Native American people are the most vulnerable populations in this country. This culture has little to no resources making it difficult to achieve civic engagement. Most American Indian tribes have a majority of factors that contribute to health disparities within their communities.

please incorporate info from the epidemic paper, feedback from leaders and use the pp background selected into the powerpoint add pictures related to poverty on the reservation.
Native American people are the most vulnerable populations in this country. This culture has little to no resources making it difficult to achieve civic engagement. Most American Indian tribes have a majority of factors that contribute to health disparities within their communities. The lack of jobs is in correlation to the poverty rate among the AI population. Native Americans have the lowest employment rate of any racial or ethnic group in the US (Bureau of Labor Statistics,2013)
I INTERVIEWED MARTHA, FNP AT NORTHERN CHEYENNE SERVICE UNIT. HER INSIGHT WAS BASICALLY THAT THE HIGH-RISK POPULATION OR THE SEXUALLY ACTIVE POPULATION WAS MORE PRONE TO ADDICTION, ALCOHOL ABUSE, DRUGS LIKE METH IS VERY POPULAR ON THE RESERVATION. THE NATIVE PEOPLE ARE NOW BEING REWARDING $1000 PER PERSON WHICH MEANS THEY BUY MORE DRUGS AND THE STD RATES CONTINUE TO RISE DUE TO EXCHAGE OF MONEY FOR SEX. MARTHA ALSO EXPLAINED THAT THE CONTINUITY OF CARE PLAYS A BIG PART IN PATIENT BEING NON-COMPLIANT WITH TREATMENT. SINCE THE RESERVATION HAS BEEN ON A MANDATORY EVACUATION FOR A WEEK, CONTACT TRACING BECOMES VERY CHALLENGING. PEOPLE WHO ARE HOMELESS ALSO MAKES CONTACT TRACING VERY DIFFICULT.
ALTHOUGHT, THERE ARE MANY GAPS IN THE BATTLE TO SLOW DOWN STD CONTACT. AS I CONVERSATED WITH MY PRECEPTOR Kelli Johnson,RN WHO WORKS IN THE URGENT CARE DEPT AT THE NORTHERN CHEYENNE SERVICE UNIT AS AN ER NURSE SHARED WITH ME THAT THERE ARE ALSO SOME STRENGHTS. ALTHOUGH POVERTY IS SO HIGH ON THE RESERVATION, NATIVES DO HAVE SOME SUPPORT AND SOME RESOURCES. DEVELOPING TRUST WITH THE HEALTHCARE TEAM IS VERY BENEFICIAL, THE NATIVES ALSO HAVE A FACILITY WHERE THEIR HEALTHCARE IS PAID FOR, SHE ADDED THAT THE SEXUAL ASSAULT RATE IS VERY HIGH AS WELL, UPON ARRIVAL TO THE ER WITH SUSPICION OF SEXUAL ASSAULT, THE FACILITY IS ABLE TO CONTACT THE SANE NURSE WHO CAN PERFORM NECESSARY TESTING AND ASSESSMENTS. ANOTHER STRENGTH WOULD BE THAT MOST OF THE TREATMENTS THAT ARE ADMINISTERED FOR STD’S ARE EFFECTIVE MOST OF THE TIME.
Karen Williams,RN Case Management at Northern Cheyenne Service Unit, suggested more education such as pamphlets, provide QandA,STI AT APPT INTAKE.
Interview with Lane OldElk and Lorna OldElk, tribal counselman
Community Participation Community and stakeholder participation is essential throughout the planning and implementation process, and a communication strategy is needed to inform and engage the community, the politicians and the municipal administration. Involvement of people directly affected by planning proposals should begin in the initial planning stage. (2014) Stakeholders play an active role in planning and implementing. Arranging set up for booths in local stores to attract the high risk population to offer a chance to speak to the population as a 1 on 1 encounter with each individual since most of the people will not come voluntarily to the clinic, to distribute condoms for free at local stores, to set up a tent to 3Enty_Community and Stakeholders Paticipation 124-145.pdf (nelsonmandelabay.gov.za)

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