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WEAVE - NW

Health & Wellness In Indian Country

Wellness for Every American Indian to Achieve and View Health Equity. A Good Health & Wellness In Indian Country (GHWIC) funded program. 

  • Team
  • History
  • Success Stories
  • Contact Us
  • Funder

Tam Dixon Lutz

MPH, MHA, CPST

Project Manager

working in public health in Indian Country, including over20years at the NPAIHBin maternal child health, chronic disease and motor vehicle injury focused projects, studies and surveillance.Lutz serves as the NW Tribal EpiCenter’s Project Director forWEAVE-NW, funded through the CDC’s Good Health and Wellness in Indian Country (GHWIC)initiativeand Native Boost:Addressing Barriers to Childhood Immunization through Communication and Education”, a CDC funded Tribal public health capacity project.Additionally, Ms. Lutz iscurrently the Co-Principal Investigator for twoof NW Tribal EpiCenter’sNIH funded studies including “NW Tribal Collaboration to Improve the Use Motor Vehicle Data,” grant, and “Investigating Maternal Opioid Use, Neonatal Abstinence Syndrome and Responsein NW Communities.”Lutz is an experienced field researcher, a developingepidemiologist, with broad experience in maternal child health at the NPAIHB and at home at her Tribe. She has directed other projects at the NPAIHB including the very successful Native CARS Study, Toddler Obesity and Tooth Decay Prevention Studyand the Indian Community Health Profile Project. AsaProject Director, Ms. Lutzhasparticipated in all aspects of theprojectand managedthe project on a day-to-day basis. She has beenresponsible for communicating with tribes, supervising and mentoring staff, provide broad expertise to the subject area approaches of the projects, developing collaborations, and communicating and reporting to funder.

Nora Frank-Buckner

B.S. M.A. Public Health

Food Sovereignty Project Manager

 Nora graduated from Oregon State University with a Bachelor of Science degree in Public Health focused in Health Promotion and Health Behavior. In addition, she holds a Masters of Public Health degree focused on Health Management and Policy from PortlandState University. Nora is passionate aboutfood sovereignty/systems,health promotion, nutrition education, youth leadership development, youth engagement, and multi-sector collaboration for public health prevention activities. She is currently coordinating the efforts of the NW Tribal Food Sovereignty Coalitionand is the Chair of the Oregon Community Food Systems Network.”

Jenine Dankovchik

BSC.

Program Specialist

biostatistician and program evaluation specialist. Whileat NWTEC, she has served as the research assistant and biostatistician on a multi-site cancer research study, conducted record linkages to improve race data quality in epidemiologic surveillance data systems, and designed and implemented program evaluationsfor a range of chronic disease prevention efforts. As the Program Evaluation Specialist, Ms. Dankovchik provides training and technical assistance to NW tribes to build their capacity in practical evaluation that reflects each tribe’s unique culture and allows the community to assess and improve chronic disease prevention efforts.Ms. Dankovchik was born in Canada but now lives in Southwest Portland with her husband, daughter and son.

Chelsea Jensen

Tribal Member

WEAVE-NW Project Assistant

As a Project Assistant Mrs. Jensen communicateswith NW Tribes regarding funding opportunities, contract support, conferences, website and technical support. Chelsea and her husband live in Oregon City with their daughter, son and dog. As a family they love to go to the beach, camping, hiking, dirt bike ridingbut most of all enjoy family gatherings.

Chandra Wilson

Klamath, Modoc Tribal Citizen

Social Worker

improve the health status of Native American people, especially members of my own tribal community. My interests and work are committed to developing programs and policies that will support my community and address the persistent health disparities that my community experiences. A current graduate student in the School of Social work at Portland State University, I am determined to become a qualified Indigenous social worker who will lead programs and shape policies that best meet the needs of my people and future generations. I am passionate about social justice, Indigenous rights, and committed to educating others on the commitment to understand and address health inequities experienced by disadvantaged populations of color, especially Native American peoples. When I am not working or in school, I love to spend time with my two young-adult daughters who inspire me to live each moment of my life more mindfully. I live each day by faith, enjoy journaling, dancing, gardening and taking long walks.

WEAVE-NW History

WEAVE-NW is a program of the Northwest Tribal Epidemiology Center, funded through the CDC’s Good Health and Wellness in Indian Country (GHWIC) initiative. The overall objective is tostrengthen and broaden the reach and impact of chronic disease prevention programs that improve the health of Northwest tribal members and communities.WEAVE-NW was originally funded in 2014 for 5 years, and was awarded a second cycle of funding in 2019. In our second cycle of funding, WEAVE-NW hopes to achieve the following outcomes
Increased availability and consumption of healthy and traditional foods
Increased breastfeeding

  • Reduced prevalence of commercial tobacco use
  • Reduced incidence of type 2 diabetes
  • Reduced prevalence of high blood pressure and high blood cholesterol

Since 2014, WEAVE-NWhas built capacity and created lasting change through training, technical assistance and collaborative support to aid Northwest tribes in creating policy, systems and environment changes that encourage healthy lifestyles.Some of our work includes:

Training

Over the past six years, WEAVE-NW has conducted and organized 83different trainings, workshops and webinars to help build capacity in chronic disease prevention, reaching 2,182 participants and 41 of our 43-member tribes. We have brought expert tribal trainers in to build capacity in a wide range of skills. Increased availability and consumption of healthy and traditional foods
Increased breastfeeding

Reduced prevalence of commercial tobacco use

  • Reduced incidence of type 2 diabetes
  • Reduced prevalence of high blood pressure and high blood cholesterol

Since 2014, WEAVE-NWhas built capacity and created lasting change through training, technical assistance and collaborative support to aid Northwest tribes in creating policy, systems and environment changes that encourage healthy lifestyles.Some of our work includes:

Technical Assistance (TA)

Northwest tribes have called upon WEAVE-NW to provide technical assistance 341 times during the first cycle of funding, and we reached 39 of our 43 member tribes through technical assistance. Survey design and implementation, evaluation, and policy development were the most commonly requested technical assistance topics.

Sub-Awards

WEAVE-NW was able to provide direct funding in the form of sub-awards to 22 of our member tribes during the first grant cycle. These amazing projects used a variety of culturally tailored approaches to bring community-level change that supported chronic disease prevention. Examples include starting community gardens, revitalizing traditional foods, using traditional tobacco teachings to prevent commercial tobacco use, implementing health systems change to reach community members at risk for diabetes and heart disease, and working with youth to replace sugary drinks with water at tribal schools.

Northwest Tribes Gather To Celebrate Food Sovereignty

At A Glance

The Northwest Tribal Food Sovereignty Coalition 2019 Annual Gathering was an opportunity for tribes from around the region to come together and share knowledge. support each other in their efforts to improve food systems, reclaim tribal foodways, and strengthen relationships.
The majority of participants rated the event “excellent” and said they would “definitely use” the knowledge they gained.
Comments included:

  • “Collaborative, intentional, and uplifting “
  • An annual reunion”
  • “So many ideas and opportunities…I always leave wanting more”
  • “Hearing from other natives was powerful and enlightening”
     

Find Out More

For more information about the NTFSC, please visit our website at
http://www.npaihb.org/ntfs-coalition/
To view a video about the 2019 NTFSC Gathering, visit
https://tinyurl.com/y5xcxj7q
What did you like best about the gathering? “Being together with like-minded native people all focusing on food sovereignty, the information presented, the discussions that happened both formally and informally. I’ve been home two days and have already passed on many of the teachings to our youth”

Public Health Challenge

American Indians and Alaska Natives are at higher risk than the general population for many health problems, and experience higher rates of death from many causes. Much of this disparity can be attributed to higher prevalence of chronic diseases including diabetes, cardiovascular disease, stroke, and obesity. While there are many contributing factors, lack of access to healthy foods plays a critical role in creating these disparities. For many Northwest Tribes, historical displacement has resulted in changes in dietary practices and loss of cultural and social traditions around stewardship of the land, harvest, and preparation of foods. These changes have been linked to chronic disease; in addition, the cultural impact of the loss of traditional food systems and decreased food sovereignty has had wide ranging consequences for the overall wellbeing of tribal communities.The majority of participants rated the event “excellent” and said they would “definitely use” the knowledge they gained.
Comments included:

  • “Collaborative, intentional, and uplifting “
  • An annual reunion”
  • “So many ideas and opportunities…I always leave wanting more”
  • “Hearing from other natives was powerful and enlightening”
     

Approach

In 2017, several Northwest tribal communities put out the call to create a coalition of tribes working towards food sovereignty.They recognized the tremendous potential fortribes to empower each other throughknowledge sharing, fostering ideas, pursuing joint projects, and finding innovative solutions to common challenges. In response, WEAVE-NW, a Good Health & Wellness in Indian Country program based at the Northwest Tribal Epidemiology Center,helped to create the Northwest Tribal Food Sovereignty Coalition (NTFSC).The coalition has a mission to reclaim indigenousknowledge of plants, land, and natural environments to maintain and improve health and quality of life for today and future generations.A primary goal of the NTFSC was to hold a gathering where members could learn from one another, build hands-on skills, and discuss their collective vision for the future of tribal food sovereignty in the Northwest.

Results

In June 2019, members of the NTFSC gathered on the traditional homelands of the Skokomish Indian Tribe north of Olympia, Washington.In all, 110 participants representing 24 Northwest tribes, 17 tribes from outside the Northwest, and 7 tribaland non-tribal organizations attended the event. The Skokomish Indian Tribe graciously hosted the gathering and community members prepared healthy, traditional meals from ingredients that were harvested, gathered, and grown locally. Skokomish community members also shared stories about their own journey to restore food sovereignty though community gardens, medicinal gardens, and restoration of lands which had historically been the habitat of native plants and animals.

Participants learned from experts and each other about breastfeeding, policy development, conducting food sovereignty assessments, indigenous knowledge-informed care, and identification/use of traditional plants for food and medicine. Highlights from the evaluation results include:

  • 72% rated the event “excellent”
  • 63% said they would “definitely use” the information received
  • Participants prefer an equal mix of hands on skills and didactic or panel sessions
  • For many, hearing from other tribal communities about their challenges and successes was the most valuable part of the experience

Contact

Tam Lutz, Project Director

Nora Frank-Buckner, NTFSC Coordinator

Northwest Tribal Epidemiology Center

2121 SW Broadway

Suite 300

Portland, OR

Phone: 503-228-4185

What's Next

he NTFSC’s leadership team is reconvening this fall to discuss another year of exciting activity including a 2020 gathering, further development of the strategic plan,and dissemination of media produced over the last year.Coalition members are also working with other regional efforts such as the those of the Affiliated Tribes of Northwest Indians to increase the visibility of the tribal food sovereigntymovement outside of public health and work towards common policy goals regionally and nationally.

Good Health and Wellness in Indian Country

The WEAVE NW Program is funded by the Center of Disease Control and Prevention’s (CDC) Good Health and Wellness in Indian Country (GHWIC) Program. GHWIC is in its second 5-year cycle of funding from CDC. GHWIC’s current 5-year $98 million funded program is CDC’s largest investment to improve health among American Indians and Alaska Natives. This program aims to do the following:
Support a coordinated, holistic approach to healthy living and chronic disease prevention.

  • Reinforce the work already underway in Indian Country to make healthy choices and lifeways easier for American Indians and Alaska Natives.
  • Build off the previous GHWIC cycle to emphasize strategies in Native communities, reduce obesity, prevent type 2 diabetes, reduce commercial tobacco use, and other risk factors for heart disease and stroke.

GHWIC (2019-2024) funds 27 awards across three components:

  • Component 1recipients are tribes and Urban Indian Organizations (UIO) who implement strategies to prevent obesity, prevent and control commercial tobacco use and exposure to secondhand smoke, and prevent type 2 diabetes and heart disease and stroke.
  • Component 2recipients are tribal organizations who allocate at least half of their award to Area tribes and UIOs to implement Component 1 strategies, expanding the reach of GHWIC funds and technical assistance to many more tribes and UIOs.
  • Component 3recipient is a tribal organization that will establish the GHWIC Coordinating Center to support evaluation, peer learning, and communication strategies.

(The NPAIHB’s WEAVE-NW Project is funded under Component 2.)
GWHIC awardees implement evidence-based strategies adapted to fit the needs of their community with long term goals to:

  • Tobacco
  • Diabetes Echo
  • Breastfeeding
  • Tribal Policy Guide
  • Food Sovereignty

Commercial Tobacco Prevention/Control

The tobacco prevention and control project focuson policy development, tobacco cessation and prevention by using culture as a prevention and education. Building and strengthening tribal capacity, developing culturally responsive/appropriate strategies and program opportunities, and providing education about the effective tobacco control measure. Arearea of health promotion that is fundedout of the Good health and Wellness in Indian Country (GHWIC) program. The GHWIC program is funded by CDC’s investment to improve tribal health.

Diabetes ECHO

The goal of this program is to increase the capacity of Indian Health Service, Tribal and Urban Indian clinics to safely and effectively treat patients with diabetes. The Diabetes ECHO, through the use of video conferencing, education, and research, increases knowledge of providers and health care professionals and strengthens best practice of care for all patients.

"We do not inherit the earth from our ancestors, we borrow it from our children”

Mission statement (edit as needed to reflect board version for NW Tribes) :Redefine unity to promote, educate, support and respect the diverse American Indian/Alaska Native (AI/AN) communities present across the Northwest–reclaiming breastfeeding and first foods.

  • Peer Counseling Training
  • Lactation education
  • (resourcesincluding breastfeeding supplies)
  • Full-Circle Doula services
  • return to tribal midwifery practices
  • add’l training opps
  • Placenta encapsulation and tribal supplementation
  • Credits for WIC participants led by tribal community
  • sovereigntyresourcesfor tribal communities
  • media education and outreach
  • educational materials such as posters

Tribal Policy Guide

This guide was developed through a collaboration between the Northwest Portland Area Indian Health Board (NPIHB) and the National Indian Child Welfare Association (NICWA) to support community-driven and culturally-informed policy development within a tribal context. Its intention is to support tribal leaders, employees, youth, and other tribal community members in utilizing NICWA’s Relational Worldview model and apply it through the policy development phases. The content applies tribal knowledge, practice, culture, and sovereignty.What you’ll find inside:

  • Conceptual framework
  • Policy development phases
  • Policy guide checklist
  • Sample policies
  • Tools and resources

NW Tribal Food Sovereignty Coalition

The NW Tribal Food Sovereignty Coalition is an opportunity for tribes and tribal organizations to convene efforts that are driven by cultural revitalization, empowering communities, and the use of innovative strategies to improve the health of the people.