Native American Health OFFICE OF HEALTH EQUITY Tradition: It is - PowerPoint PPT Presentation

Native American Health OFFICE OF HEALTH EQUITY

Tradition: It is our way to mourn for one year when one of our relations enters the Spirit World . Tradition is to wear black while mourning our lost one, tradition is not to be happy, not to sing and dance and enjoy life’s beauty during mourning time. Tradition is to suffer with the remembering of our lost one, and to give away much of what we own and to cut our hair short….Chief Sitting Bull was more than a relation….He represented an entire people: our freedom, our way of life -- all that we were. And for one hundred years we as a people have mourned our great leader. `Lakota

Learning Objectives Increase understanding of health disparities among  Native Americans Increase understanding of health inequities among  Native Americans Increase awareness of health equity and the social  determinants of health

Health equity exists when… Everyone has equal opportunity to reach full potential. Benefits and burdens are distributed fairly. Everyone has an acceptable quality and standard of living.

Definition of Historical Trauma Historical trauma is cumulative emotional and psychological injury or wounding over the life span and across generations, resulting from massive group trauma that can be exemplified in a cataclysmic history of genocide. - Brave Heart & DeBruyn, 1998 7 6/3/2019

Disparities

Graduation Rates

Home Ownership

Suicide Rates

https://www.prisonpolicy.org/profiles/

Wyoming Mortality 2013-2017 Wyoming Mortality: Age-Adulated Rate per 100,000 Population – 2013-2017 Cause of Death Native American White Heart Disease 164.7 155.2 Cancer 141.2 140.8 Accidents & Adverse Effects 141.1 57.18 Pneumonia & Influenza 26.4 16.6 Diabetes 76.4 16.6 Chronic Liver Disease 86.5 13.2 Homicide & Legal Intervention 13.6 3.2 Suicide 23.4 24.8 Source: Wyoming BRSFF and Vital Statistics

Indian Health Services (IHS)

Social Determinants of Health

Alameda County

Social Factors Impact Health Outcomes

Where you live…

Health in All Policies (HIAP) APHA promotes a health in all policies approach as a strategy for addressing the complex factors that influence health and equity, also referred to as the social determinants of health, which include educational attainment, housing, transportation options, and neighborhood safety.

Inside/outside

Health Equity Strategies Four objectives to achieve health equity  Foster societal understanding and the will to achieve health equity  Leverage and engage broad public/private partners in health equity solutions  Leverage existing and new funding for health equity  Strengthen organizational effectiveness in support of health equity. - The Association of State and Territorial Health Officials 33 6/3/2019

Suggested Actions Learn and understand Wyoming’s Health Equity Resources ◦ Office of Health Equity Website Be proactive ◦ Discuss how to advance health equity in your program ◦ Participate in HEWtalks ◦ Schedule time to view webinars and videos ◦ Include Health Equity training topics in your individual development plans What else can you do?

Resources American Journal of Public Health Supplement: "Beyond Health Equity" White House Discussion: How We Achieve Health Equity in Our Lifetime (Public Health Newswire) "What Are Health Disparities and Health Equity? We Need to Be Clear" by Paula Braveman (PDF) Determinants of Equity Report (Seattle King County, Washington) (PDF) The Roots of Health Inequity: A Web-Based Course for the Public Health Workforce Making the Economic Case for Health Equity: Tribal and State Solutions (ASTHO) (video) Equity & Empowerment Lens (Multnomah County, Oregon) Healthy People 2020 Social Determinants of Health A Practitioner' Guide for Advancing Health Equity: Community Strategies for Prevention Chronic Disease (CDC) (PDF)

Resources Lisa Gale Garrigues at website: http://www.healingcollectivetrauma.com/ IHS Factsheet at website:http://www.ihs.gov/newsroom/factsheets/disparities/ Alameda County Public Health Department Community Assessment Planning & Education Unit at website: www.acphd.org Association of State and Territorial Health Officials at website:http://www.astho.org/Programs/Health-Equity/ Brave Heart, 1985-1988 at website:http://www.opi.mt.gov/pdf/indianed/Ottenbacher.pdf Brave Heart, M., & DeBruyn, L. (1998). The American Indian Holocaust: Healing historical unresolved grief. American Indian and Alaska Native Mental Health Research, 8, 60-82. Britannica at website: http://www.britannica.com/EBchecked/topic/303897/Jim-Crow-law Centers for Disease Prevention, Practitioners Guide for Advancing Health Equity at website:http://www.cdc.gov/nccdphp/dch/pdf/HealthEquityGuide.pdf)

THANK YOU! LILLIAN ZUNIGA LILLIAN.ZUNIGA@WYO.GOV 307777-5601 WWW.WOMH.ORG

Supplemental Slides

2015 and 2016

Using Horse Traditions To Reduce Suicide On Wind River Reservation

Graduation Rates – Region VIII

County Health Rankings and Roadmap Framework

Mending Broken Hearts