Tribal Health

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 Tribal Health Resources

A red apple rests on the ground in the late afternoon light

Using Your Braiding and Layering Funding to Address Food Insecurity

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A woman sits against a metal fence looking sad and desperate, her knees brought up to her chest and her head resting in her hand

Boundary Spanning Leadership Model Strengthens Oklahoma Harm Reduction Programs

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A row of brown brick residential buildings in lower Manhattan

Braiding and Layering Funding to Address Supportive Housing

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Close-up of flag pins in a world map

How State and Territorial Health Departments Can Navigate Recent Executive Actions

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New Executive Orders Shine Spotlight on Health and Racial Equity

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Healthy Heart, Healthy Brain

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Domestic Holiday Travel Pandemic Restrictions and Recommendations

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How to Address COVID-19 in Communities of Color

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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
  • 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