American Indian (AI) and Alaska Native (AN) populations are a rich tapestry of diverse and resilient cultures. Their population is growing, and they number in the millions. However, they are among the most marginalized communities with some of the poorest health outcomes in the country. ASTHO works with tribal, federal, state, and local partners to change this.
Tribal health and public health systems interact but are distinct from state and federal systems. The resources below aim to foster connections across systems and community members to improve health outcomes, with a focus on health equity and the unique challenges tribal populations face.
Latest Resources


How State and Territorial Health Departments Can Navigate Recent Executive Actions
Learn More




Improving Influenza Immunization Uptake Through Community Partnerships
Learn More
North Dakota Tests Innovative Health IT Approaches to Improve Hypertension Identification and Control in Workplaces
Learn MoreCollaborations
ASTHO manages multiple peer groups in which state-tribal topics arise. For example, the state environmental health directors and the state vector-borne disease control officials provide a venue for state and territorial health agency leaders to share information on promising practices, network with one another, and engage in meaningful discussions with each other and ASTHO on emerging or pressing environmental health issues. Additionally, cross-jurisdictional systems improvement projects and public health accreditation often engage state, local, and tribal health agencies.
ASTHO regularly engages with key partners to advance state and territorial health priorities. Key partners include:
- Association of Public Health Laboratories
- Association of State Drinking Water Administrators
- CDC
- Children’s Environmental Health Network
- Council of State and Territorial Epidemiologists
- Environmental Council of the States
- EPA
- FDA
- NACCHO
- National Association of Vector-Borne Disease Control Officials
- National Center for Healthy Housing
- National Environmental Health Association
- National Environmental Health Partnership Council
- National Indian Health Board