES AMONG HEALTH CARE PROVIDERS, CARE SYSTEMS, AND PARENTS, TO PROMOTE HEALTHY, PAIN-FREE CHILDHOODS. THROUGH COORDINATION OF SERVICES AND EDUCATION OF PARENTS, ECC COULD BE MITIGATED BY PREVENTION COUNSELING (E.G. ORAL HYGIENE, REDUCED SUGAR) AND DENTAL INTERVENTIONS INITIATED BEFORE AGE 24 MONTHS. THE Y-K REGION IS THE HOME OF 50 REMOTE COMMUNITIES AND APPROXIMATELY 5,000 CHILDREN AGE <6 YEARS; MEDICAL AND DENTAL CARE IS PROVIDED BY ONE TRIBAL HEALTH ORGANIZATION. HEALTH CARE IN THE COMMUNITIES, INCLUDING WELL CHILD VISITS, IS PROVIDED BY COMMUNITY HEALTH AIDE/PRACTITIONERS (CHA/PS). IN 7 COMMUNITIES, DENTAL HEALTH CARE IS PROVIDED BY DENTAL HEALTH AIDE THERAPISTS (DHATS) CO-LOCATED WITH CHA/PS IN COMMUNITY CLINICS. DHATS PROVIDE PREVENTIVE CARE AND EDUCATION, ORAL EXAMS AND NON-SURGICAL EXTRACTIONS. DATA INDICATE ONLY 12% OF Y-K CHILDREN HAVE AN ORAL EXAM BY AGE 24 MONTHS; IN CONTRAST ALMOST 80% OBTAINED STANDARD VACCINATIONS, WHICH REQUIRE 5 VISITS. THE DIFFERENCE IN ACCESSING PEDIATRIC AND DENTAL SERVICES COULD BE MITIGATED THROUGH CARE COORDINATION. UNFORTUNATELY, CHA/PS AND DHATS WORK INDEPENDENTLY OF EACH OTHER AND USE DIFFERENT ELECTRONIC MEDICAL AND DENTAL RECORD SYSTEMS. THERE IS A CRITICAL NEED TO COORDINATE CARE IN A WAY THAT INCLUDES PARENT EDUCATION ON EFFECTIVE ORAL HEALTH PRACTICES AND ALIGNMENT OF WELL CHILD VISITS WITH DENTAL VISITS EARLY IN A CHILD'S LIFE. WE PROPOSE A MIXED METHODS COMPARATIVE CLINICAL EFFECTIVENESS TRIAL TO STUDY WHETHER THE USE OF CARE COORDINATORS TO EDUCATE CAREGIVERS AND TO ASSIST IN COORDINATION BETWEEN WELL CHILD VISITS AND DENTAL VISITS AT AGES 0-24 MONTHS INCREASES THE PROPORTION OF CHILDREN WHO RECEIVE ORAL HEALTH EXAMS AND INTERVENTIONS AND REDUCES THE INCIDENCE OF ECC IN AN CHILDREN. OUR SPECIFIC AIMS ARE: (1) TO EXPLORE FACILITATORS AND BARRIERS TO ORAL HEALTH CARE INCLUDING THE INTEGRATION OF DENTAL AND WELL CHILD VISITS FOR CHILDREN AGES 0-24 MONTHS, AND IDENTIFY STAKEHOLDER-BASED OUTCOMES OF INTEREST, (2) TO DESIGN AN IMPLEMENTATION PLAN FOR INTEGRATING A CARE COORDINATOR (CC) POSITION INTO THE WELL CHILD VISIT WORKFLOW, TO SYSTEMATICALLY REACH CHILDREN FOR AN ORAL HEALTH EXAM PRIOR TO AGE 24 MONTHS, (3) TO COMPARE STAKEHOLDER-REPORTED, IMPLEMENTATION PROCESS AND CLINICAL OUTCOMES IN COMMUNITIES WITH AND WITHOUT CCS. THE RESULTS OF THIS STUDY WILL PROVIDE TRIBAL HEALTH ORGANIZATIONS, AND HEALTH CARE SYSTEMS WHERE DENTAL AND PEDIATRIC CARE ARE CO-LOCATED, WITH AN EVIDENCE-BASED MODEL FOR DELIVERING INTEGRATED CLINICAL CARE TO IMPROVE ORAL HEALTH.

WWD ALASKAN VILLAGES GRANTS - DOMESTIC WATER

TELEHEALTH RESOURCE CENTER GRANT PROGRAM

WWD ALASKAN VILLAGES GRANTS - WASTE DISPOSAL

SNAP FDPIR SAE

ALASKA NATIVE STROKE REGISTRY

WWD ALASKAN VILLAGES GRANTS - COMBINATION WATER & WASTE DISPOSAL

TELEHEALTH RESOURCE CENTER GRANT PROGRAM

WWD ALASKAN VILLAGES GRANTS - WASTE DISPOSAL

ALASKA TRIBAL HEALTH SYSTEM COMPREHENSIVE CANCER CONTROL PROGRAM

FY10 NATIONAL UMBRELLA COOPERATIVE AGREEMENT PROGRAM (NUCA)

OPIOID-IMPACTED FAMILY SUPPORT PROGRAM - RECENT NSDUH REPORTS SHOW HIGH RATES OF OPIOID AND OTHER SUBSTANCE MISUSE AMONG THE AN/AI POPULATION. ONE OF THE GREATEST NEEDS TO ADDRESS OPIOIDS AND SUBSTANCE MISUSE IS TO INCREASE THE WORKFORCE CAPACITY IN RURAL AND REMOTE COMMUNITIES. IN ALASKA, INDIVIDUALS MUST BE CREDENTIALED AS A QUALIFIED ADDICTION PROFESSIONAL TO PROVIDE SUBSTANCE USE SERVICES; TO OBTAIN THIS CREDENTIAL, NON-DEGREED PROFESSIONALS MUST FIRST OBTAIN CERTIFICATION AS A: BEHAVIORAL HEALTH AIDE II (BHA-II), CHEMICAL DEPENDENCY COUNSELOR I (CDC-I), OR NATIONALLY CERTIFIED ADDICTION COUNSELOR I (NCAC-I). THIS PROPOSED PROJECT USES THE CORE TRAINING REQUIREMENTS FOR COUNSELOR TECHNICIAN (CT; INITIAL CERTIFICATION THAT LEADS TO CDC-I) AND BHA-II AS THE FOUNDATION OF A LEVEL I/LEVEL II TRAINING PROGRAM. THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM’S (ANTHC) IS UNIQUELY POSITIONED TO FACILITATE SUCH A PROGRAM, GIVEN THE STATEWIDE NATURE OF SERVING TRIBAL ORGANIZATIONS STATEWIDE WHO EMPLOY BHAS. THE BHA PROGRAM WAS ESTABLISHED IN 2009 AS A CERTIFICATION PROGRAM INTENDED TO TRAIN A STATEWIDE WORKFORCE EMPLOYED BY TRIBAL HEALTH ORGANIZATIONS TO PROVIDE A WIDE RANGE OF PREVENTION, INTERVENTION, AND POST-VENTION BEHAVIORAL HEALTH SERVICES TO INDIVIDUALS, FAMILIES, AND COMMUNITIES IN RURAL ALASKA. CURRENTLY, THE BHA PROGRAM WORKS WITH 18 TRIBAL HEALTH ORGANIZATIONS (THO) THROUGHOUT THE STATE TO HELP BUILD STRONGER ALASKANS AND HEALTHIER COMMUNITIES. AS A TRIBAL HEALTH ORGANIZATION, ANTHC PRIMARILY SERVES ALASKA NATIVE/AMERICAN INDIAN PEOPLES. HOWEVER, THERE ARE MANY NON-TRIBAL ORGANIZATIONS THROUGHOUT THE STATE WHO ALSO SERVE AN/AI PEOPLES. PROVIDERS OF SUBSTANCE USE SERVICES IN NON-TRIBAL ORGANIZATIONS SEEK CERTIFICATION AS A CDC-I TO BECOME QAP-CREDENTIALED. THE PROPOSED PROJECT CAPITALIZES ON THE OVERLAP BETWEEN COURSES REQUIRED FOR CERTIFICATION AS A CT/CDC AND BHA. MORE SPECIFICALLY, CERTIFICATION AS A CDC FIRST REQUIRES COMPLETION OF REQUIREMENTS FOR A COUNSELOR TECH (CT); AL L COURSES REQUIRED FOR CT ARE ALSO A PORTION OF THOSE REQUIRED FOR BHA CERTIFICATION. COMPLETION OF THE CT COURSES FITS WITHIN THE ONE-YEAR MAXIMUM ALLOWED FOR LEVEL I AND SERVES AS A NATURAL STEPPINGSTONE FOR THOSE WHO SEEK BHA-II CERTIFICATION, WHICH REQUIRES A MORE EXTENSIVE LIST OF COURSES. BY INCREASING THE NUMBER OF INDIVIDUALS WHO HAVE BEEN TRAINED AND CERTIFIED AS BHAS AND CDCS, HISTORICALLY UNDERSERVED COMMUNITIES WILL HAVE A GREATER CAPACITY TO ADDRESS SUBSTANCE USE CHALLENGES, IN A CULTURALLY CONGRUENT WAY THAT CAN HAVE POSITIVE INTERGENERATIONAL EFFECTS FOR FAMILIES. WITH HIGH RATES OF SUBSTANCE USE AND BEHAVIORAL HEALTH CONDITIONS AND SYSTEMIC REQUIREMENTS DEMANDS FOR CERTIFICATION, THESE PROVIDERS NEED READY ACCESS TO THE REQUIRED TRAININGS, ON-THE-JOB TRAINING OPPORTUNITIES TO DEVELOP KNOWLEDGE AND SKILLS, AND SUPERVISORY RESOURCES TO ENSURE SKILLS ARE DEVELOPED AND APPLIED APPROPRIATELY WHEN WORKING WITH CLIENTS. THE PRIMARY GOAL OF THIS PROJECT IS TO SUPPORT THE NEEDS OF BEHAVIORAL HEALTH PARAPROFESSIONALS, EMPLOYERS, AND COMMUNITY MEMBERS BY ENGAGING IN ACTIVITIES RELATED TO THE FOLLOWING: 1. INCREASE THE NUMBER OF INDIVIDUALS WHO HAVE COMPLETED TRAINING REQUIRED FOR CERTIFICATION AS A BHA-II OR CDC-I. IN ORDER TO INCREASE THIS WORKFORCE, 2. PARTNER WITH TRIBAL AND NON-TRIBAL ORGANIZATIONS ACROSS ALASKA TO RECRUIT INCUMBENT BEHAVIORAL HEALTH WORKERS; 3. DEVELOP AND DELIVER MORE TRAINING OPPORTUNITIES TARGETING THE DEVELOPMENT OF HEALTHCARE WORKING ON INTERPROFESSIONAL TEAMS, WORKING IN INTEGRATED SETTINGS, WORKING WITH DIVERSE POPULATIONS, AND WORKING WITH CHILDREN AND ADOLESCENTS WHO HAVE EXPERIENCED TRAUMA AND/OR ARE AT RISK FOR MENTAL HEALTH DISORDERS. 4. ENHANCE THE LEVEL UP CERTIFICATE TRAINING PROGRAM, VIA A FOCUS ON INFRASTRUCTURE, MATERIALS, AND STAFF EXPERTISE

WORKING TOGETHER TO ADDRESS THINGS THAT MATTER: STRATEGIES TO IMPROVE PREVENTION AND CONTROL OF

THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM WILL CONTINUE TO HELP ALASKA TRIBES DEVELOP THEIR AIR QUALITY MANAGEMENT CAPABILITIES AND PROGRAMS THROUGH AIR QUALITY TECHNICAL SUPPORT, CAPACITY BUILDING, CONDUCTING ASSESSMENTS, AND ADMINISTERING SUB-AWARDS FOR AIR QUALITY PROJECTS DEVELOPED COLLABORATIVELY WITH ALASKA TRIBES FOR THEIR COMMUNITIES. THESE ACTIVITIES WILL BENEFIT AND PROTECT PUBLIC HEALTH AND AIR QUALITY IN ALASKA NATIVE VILLAGES.

ARTHRITIS AND AUTOIMMUNE DISEASE EPIDEMIOLOGY AND IMPACT IN THE ALASKA NATIVE POPULATION

DESCRIPTION:THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM WILL CONTINUE TO HELP ALASKA TRIBES DEVELOP THEIR AIR QUALITY MANAGEMENT CAPABILITIES AND PROGRAMS THROUGH AIR QUALITY TECHNICAL SUPPORT, CAPACITY BUILDING, CONDUCTING ASSESSMENTS, AND ADMINISTERING SUB-AWARDS FOR AIR QUALITY PROJECTS DEVELOPED COLLABORATIVELY WITH ALASKA TRIBES FOR THEIR COMMUNITIES. THESE ACTIVITIES WILL BENEFIT AND PROTECT PUBLIC HEALTH AND AIR QUALITY IN ALASKA NATIVE VILLAGES.ACTIVITIES:ANTHC WILL ASSIST TRIBES AND TRIBAL COMMUNITIES IN BUILDING CAPACITY TO SUSTAINABLY AND EFFECTIVELY ADDRESS LOCAL SOURCES OF AIR POLLUTION IN COLLABORATION WITH KEY PARTNERS TO PROTECT PUBLIC HEALTH AND THE ENVIRONMENT. ANTHC WILL RAISE TRIBAL-COMMUNITY AND SERVICE PROVIDER AWARENESS OF HOW INDIVIDUALS AND GROUPS CAN TAKE RESPONSIBILITY FOR MITIGATING LOCAL SOURCES OF AIR POLLUTION AND PROTECT THE HEALTH THEIR FAMILIES AND COMMUNITIES.SUBRECIPIENT:ANTHC PROVIDES SUBAWARDS TO ASSIST TRIBES AND TRIBAL COMMUNITIES IN BUILDING CAPACITY TO SUSTAINABLY AND EFFECTIVELY ADDRESS LOCAL SOURCES OF AIR POLLUTION IN COLLABORATION WITH KEY PARTNERS TO PROTECT PUBLIC HEALTH AND THE ENVIRONMENT. ANTHC PROVIDES 4 SUBAWARDS OF $10K PER YEAR TO RECIPIENTS. ANTHC MANAGES THE SUBAWARDS AND PROVIDES TECHNICAL SUPPORT TO RECIPIENTS. OUTCOMES:ANTHC AGREES TO SUBMIT BIANNUAL PROGRESS/PERFORMANCE REPORTS. THE REPORTS WILL DESCRIBE PROGRESS ON COMPLETION OF WORK PLAN COMMITMENTS, PROVIDE A DISCUSSION OF THE WORK PERFORMED FOR ALL WORK PLAN COMPONENTS, AND INCLUDE A DISCUSSION OF ANY EXISTING OR POTENTIAL PROBLEM AREAS WHICH COULD AFFECT PROJECT COMPLETION AND WHAT MEASURES WILL BE TAKEN TO ADDRESS OR CORRECT THE IDENTIFIED PROBLEM. YEARLY OUTCOMES INCLUDE: 4 TRIBES IN ALASKA WILL COMPLETE AIR QUALITY PROJECTS; EACH PROJECT WILL PROVIDE TRIBES WITH EXPANDED CAPACITY, COMMUNITY ENGAGEMENT, AND POINTS OF REFERENCE ON ALASKA-SPECIFIC TRIBAL AIR QUALITY TOPICS; COLLABORATIVE PROJECTS WITH ANTHC SUPPORT WILL INCREASE THE NUMBER OF TRIBES THAT HAVE SUCCESSFULLY CONDUCTED AIR QUALITY PROJECTS IN ALASKA EACH YEAR; REPORTS, TOOLS, AND MATERIALS CREATED WILL BE AVAILABLE AS A RESOURCE TO TRIBES AND EPA ON THE ANTHC TRIBAL AIR QUALITY WEBPAGE; AIR QUALITY DATA COLLECTED BY TRIBES WILL BE QUALITY ASSURED; AND AIR QUALITY EXPERTISE WILL GROW AMONG ALASKA NATIVE ENVIRONMENTAL HEALTH WORKERS.

ALASKA NATIVE TRIBAL HEALTH CONSORTIUM COMPREHENSIVE CANCER CONTROL PROGRAM

HIGH ENERGY COST GRANT

ALASKA METHAMPHETAMINE AND SUICIDE PREVENTION INITIATIVE

INDIAN COMMUNITY DEVELOPMENT BLOCK GRANT (ICDBG)

INDIAN COMMUNITY DEVELOPMENT BLOCK GRANT (ICDBG)

INDIAN COMMUNITY DEVELOPMENT BLOCK GRANT (ICDBG)

INDIAN COMMUNITY DEVELOPMENT BLOCK GRANT (ICDBG)

TELEHEALTH RECOVERY INTERVENTIONS TO ADDRESS GAPS ESCALATED BY COVID-19 (TRIAGE COVID-19)

YUPIIT IKAYUAT (YUP'IKS HELP)

INDIAN COMMUNITY DEVELOPMENT BLOCK GRANT (ICDBG)

INDIAN COMMUNITY DEVELOPMENT BLOCK GRANT (ICDBG)

ANTHC PRIMARY CARE & BEHAVIORAL HEALTH FY 2009

ALASKA DOMESTIC VIOLENCE PREVENTION INITIATIVE

SNAP FDPIR SAE

DENTAL PREVENTIVE AND CLINICAL SUPPORT CENTERS PROGRAM

INDIAN COMMUNITY DEVELOPMENT BLOCK GRANT (ICDBG)

ALASKA DOMESTIC VIOLENCE PREVENTION PROGRAM

ANGOON STREET REPAVING AND UTILITY REHABILITATION PROJECT

TRAINING ORGANIZATIONAL AND COMMUNITY FIRST RESPONDERS TO RESPOND TO ADVERSE OPIOID-RELATED INCIDENTS - THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM'S (ANTHC) TRAINING ORGANIZATIONAL AND COMMUNITY FIRST RESPONDERS TO RESPOND TO ADVERSE OPIOID-RELATED INCIDENTS PROJECT WILL FOCUS ON THE DEVELOPMENT OF A TRAINED NETWORK OF WORKPLACE NALOXONE USE PROGRAMS IN RURAL ALASKA COMMUNITIES. THE PRIMARY TARGET POPULATION OF THIS GRANT IS THE USER POPULATION OF THE ALASKA TRIBAL HEALTH SYSTEM (ATHS), WHICH INCLUDES 16 REGIONAL HEALTH CONSORTIA AND 17 TRIBAL AND/OR LOCAL HEALTH PROGRAMS. THE MOST RECENT USER POPULATION COUNT IS ROUGHLY 189,000 PEOPLE, WHICH INCLUDES BOTH AN/AI CONSUMERS (89%) AND NON-NATIVE CONSUMERS. IN RURAL AREAS, SUBSTANCE ABUSE AND OPIOID MISUSE ARE PARTICULAR HARD TO ADDRESS DUE TO LIMITED RESOURCES FOR PREVENTION, TREATMENT, AND RECOVERY. FACTORS CONTRIBUTING TO THE ABUSE OF THESE SUBSTANCES ARE LOW EDUCATIONAL ATTAINMENT, UNEMPLOYMENT, AND HIGH-RISK BEHAVIORS, AS WELL AS ISOLATION AND POVERTY. THE GOALS OF THIS PROJECT ARE TO: 1) DESIGN A WORKPLACE NALOXONE USE PROGRAM THAT INCLUDES POLICIES, PROCEDURES, TRAINING, AND REFERRAL PROTOCOLS, 2) INCREASE IN THE NUMBER OF TRAINED KEY COMMUNITY SECTOR MEMBERS/ORGANIZATIONAL FIRST RESPONDERS IN RECOGNIZING SUSPECTED OPIOID OVERDOSE, ADMINISTERING OPIOID REVERSAL MEDICATION, AND FOLLOWING REFERRAL TO TREATMENT PROTOCOLS, AND 3) INCREASE IN CAPACITY FOR TRAINED FIRST RESPONDERS IN OPIOID OVERDOSE REVERSALS IN RURAL ALASKAN ORGANIZATIONS AND COMMUNITIES STATEWIDE. IN YEAR ONE OF THIS GRANT, THE PROJECT WILL FOCUS ON DISTRIBUTING NALOXONE AND TRAINING KEY COMMUNITY MEMBERS AND ORGANIZATIONAL FIRST RESPONDERS ON THE ALASKA NATIVE HEALTH CAMPUS (ANHC) IN RECOGNIZING SUSPECTED OPIOID OVERDOSE, ADMINISTERING OPIOID OVERDOSE REVERSAL MEDICATION, AND FOLLOWING REFERRAL TO TREATMENT PROTOCOLS. IN ADDITION, WE WILL ESTABLISH THE POLICIES, PROTOCOLS, AND MECHANISMS FOR REFERRAL TO TREATMENT AND RECOVERY SUPPORT SERVICES FOR A WORKPLACE NALOXONE USE PROGRAM. WE WILL ALSO CREATE EDUCATIONAL MATERIALS REGARDING SAFETY AROUND FENTANYL, CARFENTANIL, AND OTHER DANGEROUS LICIT AND ILLICIT DRUGS. IN YEARS TWO THROUGH FOUR, THE PROJECT WILL EXPAND INTO THREE RURAL COMMUNITIES PER YEAR. THE PRIMARY TARGET OF THE WORKPLACE NALOXONE USE PROGRAMS WILL BE CONNECTED WITH THE TRIBAL HEALTH ORGANIZATIONS (THO) AND INTERESTED RURAL COMMUNITIES, KEY COMMUNITY MEMBERS AND FIRST RESPONDERS IN THE ATHS. OTHER RURAL AND REMOTE COMMUNITY EMERGENCY RESPONSE ORGANIZATIONS INVITED WILL INCLUDE BEHAVIORAL HEALTH CLINICS, SHELTERS, AND ORGANIZED VOLUNTEER GROUPS TO FURTHER INCREASE ACCESS TO THESE LIFE-SAVING SERVICES FOR AN/AI PEOPLE IN RURAL COMMUNITIES ACROSS ALASKA. IT IS ANTICIPATED THAT THE PROJECT WILL TRAIN 750 ORGANIZATIONAL FIRST RESPONDERS IN YEAR ONE AND 450 PER YEAR IN YEARS TWO THROUGH FOUR, TOTALING 2,100 TRAINEES OVER THE LIFETIME OF THE GRANT.

HEALTH CARE AND OTHER FACILITIES

SUPPORTING TRIBAL PUBLIC HEALTH CAPACITY IN CORONAVIRUS PREPAREDNESS AND RESPONSE - 2020

INDIAN COMMUNITY DEVELOPMENT BLOCK GRANT (ICDBG)

IMPLEMENTATION OF THE ALASKA TRIBAL HEALTH SYSTEM COMPREHENSIVE CANCER CONTROL

NARCH III

DESCRIPTION:THE AGREEMENT PROVIDES ASSISTANCE TO THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM (ANTHC) TO IMPLEMENT A PROGRAM OF VOLUNTARY TESTING FOR LEAD IN DRINKING WATER AT TRIBAL SCHOOLS, HEAD START FACILITIES, AND CHILD CARE FACILITIES. SPECIFICALLY, THE RECIPIENT ANTICIPATES WORKING WITH AN ESTIMATE OF 100 SCHOOLS AND HEAD START FACILITIES SERVING AN ESTIMATED 10,000 STUDENTS. ACTIVITIES:THE ACTIVITIES INCLUDE TESTING ALL OUTLETS USED FOR CONSUMPTION, PROVIDING EDUCATION ABOUT LEAD EXPOSURE TO PARTICIPATING SCHOOLS AND CHILD CARE FACILITIES, AND COORDINATING LOW-COST REMEDIATION WORK, WHERE RECOMMENDED AND AS ELIGIBLE UNDER THIS GRANT AGREEMENT. SUBRECIPIENT:NO SUBAWARDS ARE INCLUDED IN THIS ASSISTANCE AGREEMENT.OUTCOMES:THE ANTICIPATED DELIVERABLES AND EXPECTED OUTCOMES INCLUDE SAFE DRINKING WATER AT CHILD CARE CENTERS AND SCHOOLS. THE INTENDED BENEFICIARIES INCLUDE OCCUPANTS AT TRIBALLY-OPERATED CHILD CARE CENTERS AND SCHOOLS.

ALASKA RURAL UTILITY COLLABORATIVE

THIS COLLABORATIVE PROJECT BETWEEN THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM, IMPACTED ALASKA TRIBES, AND EPA WILL COLLECT AIR POLLUTION DATA IN NA

THIS STUDY EXAMINES THE SUBSISTENCE-BASED DIET OF ALASKA NATIVES AND THE POTENTIAL HEALTH EFFECTS OF CONTAMINATION, AS WELL AS THE IMPACT OF CLIMATE

WWD ALASKAN VILLAGES GRANTS - WASTE DISPOSAL

FOOD DISTRIBUTION PROGRAM ON INDIAN RESERVATIONS

KOTZEBUE ACCESS ROADS IMPROVEMENTS

RURAL ALASKAN VILLAGE WWD GRANTS-DOMESTIC WATER ONLY

LEAD-BASED PAINT HAZARD CONTROL IN PRIVATELY-OWNED HOUSING

AMERICAN INDIAN/ALASKA NATIVE HEALTH DISPARITIES PROGRAM

DESCRIPTION:THE PRIMARY OBJECTIVE OF EPA'S CONTAMINATED ALASKA NATIVE CLAIMS SETTLEMENT ACT ASSISTANCE PROGRAM IS TO PROVIDE FINANCIAL SUPPORT TO ASSIST ALASKA TRIBAL ENTITIES WITH ADDRESSING CONTAMINATION ON LANDS CONVEYED PURSUANT TO THE ALASKA NATIVE CLAIMS SETTLEMENT ACT. THE FUNDS ARE AVAILABLE TO ELIGIBLE TRIBAL APPLICANTS TO CHARACTERIZE, ASSESS, AND CONDUCT PLANNING AND COMMUNITY INVOLVEMENT ACTIVITIES RELATED TO THESE LANDS AND CARRY OUT CLEANUP ACTIVITIES. THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM WILL PROVIDE STATEWIDE TECHNICAL ASSISTANCE, OUTREACH, AND EDUCATION TO TRIBES, TRIBAL ORGANIZATIONS, ALASKA NATIVE ENTITIES, AND PARTNERS TO SUPPORT EPA'S CONTAMINATED ANCSA LANDS ASSISTANCE PROGRAM IN CREATING A LONG-TERM SUSTAINABLE PROGRAM.ACTIVITIES:ANTHC WILL RELY ON CURRENT PARTNERSHIPS TO ENHANCE RELATIONSHIPS WITH ALASKA NATIVE REGIONAL AND VILLAGE CORPORATIONS AND FEDERALLY RECOGNIZED TRIBES IN THEIR EFFORTS TO SECURE FUNDING FOR CONTAMINATED ANCSA LANDS AND INCREASE LOCAL CAPACITY BY PROVIDING SITE RESEARCH ASSISTANCE, APPLICATION ASSISTANCE, COOPERATIVE AGREEMENT MANAGEMENT ASSISTANCE, AND OUTREACH AND EDUCATION.SUBRECIPIENT:NO SUBAWARDS ARE INCLUDED IN THIS ASSISTANCE AGREEMENT.OUTCOMES:FUNDING WILL PROVIDE TECHNICAL ASSISTANCE RESULTING IN IDENTIFICATION OF NEW SITES, IMPROVED EDUCATION AND AWARENESS OF ANCSA CONTAMINATED LANDS AND RESOURCES, INCREASED CAPACITY AND KNOWLEDGE FOR PARTICIPATION IN CONTAMINATED SITES ASSESSMENT AND CLEANUP EFFORTS, IDENTIFICATION AND STRATEGIES TO ADDRESS ROADBLOCKS TO SITE CLEANUP AND ECONOMIC IMPACTS, AS WELL AS COORDINATION WITH EPA AND ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION. EXPECTED OUTCOMES INCLUDE AN INCREASED NUMBER OF APPLICANTS AND NUMBER OF SITES REMEDIATED. DIRECT BENEFICIARIES ARE ALASKA NATIVE ENTITIES INCLUDING FEDERALLY RECOGNIZED TRIBES IN ALASKA, ALASKA NATIVE REGIONAL AND VILLAGE CORPORATIONS AND SHAREHOLDERS, AND TRIBAL CONSORTIA.

DISTANCE EDUCATION TO ENGAGE ALASKAN COMMUNITY HEALTH AIDES IN CANCER CONTROL

CLOSING THE GAP AT THE TOP OF THE WORLD: REDUCING RACIAL DISPARITIES IN SMOKING IN ALASKA'S NORTH SLOPE BOROUGH

BUILDING A CANCER EPIDEMIOLOGY COHORT TO INVESTIGATE FACTORS ASSOCIATED WITH HIGHER RISK OF COLORECTAL CANCER AMONG ALASKA NATIVE PEOPLE - PROJECT SUMMARY/ABSTRACT ALASKA NATIVE (AN) PEOPLE HAVE THE HIGHEST RECORDED RATE OF COLORECTAL CANCER (CRC) IN THE WORLD WITH TWOFOLD HIGHER INCIDENCE AND MORTALITY THAN US WHITES. THIS CANCER DISPARITY HAS PERSISTED FOR OVER 30 YEARS DESPITE AN INCREASE IN AN CRC SCREENING RATES TO LEVELS SIMILAR TO NON-AN. A HOLISTIC APPROACH TO REDUCING CRC THAT INCLUDES BOTH PRIMARY AND SECONDARY PREVENTION IS VITAL. YET, NO EPIDEMIOLOGICAL OR COHORT STUDIES EXIST TO EXPLAIN THE INCREASED RISK OF AN CRC. THIS WILL BE THE FIRST COHORT STUDY TO INVESTIGATE THE ETIOLOGY OF CRC AMONG AN PEOPLE WITH THE GOAL OF IDENTIFYING NEW RISK FACTORS WITH TRANSLATIONAL POTENTIAL FOR PRIMARY PREVENTION AND RISK PREDICTION. ADDITIONALLY, AS CRC RISK IS INCREASING AMONG TYPICALLY LOW-RISK GROUPS ACROSS THE U.S., SUCH AS THE YOUNG, UNDERSTANDING THE CAUSES OF THIS DISEASE IN A POPULATION THAT HAS SEEN DRAMATIC INCREASES IN CANCER RISK OVER THE PAST CENTURY MAY BE MORE BROADLY INFORMATIVE. LED BY THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM (ANTHC), IN PARTNERSHIP WITH THE FRED HUTCHINSON CANCER CENTER (FHCC), THIS PROPOSED RESEARCH WILL ESTABLISH THE FIRST COMMUNITY-ENGAGED COHORT STUDY OF CRC RISK AMONG AN PEOPLE. BUILDING ON OUR SUCCESSFUL PILOT RECRUITMENT STUDY, IN AIM 1, WE WILL ENROLL 1,000 INDIVIDUALS PRIOR TO COLONOSCOPY SCREENING IN ANCHORAGE AND THREE-FOUR REGIONAL TRIBAL HOSPITALS OUTSIDE OF ANCHORAGE. THE ULTIMATE OUTCOME OF INTEREST FOR THIS STUDY WILL INCLUDE BOTH INCIDENT CRC AND ADVANCED ADENOMA (ADENOMATOUS POLYP ≥1 CM OR CONTAINING >25% VILLOUS COMPONENT OR HIGH-GRADE DYSPLASIA, OR SESSILE SERRATED ADENOMA/POLYP ≥1 CM). WE WILL COLLECT EXPOSOME DATA USING CULTURALLY APPROPRIATE AND PREVIOUSLY VALIDATED QUESTIONNAIRES ON DEMOGRAPHICS, DIET AND TRADITIONAL FOOD USE, FOOD STORAGE AND PROCESSING, MEDICATIONS, OCCUPATION, LIFETIME ENVIRONMENTAL EXPOSURES AND TOBACCO USE. WE WILL ALSO COLLECT MEDICAL HISTORY, INCLUDING LIFETIME ANTIBIOTICS AND PROTON PUMP INHIBITORS, AND ANTHROPOMETRIC INFORMATION, AS WELL AS OBJECTIVE MEASURES OF PHYSICAL ACTIVITY AND SLEEP, INCLUDING CIRCADIAN RHYTHMS. IN AIM 2, WE WILL COLLECT BIOSPECIMENS (TUMOR TISSUE, COLON BIOPSIES, SALIVA, HAIR, URINE, AND BLOOD), AND BIOBANK THE SAMPLES AS A RESOURCE FOR FUTURE WORK. IMPORTANTLY, WE ALREADY HAVE IRB AND TRIBAL APPROVAL FOR FUTURE BIOSPECIMEN TESTING INCLUDING MICROBIOME AND EPIGENETICS ANALYSES. FOR SPECIFIC AIM 3, WE WILL CONDUCT STATISTICAL ANALYSES OF THESE QUESTIONNAIRE, ANTHROPOMETRIC, BIOMARKER, AND MEDICAL RECORD DATA TO ASSESS ASSOCIATIONS OF RISK FACTORS WITH CRC. THIS STUDY UTILIZES A COMMUNITY-BASED PARTICIPATORY RESEARCH APPROACH TO ADDRESS A KEY HEALTH DISPARITY OF COMMUNITY CONCERN. BY ESTABLISHING AN AN COHORT WITH UNIQUE RISK EXPOSURES WE WILL GAIN A BETTER UNDERSTANDING OF CRC AMONG THIS HIGH RISK POPULATION. THIS RESEARCH WILL PROVIDE CRITICAL INFORMATION THAT CAN BE USED TO INFORM FUTURE RESEARCH, DEVELOP RISK PREDICTION MODELS, AND DESIGN EFFECTIVE PRIMARY PREVENTION STRATEGIES AMONG AN PEOPLE AND OTHER POPULATIONS AT HIGH OR INCREASING RISK OF THIS DISEASE.

THE OBJECTIVE OF THIS RESEARCH IS TO BUILD TRIBAL CAPACITY FOR ASSESSMENT, MONITORING AND ADAPTATION TO FOOD AND WATER SECURITY THREATS FROM THE CHAN

PROMOTING RESILIENCE EDUCATION IN VILLAGES TO ENHANCE NATIVE TRADITIONS (PREVENT)

DESCRIPTION:EPA'S CERCLA SECTION 128(A) GRANT PROGRAM FUNDS ACTIVITIES THAT ESTABLISH OR ENHANCE THE CAPACITY FOR STATE AND TRIBAL RESPONSE PROGRAMS, TO CAPITALIZE REVOLVING LOAN FUNDS (RLFS), AND SUPPORT INSURANCE MECHANISMS. THE GOALS OF THIS FUNDING ARE TO PROVIDE FINANCIAL SUPPORT FOR ELEMENTS OF AN EFFECTIVE STATE OR TRIBAL RESPONSE PROGRAM, AS SPECIFIED IN CERCLA SECTION 128, AND TO ENSURE THAT STATES AND TRIBES MAINTAIN A PUBLIC RECORD OF SITES INCLUDED IN THEIR PROGRAMS. THE PURPOSE OF THIS AWARD IS TO ENHANCE THE CAPACITY OF ALASKA NATIVE TRIBAL HEALTH CONSORTIUM BROWNFIELDS RESPONSE PROGRAM TO MEET THE SECTION 128(A) ELEMENTS. ALASKA NATIVE TRIBAL HEALTH CONSORTIUM (ANTHC) WILL OVERSEE AND PERFORM PLANNING, ASSESSMENT, AND CLEANUP OF BROWNFIELDS SITES THROUGHOUT THE STATE.ACTIVITIES:ALASKA NATIVE TRIBAL HEALTH CONSORTIUM WILL PERFORM THE FOLLOWING ACTIVITIES: TIMELY SURVEY AND INVENTORY OF BROWNFIELD SITES, WHICH ARE PROPERTIES WHOSE EXPANSION, REDEVELOPMENT OR REUSE MAY BE COMPLICATED BY THE PRESENCE OF HAZARDOUS SUBSTANCES. IT ALSO INCLUDES OVERSIGHT AND ENFORCEMENT AUTHORITIES TO ENSURE THAT RESPONSE ACTIONS PROTECT HUMAN HEALTH AND THE ENVIRONMENT; RESOURCES TO PROVIDE MEANINGFUL PUBLIC INVOLVEMENT; MECHANISMS FOR APPROVAL OF CLEANUP PLANS, AND VERIFICATION OF COMPLETE RESPONSES. THE OBJECTIVE OF THIS PROJECT IS TO ASSIST IN REMEDIATING AND REUSING BROWNFIELDS SITES THROUGHOUT THE STATE. SUBRECIPIENT:NO SUBAWARDS ARE INCLUDED IN THIS ASSISTANCE AGREEMENT.OUTCOMES:TO REACH THIS VISION, THE ANTHC 128(A) TRIBAL RESPONSE PROGRAM (TRP), WILL: PERFORM EDUCATIONAL OUTREACH TO INCREASE AWARENESS OF BROWNFIELDS; ESTABLISH STATEWIDE AND NATIONWIDE PARTNERSHIPS THAT INCREASE AND SUSTAIN A COMMUNITY'S CAPACITY TO IDENTIFY POTENTIALLY CONTAMINATED SITES THAT MAY POSE RISKS TO HUMAN HEALTH AND THE ENVIRONMENT; PROMOTE THE PREVENTION OF FUTURE BROWNFIELD SITES; CREATE LASTING AND INNOVATIVE SOLUTIONS THAT LEAD TO ENVIRONMENTAL RESTORATION AND COMMUNITY EMPOWERMENT; LEAD ANCSA-CONVEYED CONTAMINATED SITE IDENTIFICATION AND REMEDIATION EFFORTS; AND BE THE PROVIDER OF CHOICE FOR TRIBAL BROWNFIELD SITE SERVICES (E.G. SAMPLING, UAV SERVICES, COMMUNITY MEETING FACILITATION, ETC.)

RURAL HIT NETWORK PROGRAM

CD10-1011 STRENGTHENING PUBLIC HEALTH INFRASTRUCTURE FOR IMPROVED HEALTH OUTCOMES

WWD ALASKAN VILLAGES GRANTS - COMBINATION WATER & WASTE DISPOSAL

WWD ALASKAN VILLAGES GRANTS - COMBINATION WATER & WASTE DISPOSAL

WWD ALASKAN VILLAGES GRANTS - COMBINATION WATER & WASTE DISPOSAL

RURAL ALASKAN VILLAGE WWD GRANTS-DOMESTIC WATER ONLY

2014 NARCH 8

DESCRIPTION:THE AGREEMENT PROVIDES FUNDING UNDER THE INFLATION REDUCTION ACT (IRA) TO THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM (ANTHC) TO DEVELOP A COMPREHENSIVE, ECONOMY-WIDE CLIMATE MITIGATION PLAN OR UPDATE AN EXISTING PLAN THAT WILL SUPPORT ACTIONS TO REDUCE GREENHOUSE GASES (GHG) AND HARMFUL AIR POLLUTANTS. THE ANTHC WILL LEAD CLIMATE MITIGATION PLAN DEVELOPMENT FOR TRIBAL ENTITIES IN ALASKA LOCATED IN OR SUPPORTING COMMUNITIES THAT DO NOT HAVE THEIR OWN CLIMATE ACTION PLANS OR ARE NOT COVERED BY OTHER REGIONAL TRIBAL CLIMATE ACTION PLANS.. THE ANTHC WILL FOCUS ON 78 HIGH-PRIORITY ALASKA NATIVE COMMUNITIES THAT HAVE SMALL POPULATIONS, HIGH ENERGY COSTS AND ARE NOT LOCATED ON THE GRID-TIED RAILBELT IN ALASKA.. THE CLIMATE ACTION PLANS WILL FOCUS ON GHG EMISSION REDUCTIONS IN ELECTRICITY GENERATION, RESIDENTIAL ENERGY EFFICIENCY AND NONRESIDENTIAL ENERGY EFFICIENCY. ACTIVITIES:IN GENERAL, ACTIVITIES INCLUDE THE DEVELOPMENT, UPDATING, AND EVALUATION OF PLANS TO REDUCE CLIMATE POLLUTION (I.E., TO REDUCE GHG EMISSIONS AND/OR ENHANCE CARBON SINKS). FURTHERMORE, THE ANTHC WILL CREATE GHG INVENTORIES AND PROJECTIONS, ESTABLISH REDUCTION TARGETS, AND EVALUATE THE FEASIBILITY OF DEVELOPING CLEAN ENERGY INFRASTRUCTURE IN HIGH-PRIORITY COMMUNITIES. ADDITIONALLY, THE ANTHC WILL CONDUCT COMMUNITY ENGAGEMENT TO IDENTIFY PRIORITIES BY CONDUCTING WORKSHOPS FOR TRIBAL LEADERS, A TRIBAL WORKING GROUP, IN PERSON AND VIRTUAL MEETINGS, AN ONLINE FORM, AND THROUGH SOLICITING FEEDBACK AT KEY TRIBAL EVENTS. SUBRECIPIENT:KODIAK AREA NATIVE ASSOCIATION (KANA) SUBAWARD - KANA IS A 501(C)(3) NONPROFIT CORPORATION AND REGIONAL TRIBAL HEALTH ORGANIZATION (THO) THAT PROVIDES HEALTH CARE AND SOCIAL SERVICES FOR ALASKA NATIVE PEOPLE AND COMMUNITIES THROUGHOUT THE KONIAG REGION. ANTHC WILL SUBAWARD KANA TO ASSIST IN OUTREACH AND OTHER ACTIVITIES RELATED TO ACHIEVING GRANT OUTCOMES FOR THE REGION THEY SERVE. NUVISTA LIGHT AND ELECTRIC COOPERATIVE, INC. SUBAWARD - NUVISTA IS A 501(C)(3) NONPROFIT THAT WORKS TO REDUCE ENERGY COSTS AND PROVIDE RENEWABLE SOURCES OF ENERGY TO THE PEOPLE OF WESTERN ALASKA/YUKON-KUSKOKWIM DELTA REGION. ANTHC WILL SUBAWARD NUVISTA TO ASSIST IN OUTREACH AND OTHER ACTIVITIES RELATED TO ACHIEVING GRANT OUTCOMES FOR THEIR REGION. OUTCOMES:TWO KEY DELIVERABLES WILL BE PRODUCED AND SUBMITTED OVER THE COURSE OF THE FOUR-YEAR PROGRAM PERIOD, INCLUDING: A PRIORITY CLIMATE ACTION PLAN (PCAP), DUE MARCH 1, 2024, AND A COMPREHENSIVE CLIMATE ACTION PLAN (CCAP), DUE AT THE END OF THE GRANT PERIOD. THE PCAP WILL INCLUDE A GHG INVENTORY, QUANTITATIVE GHG REDUCTION MEASURES, A BENEFITS ANALYSIS, AND A REVIEW OF AUTHORITY TO IMPLEMENT ACTIVITIES. THE CCAP WILL INCLUDE AN OVERVIEW OF SIGNIFICANT GHG SOURCES/SINKS AND SECTORS WITHIN THE ALASKA NATIVE COMMUNITIES, NEAR-TERM AND LONG-TERM GHG EMISSION REDUCTION GOALS, AND STRATEGIES AND MEASURES TO ADDRESS THE HIGHEST PRIORITY SECTORS. EXPECTED OUTCOMES INCLUDE A PCAP AND CCAP THAT IDENTIFIES: TONS OF POLLUTION (GHGS AND CO-POLLUTANTS) REDUCED OVER THE LIFETIME OF THE MEASURES AND TONS OF POLLUTION (GHGS AND CO-POLLUTANTS) REDUCED ANNUALLY. OTHER EXPECTED OUTCOMES INCLUDE: REDUCED ENERGY COST BURDEN IN HIGH PRIORITY COMMUNITIES. THE INTENDED BENEFICIARIES INCLUDE ALL RESIDENTS OF AND VISITORS TO COMMUNITIES SERVED BY THE ANTHC.

FOOD DISTRIBUTION PROGRAM ON INDIAN RESERVATIONS

FOOD DISTRIBUTION PROGRAM ON INDIAN RESERVATIONS

CORONAVIRUS TELEHEALTH RESOURCE CENTERS

FOOD DISTRIBUTION PROGRAM ON INDIAN RESERVATIONS

NAVIGATIONS OF SERVICES

INDIAN COMMUNITY DEVELOPMENT BLOCK GRANT (ICDBG)

EMMONAK WOMEN'S SHELTER - PRE-DEVELOPMENT AND ENGINEERING DESIGN