Great Plains Partnerships to Improve Community Health (GPPICH) Impact Statement
September 30, 2014 – Septebmer 29, 2017
The Great Plains Partnerships to Improve Community Health (GPPICH) Program was a three-year cooperative agreement funded by the Centers for Disease Control and Prevention (CDC). GPPICH partnered with the Lower Brule Sioux Tribe (LBST), Cheyenne River Sioux Tribe (CRST), Sisseton-Wahpeton Oyate (SWO) and the Flandreau Santee Sioux Tribe (FSST) to improve health and wellness in their communities. This partnership facilitated the creation of a community driven tribal advisory committee/coalition (TAC) within each tribe. These TACs were tasked with assessing the needs of their community by completing a community needs assessment using GPTCHB’s PSE-T (a culturally adapted version of the CDC’s CHANGE Tool). Using the results of these assessments, the TACs developed tribal-specific community action plans to implement culturally relevant policy, system and environmental (PSE) strategies that would reach at least 75 % of their (tribally defined) population.
The Lower Brule TAC focused their community action plan on two objectives: 1) Increasing the number of people with access to opportunities for chronic disease prevention, risk reduction or management through clinical and community linkages; and 2) Increasing the number of people with access to environments with healthy food and beverage options. In order to achieve these objectives, the TAC developed cross sector collaborations with various community organizations and programs. With the help of these partnerships, the TAC successfully implemented 13 PSE interventions that reached over 95% of the population live on the Lower Brule reservation.
Two of the most successful were the implementation of Worksite Wellness Workshops and the Harvest of the Month program at the Boys and Girls Club. The Worksite Wellness Workshops were implemented at the Lower Brule Schools and the Lower Brule Community College. These workshops provided education on healthy food preparation, yoga/meditation instruction, and healthy ways to deal with stress and historical trauma. This intervention was able to directly impact 75 employees across both organizations. Furthermore, both organizations agreed to host and maintain a healthy vending machine. These healthy vending machines, installed in the fall of 2017, provide healthier snack options to over 250 students, in addition to employees and other community members who visit these sites.
The Harvest of the Month (HOM) program is an educational program designed to introduce children and their parents to a variety of different fruits and vegetables and encourage the addition of more fruits and vegetables into children’s meals. In March 2017, the TAC decided to fund the purchase of “take-home” produce to children participating in the HOM lessons. This partnership between SDSU Extension, the TAC and GPPICH allowed children to bring home the fresh produce that was highlighted during the weekly HOM lesson to share with their families. This intervention continues to influence approximately 50 teens and children on a weekly basis. Even though the GPPICH funding has gone, the LBST TAC continues to meet and sustain their efforts to improve the overall health and wellness in the Lower Brule community. Articles on the Lower Brule TAC’s interventions can be found in the monthly Kul Wicasa Eyapaha Newsletter.
In Cheyenne River, the CRST Partnerships to Improve Community Health TAC implemented a community action plan that focused on: 1) Improving access to healthy and traditional foods and; 2) increasing access to chronic disease management through traditional and holistic healing practices. The CRST TAC collaborated with Ms. Ryai LeBeau and Missouri Breaks Industries Research Inc. to implement a healthy traditional food vending option at the annual CRST Pow Wow. Ryai’s project was called Nagi Kicopi “Revitalizing Health Through Tradition.” Her team prepared and served a healthy meal made from traditional foods such as buffalo, tinpsila and choke cherries. They also provided GPTCHB’s traditional food recipe cards and educational materials to pow wow attendees. They served over 200 meals and a total of 142 participants completed a survey to offer feedback on traditional Native American food practices and beliefs. 84% of those who participated indicated that they would buy buffalo if it was available in their community. The Nagi Kicopi Project was featured on RED Talks and you can view that video here: https://www.youtube.com/watch?v=U8FpCiF9bR8
The CRST TAC also hosted multiple training opportunities within their community, such as Acudetox certification, Ethnobotany and Native American Traditional Games Train-the-Trainor trainings. 463 participants were trained at these events and many are certified to train others throughout the reservation. Articles featuring these trainings were featured in the West River Eagle.
These are just a few of the successes from the Great Plains Partnerships to Improve Community Health program. For more information about the GPPICH program and highlights from our other sub-awardees please visit our program webpage at gptchb.org.
Great Plains Partnerships to Improve Community Health (GPPICH) Program
In September 2014, Great Plains Tribal Chairmen’s Health Board received a Partnerships to Improve Community Health (PICH) cooperative agreement for three years. PICH awardees are part of a U.S. Department of Health and Human Services (HHS) initiative to support public health efforts to reduce chronic diseases, promote healthier lifestyles, reduce health disparities and control health care spending. PICH is supported by funds from the National Center for Chronic Disease Prevention and Health Promotion of the Centers for Disease Control and Prevention (CDC).
PICH funding will be used to reduce tobacco use and exposure to secondhand smoke, improve nutrition, increase physical activity and improve access to programs for preventing and managing chronic diseases with tribal partners from the Cheyenne River Sioux Tribe, Flandreau Santee Sioux Tribe, Lower Brule Sioux Tribe and Sisseton-Wahpeton Oyate.
Tribal partners and GPTCHB will collaborate to implement culturally-appropriate, evidence-based policy, systems and environmental (PSE) change approaches in program activities. GPTCHB will provide tribal partners with financial and technical support in the assessment of tribal capacity, partnership development, policy development, identifying community linkages and PSE change training sessions.