Community Health Assessment aNd Group Evaluation (CHANGE) Action Guide provides guidance for tribal communities.

CRIHB Develops CHANGE Toolkit

This document is an adaption of the Centers for Disease Control and Prevention’s (CDC) Community Health Assessment aNd Group Evaluation (CHANGE) Action Guide:  Building a Foundation of Knowledge to prioritize Community Needs.  This document shifted the information in the CHANGE Action Guide to provide guidance for tribes, tribal health programs, and tribal organizations in implementing policy, systems, and environmental (PSE) strategies to reduce chronic disease.  Prior to implementing these strategies it is suggested tribal communities convene a Tribal Community Team (TCT).  The team serves to provide guidance, support and insight.  Implementing a culturally-competent and community sensitive strategy is essential to successful PSE change.  Definitions of underlined terms can be found in the section titled “Understanding Terms.”

PSE interventions are intended to:

  • Implement Policy change including the passing of laws, ordinances, resolutions, mandates, regulations, or rules.  Examples:  Passing an ordinance allowing residents to plant community gardens in vacant lots, worksites establishing a policy that prohibits sugar-sweetened beverages from being served at meetings and events.
  • Create systems change involving change made to the infrastructure, rules, or systems within an organization.  Systems change and policy change often work hand-in-hand.  Examples:  Train nurses, case-managers, and pharmacists in behavioral approaches that can improve patient adherence to diabetes medications.
  • Implement environmental change which is a change made to the physical environment.  Examples:  Increasing access to cool drinking water in public places, posting no smoking signs, and creating environments that encourage physical activities such as walking and biking.

This guide intends to:

  • Provide the opportunity to strengthen partnerships among tribes, local health departments (LHDs), schools, hospitals, clinical providers, and other community organizations;
  • Direct clinics and tribes to additional resources available from the CDC and other public health agencies and tribal health programs;
  • Provide PSE strategies for various sectors of the tribal community to address physical activity, nutrition, and chronic diseases.
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Upcoming Events

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WEBINAR -- "BRCA Genetics in The News:  What Do I Do Next?" -- Wednesday, December 20, 2017, 8 p.m. EST. -- The webinar features Sharsheret's own Genetics Program Coordinator, Peggy Cottrell, MS, CGC, who will explore the latest critical genetics research, decode BRCA and other genetic mutations, and help us understand what steps we need to take next.  A Sharsheret peer supporter will share her personal story and a live question and answer session will follow the presentation.  We are proud to partner with FORCE on this presentation!  To register for the webinar or to share the webinar with others in your network, CLICK HERE.  Feel free to share widely.  If you have any questions, please contact Support Program Coordinator Shira Kravitz at skravitz@sharsheret.org or 1-866-474-2774.

FUNDING OPPORTUNITY -- The Great Plains Tribal Chairmen's Health Board and the Great Plains Tribal Epidemiology Center is pleased to announce 2 new funding opportunities in partnership with the Indian Health Service (with funding from the National Institutes of Health) and the Centers for Disease Control. -- The Substance Abuse and Mental Health IHS/NIH Project Sub-Award will be used to support the assessment of and response to the leading public health priorities of substance abuse and/or mental health.  It is anticipated that up to 6 awards will be available for the 2017-2018 funding cycle.  |  Applications are due on December 29, 2017.  |  LEARN MORE HERE

FUNDING OPPORTUNITY - The Great Plains Tribal Chairmen's Health Board and the Great Plains Tribal Epidemiology Center is pleased to announce two new funding opportunities in partnership with the Indian Health Service (with funding from the National Institutes of Health) and the Centers for Disease Control. | The Tribal Public Health Priorities CDC Project Sub-Award will be used in support of and response to local public health priorities and needs as well as contribute to the development of tribal public health workforce and infrastructure.  It is anticipated that up to 12 awards will be available for the 2017-2018 funding cycle.  |  Applications are due on December 29, 2017. | LEARN MORE HERE

FUNDING OPPORTUNITY - Public Health Institute is accepting applications for the National Leadership Academy for the Public's Health from teams in the Appalachian and Mid-regions of the United States.  "For communities that are engaged in cross-sector work to improve the public health, this is an opportunity to boost your team's capacity and skills through a community leadership process."  Deadline January 12, 2018 - LEARN MORE

It's About a Billion Lives Symposium -- February 2, 2018, 8:30 a.m. - 12:30 p.m. - University of California San Francisco, San Francisco, CA - SAVE THE DATE - LEARN MORE

Funding Opportunity - Robert Wood Johnson Foundation - Policies for Action:  Policy and Law Research to Build a Culture of Health - HERE