CDC announces a new five-year cooperative agreement for eligible American Indian and Alaska Native (AI/AN) federally recognized Tribal Nations and/or regional tribally designated organizations. This Program's purpose is to strengthen the quality, performance, and infrastructure of tribal public health systems, including workforce, data and information systems, and programs and services. This Program's ultimate outcome is to improve public health outcomes and health inequities in Indian country.

AI/AN tribal health systems provide public health services across the United States and are central to reducing health disparities in tribal communities. Historically, these systems have been separated from the national public health system, which has led to limited strategic partnerships with federal, state, and local partners; underdeveloped infrastructure; data access barriers; and a diminished public health workforce. Building tribal public health infrastructure enhances Indian Country’s capacity to prevent disease, promote health, and prepare for and respond to emerging threats and chronic disease challenges.

AI/AN tribal public health infrastructure disparities and cultural sensitivity are best and most effectively addressed by the Tribes themselves. When Tribes have been given the support to their direct programs, they have made substantial success in improving the health of the populations they serve. Public health throughout Indian country may look different across federally recognized tribes. They are positioned to understand and know what works best within their communities and existing infrastructure. Tribes hold traditional and cultural understanding, and the inherent trust of populations they serve, to adequately address their public health needs and provide services.