NIHB 2016 National Tribal Health Conference

NIHB 2016 National Tribal Health Conference
(33rd Annual Consumer Conference)
Achieving and Sustaining Quality Health Care in Indian Country
September 19-22, 2016
Talking Stick Resort
Scottsdale, Arizona

Early Bird Registration $425
Now – August 14

General Registration $475
August 15-September 16

Onsite Registration $525
September 19-22

Click here to register

Exhibitor Space and Sponsorship Opportunities Available

2016 National Awards Gala Tickets are Available Through September 21


World Breastfeeding Month

August 2016

This year, the World Alliance for Breastfeeding Action (WABA) and the Inter Tribal Council of Arizona are celebrating World Breastfeeding Week – A Key to Sustainable Development. This year’s focus is to join the many who believe in sustainable development to better the planet for the generations to come. Breastfeeding can have a beneficial effect on many different aspects of sustainability that you may not even have realized.

Environment and Climate Change:

  • Breastfeeding uses less energy when compared to making formula. It reduces the need for water, firewood and gas in the home.
  • Breastfeeding is earth friendly compared to formula feeding. Zero packing, pollution, and waste! Making formula involves dairy farming that stresses natural resources and adds to carbon emissions and climate change.
  • Breastfeeding makes less waste compared to formula feeding. Formula production and distribution lead to waste that pollutes the seas and affects marine life.

Nutrition, Food Security, and Poverty Reduction:

  • Breastfeeding is a natural and low-cost way of feeding babies and children. It is affordable for everyone and does not burden household budgets compared to formula feeding. Breastfeeding can contribute to poverty reduction.
    • Not breastfeeding results in financial losses of about $302 billion each year. Families worldwide spend about $54 billion every year on formula. Breastmilk is FREE.
    • Exclusive breastfeeding and continued breastfeeding for two years and beyond provide high quality nutrients and adequate energy and can help prevent hunger, undernutrition and obesity. Breastfeeding means food security for infants.

Survival, Health, and Wellbeing:

  • Breastfeeding improves the health, development and survival of infants and children. It helps to improve health and wellbeing of mothers, both in the short and long term.
  • Breastfeeding reduces a woman’s risk of breast and cervical cancer. In fact, 20,000 deaths due to breast cancer could be averted if mothers breastfed.
  • Breastfeeding is essential for readiness to learn. Breastfeeding promotes brain development and helps with learning.

Breastfeeding promotion in the community and workplace can help improve all these aspects, but it requires collaboration and effort. The more it is talked about, the more effective these messages will become. WIC works to promote a positive attitude towards breastfeeding.  WIC will work in partnership at the community, national, and higher levels to demand children’s and women’s rights. Let’s work to promote breastfeeding to help the lives of mothers, children, and our planet, and future generations to come.

For more information regarding World Breastfeeding Week, check out the following resources:

World Breastfeeding Week Infographic


Beat the Heat! Stay Hydrated!

Arizona is one of the hottest places on earth from May to September which makes heat related illness very common during these months. Over 1,500 deaths from exposure to excessive natural heat have occurred in Arizona from 2000 to 2012. Anyone can be affected by heat-related illness but children under 4 years of age are at an even greater risk. One of the best ways to prevent heat related illness is to stay hydrated. The amount of water someone needs is variable depending on age, heat exposure, activity and other factors. Everyone should drink enough water to quench their thirst, however in extreme heat; we may forget to drink enough water. Most people will need at least 8-10 cups of water under normal conditions. More water may be needed if it is hot and the person is active. Try to minimize alcohol and caffeine intake because these drink may dehydrate you more. Offer kids water instead of sugary beverages such as juice, soda, Gatorade, kool-aid, and sweet tea.

Heat-related illness usually comes in stages. The signal of the first stage is thirst. Drinking water at this stage can prevent you from progressing to the more serious kinds of heat related illnesses. When temperatures are on the rise, watch for these other symptoms of heat related illness:
• Thirst, dry mouth and skin
• Headache
• Dizziness and confusion
• Nausea
• Fatigue
• Less frequent urination
• Increased heart rate
Check out the following resources to stay cool this summer and stay hydrated.

Stay Hydrated Infographic

Hydration- What you need to know

Hydration- Why It’s so Important

2016 Tribal Operator of the Year Nomination Request Form

2016 Tribal Water/Wastewater Operator of the Year Award

Nominations Requested

To acknowledge and celebrate the efforts and hard work of Tribal water/wastewater system operators in Indian Country, the ITCA National Tribal Water & Wastewater Operator Certification Program is requesting nominations for the 2016 Tribal Water/Wastewater Operator of the Year Award.

Deadline Date: August 31, 2016

Click Here: Announcement and Award Nomination Form

WIC services begin at NACA in Flagstaff

Native Americans for Community Action (NACA) began offering WIC services in Flagstaff on June 28, 2016! Call 928-773-1245 for an appointment or visit them at 1500 E. Cedar Ave, Suite 26 in Flagstaff.

National Safety Month

June 2016

ITCA WIC is honoring June as Safety Month by sharing some important safety tips for women, infants, and children.

Food Safety

Every child is at risk for choking, but children under the age of 4 years are more likely to choke because they have narrow throats and airways, cannot chew very well due to lack of teeth, and they often put things in their mouths.

Knowing about choking risks and safety tips can help prevent choking. The link below shows foods that are choking risks and foods to avoid for children under the age of 1. Follow these guidelines to help keep your children safe:

Prepare Safe Foods:

  • Cut foods into small pieces no larger than ½ inch
  • Cut meat across the grain into thin small pieces
  • Offer soft cooked chicken, fish, beef, or turkey that is easy to chew
  • Slice grapes, cherry tomatoes, and other round foods into 2 or 4 small pieces
  • Cook carrot sticks or broccoli pieces until slightly soft
  • Grate raw vegetables
  • Spread peanut butter thinly on bread, crackers, or tortillas
  • Do not let your child eat a glob of peanut butter on a spoon

Eat Safe:

  • Have your child sit down while eating at the table
  • Do not let your child run, walk, play, or lie down while eating
  • Stay with your child while eating
  • Watch your child while eating
  • Keep unsafe foods out of reach
  • Teach your child to chew food well before swallowing
  • Learn how to help a child who is choking by taking CPR/First Aid classes in the community

Pregnant women need to be careful about food safety. According to the CDC, 48 million persons get sick, 128,000 are hospitalized, and 3,000 die from illness caused by food in the United States each year. Pregnant women and their unborn children have a higher risk of developing certain foodborne illnesses because their ability to fight off infection is lower when pregnant. Use the links below for foods that should be avoided during pregnancy and safe cooking tips.

Car Seat Safety

Each year, thousands of young children are killed or injured in car crashes. In fact, the CDC reports motor vehicle crashes are a leading cause of death for American Indians aged 1–44. On average, 2 American Indians are killed every day in motor vehicle crashes.  American Indians are injured or killed in motor vehicle crashes at much higher rates than other Americans and have lower use rates of car seats, booster seats, and seat belts.

Proper use of car seats helps keep children safe. With so many different styles and seats available, it may be hard to tell which one is the right one. The type of seat your child needs depends on several things, including your child’s age and size and the type of vehicle you have. Read the links below for information on selecting the correct seat for your child and other car seat safety tips.  You may be able to get a free car seat in your area. Ask your local fire or police departments about free car seats in your area.

National Safety Month Infographic

eWIC Project Management Request for Proposals

ITCA is soliciting bids on behalf of New Hampshire and ITCA WIC Programs for eWIC Project Management Services.

eWIC Project Management Request for Proposals 16-04

Bidder Information Form

Appendix A- New Hampshire Specific Provisions

Appendix A- New Hampshire Exceptions to Terms and Conditions Form


eWIC Project Management RFP WIC 16-04 Revised June 30, 2016

RFP WIC 16-04 Responses to Bidders’ Questions

RFP WIC 16-04 Responses to Bidders’ Questions Part 2

eWIC Quality Assurance Services Request for Proposals

ITCA is soliciting bids on behalf of the Multistate Consortium (MSC) of Kansas, New Hampshire and ITCA WIC Programs for eWIC Quality Assurance Services.

MSC eWIC Quality Assurance Services Request for Proposals 16-02

ITCA Bidder Information Form


MSC eWIC Quality Assurance Services RFP WIC 16-02 Revised June 30, 2016

RFP WIC 16-02 Responses to Bidders’ Questions

RFP WIC 16-02 Responses to Bidders’ Questions Part 2

MSC Functional Requirements

WIC Public Comment Announcement

ITCA is holding its annual public comment period for WIC from May 15 to July 10, 2016.  You are invited to comment on the program and to assist in identifying opportunities to improve services.

WIC is a federally funded nutrition program for income eligible pregnant, breastfeeding and postpartum women, infants and children under the age of five.  ITCA WIC serves approximately 9,500 clients each month.  The program promotes good health and positive food choices by providing nutritious foods, nutrition and breastfeeding education and referrals to program participants.

ITCA is planning no policy modifications for Fiscal Year 2017.

To learn more about ITCA WIC and to view the current State Plan, go to:

Comments must be submitted in writing by July 10, 2016, at 5pm to:

WIC Director

Inter Tribal Council of Arizona, Inc.

2214 N. Central Ave.

Phoenix, AZ 85004


Dental Awareness Month

April 2016

Taking good care of your teeth is not just about having a nice smile and pleasant breath.  A healthy mouth may help you ward off medical conditions.

Tooth decay is a significant health problem for American Indians.  In 2014, more than 2.4 million American Indians lived in counties with dental care shortage areas, and half of all American Indian children lived in a shortage area. In fact, preschool-aged American Indian children had four times more cases of untreated tooth decay than white children—43 percent compared with 11 percent. Studies show that it appears the prevalence of dental disease among American Indians is increasing. Read on to learn more about how poor dental health can affect your overall health.

Poorly Controlled Diabetes: If you have diabetes, you’re already at increased risk of developing gum disease. But chronic gum disease may, in fact, make diabetes more difficult to control. An infection may cause insulin resistance, which affects blood sugar control.

Cardiovascular Disease: Oral inflammation due to bacteria, also called gingivitis, may also play a role in clogged arteries and blood clots. It appears that bacteria in the mouth may cause inflammation throughout the body, including the arteries. This inflammation may cause buildup of plaques in the arteries, possibly increasing your risk of a heart attack or stroke.

Preterm Birth: Severe gum disease may increase the risk of preterm delivery and giving birth to a low birth weight baby. Research estimates  that as many as 18 percent of preterm, low birth weight babies born in the U.S. each year may be attributed to oral infections. They suspect oral bacteria release toxins, which reach the placenta through the mother’s bloodstream and interfere with the growth and development of the fetus.

Nutrition: Sensitivity in the mouth or pain while eating caused by dental problems can affect the foods we chose to eat. This can result in elimination of entire food groups which can greatly affect our health. Be sure to talk to your dentist about any pain or sensitivity in your mouth during your routine checkups.

Start taking care of your oral health early on in life because you’re making an investment in your overall health, not just for now, but for the future, too. See the information below to find steps to care for your mouth in all stages of life.

Dental Awareness Month Infographic

National Nutrition Month

March 2016

For National Nutrition Month® 2016, the Academy of Nutrition and Dietetics and ITCA are encouraging everyone to “Savor the Flavor of Eating Right”. Food works as fuel for our bodies and gives us the nutrients we need to fight off disease, heal wounds, bring life into this world, and more. Food is a source of enjoyment, a means of social gatherings, and something that brings us all together. Take this month to savor the food that does so much for us with some of these tips:

Enjoy Social Experiences 
Whenever an important event or holiday comes around, what do we all gather together to do? EAT! Gathering around food to share and converse with friends and family is something that puts everyone in a good mood. Even something as simple as a nightly family dinner has been proven to be beneficial in terms of strengthening family relationships as well as healthy eating. Savor those moments.

Appreciate Foods Pleasures and Flavors 
In today’s busy world, many of us eat on the run and don’t even sit down for a bite. This has resulted in many of us eating quickly and mindlessly. Slow down. Savor each bite and actually experience your food. Eating slower has been linked to eating less because your stomach has time to tell your brain it is getting full.

Flavor your Food in a Healthy Way
Sugar, fat, and salt are three of the things Americans tend to consume in excess.

Sugar: 50% of the sugar in the typical diet comes from sweetened beverages and another 25% comes from sweet treats. Try to:

  • Cut back on the amount of sugar added to things you eat or drink regularly like coffee or iced tea.
  • Buy low-calorie beverages or better yet, drink water! Try making it exciting by flavoring it with your favorite fruits or vegetables.

Fat: The average American eats 26 grams of saturated fat per day. That’s almost twice the recommended amount. To cut down, try to:

  • Use canola or olive oil for cooking instead of butter or lard.
  • Try baking, broiling, or grilling foods as opposed to frying.
  • Replace whole-fat dairy with low-fat or nonfat milk, yogurt, and cheese.
  • Replace meats with skinless chicken or fish a few days a week.

Salt: Nearly all Americans consume too much salt and 75% of salt comes from eating processed and restaurant foods. Try to:

  • Limit salty condiments such as ketchup and salad dressing. Try a yogurt-based dip instead.
  • Instead of deli meats like bologna, salami, ham, and hot dogs, try baked chicken or turkey in sandwiches.
  • Skip the salt and try salt-free seasonings such as herbs, spices, garlic, vinegar, black pepper or lemon juice.

For more information on National Nutrition Month, visit:

Heart Disease Awareness Month

February 2016

The Inter Tribal Council of Arizona WIC Program is increasing awareness of the prevalence of heart disease in the United States, particularly in American Indian women. Heart disease causes one in three deaths in women each year. That equates to one woman every minute. American Indians die from heart diseases at younger ages than other racial and ethnic groups in the United States. Thirty–six percent of those who die of heart disease die before age 65. February is National Heart Month so join us in taking a stand against America’s top killer, heart disease, because 80% of cardiac and stroke events may be prevented with education and action.

The first step is becoming familiar with your family history. The information you provide will help your doctor be on the lookout for early signs of the same diseases in you and your children. Go to your doctor for regular physicals and screenings for blood pressure and cholesterol. This is especially important because heart disease may have no symptoms.

We can also take measures every day to help keep our hearts healthy.

Eat Well: Eat foods that will fuel your body by:

  • Limiting processed and packaged foods which are loaded with salt
  • Cutting down on fried foods such as fry bread, red meats such as mutton, as well as lard and cheeses
  • Eating more fiber through fruits, vegetables, and whole grains
  • Drinking plenty of water everyday

Exercise Well: Manage your weight. Choose activities that you will enjoy doing such as hiking, gardening, or traditional dancing. You can do anything physical that keeps your heart rate up for 30 minutes 5 days a week. If you don’t have time for a whole workout, try doing spouts of exercise for just 10 mins a few times throughout the day.

Live Well: Try to adopt healthy habits that help manage stress such as smudging or exercise. Make sure you get enough sleep each night.  When you’re asleep, your heart rate and blood pressure go down. That gives your heart a much needed break. Avoid smoking and limit alcohol intake.

February is a month to take a stand against heart disease. Talk to your doctor and start making healthy choices each and every day. For more information, check out these r esources:

New WIC client video now available!

ITCA is pleased to announce that videos are now available in English and Spanish to help new WIC clients learn about WIC and how to use WIC benefits!

Check out the videos here!

National Birth Defects Prevention Month

January 2016

The Inter Tribal Council of Arizona is working to raise awareness of birth defects and to promote strategies that can reduce the risk of birth defects and their complications.  The National Birth Defects Prevention Network’s 2016 theme is Making Healthy Choices to Prevent Birth Defects: Make a PACT for Prevention.”  Although not all birth defects can be prevented, the community can help all women, including teens, who could become pregnant or are pregnant to lower their risk of having babies with birth defects by encouraging them to follow some basic health guidelines throughout their reproductive years:

Plan ahead

  • Get as healthy as you can before you get pregnant.
  • Get 400 micrograms (mcg) of folic acid every day.

Avoid harmful substances

  • Avoid drinking alcohol and smoking.
  • Be careful with harmful exposures at work and at home.

Choose a healthy lifestyle

  • Eat a healthy diet that includes fruits, vegetables, whole grains, low fat dairy, lean proteins, and healthy fats and oils.
  • Be physically active.
  • Work to get medical conditions like diabetes under control.  

Talk to your healthcare provider

  • Get a medical checkup.
  • Discuss all medications, both prescription and over-the-counter.
  • Talk about your family medical history.

January is a perfect time to call additional attention to the importance of folic acid in preventing certain birth defects.  The United States Public Health Service recommends that all women of childbearing age consume 400 micrograms (400mcg or .4mg) of folic acid daily to prevent up to 50 – 70% of neural tube defects, such as spina bifida and anencephaly.

You can make a difference in the lives of our families.

For more information on Birth Defects Prevention, visit:

2016 Tribal Water and Wastewater Operator Training and Examination Calendar

The National Tribal Water and Wastewater Operator Certification Program at ITCA is excited to provide another year full of training and professional certification in 2016.

2016 Calendar

The 2016 Training & Exam Calendar is now ready. We are currently preparing to have hard copies mailed to our Tribal contacts. Please contact our office if you would like to request a hard copy to be mailed to you.

Please view and download the calendar here: 2016 Training and Examination Calendar

Printer friendly version: click here

Feel free to contact our office with general questions or for more information on a particular training or examination event. We may be reached at (602) 258-4822.

We look forward to hearing from you!

Computer-Based Testing Period #3, July 1, 2016 through September 9, 2016

Computer-Based Testing (CBT) Period #3
July 1, 2016, through September 9, 2016
200 Regional Testing Centers Nationwide

In an effort to provide improved pathways for Tribal water and wastewater personnel to achieve professional certification, ITCA is offering a year-round opportunity for eligible tribal personnel to take professional certification exams through Computer-Based Testing.  Advantages of Computer-Based Testing include scheduling a convenient testing date at a regional testing center at over 200 locations throughout the country, as well as immediately receiving your exam score.  The Computer-Based Testing Period is a window of time in which Tribal water and wastewater utility personnel may apply and test for professional certifications through ITCA, independent of attending ITCA training courses.

Click Here: Announcement and Registration

Click Here: Application for Water Operator Certification

Click Here: Application for Wastewater Certification

Click Here: Application for Tribal Utility Management Certification

FY 2016 Title III & VI Monitoring

FY 2016 Monitoring Schedule:

Region 7 Water Distribution Level – 1 Training and Exam, August 22-26, 2016, Sloan, Iowa

Water Distribution – Level 1 Training & Exam
August 22-26, 2016
WinnaVegas Casino Resort
1500 330th Street
Sloan, Iowa 51055

Hosted by the Winnebago Tribe of Nebraska

Click Here: Announcement and Registration

Click Here: Application for Water Operator Certification



Region 7 Tribal Water Summit, August 25-26, 2016, Sloan, Iowa

Regional Tribal Water Summit
August 25-26, 2016
WinnaVegas Casino Resort
1500 330th Street
Sloan, Iowa 51055

 Hosted by the Winnebago Tribe of Nebraska

Click Here: Announcement and Registration

Click Here: Application for Water Operator Certification

Click Here: Application for Wastewater Operator Certification

Click Here: Application for Tribal Utility Management Certification




Region 5 Tribal Water Summit, August 29-30, 2016, Prior Lake, Minnesota

Regional Tribal Water Summit
August 29-30, 2016
Mystic Lake Casino Hotel
2400 Mystic Lake Boulevard
Prior Lake, Minnesota 55372

Click Here: Announcement and Registration

Click Here: Application for Water Operator Certification

Click Here: Application for Wastewater Operator Certification

Click Here: Application for Tribal Utility Management Certification


Backflow Prevention Assembly Tester Training and Exam, August 29-September 2, 2016, Portland, Oregon

Backflow Prevention Assembly Tester (BAT)
Training & Exam for Tribal Water and Wastewater Operators
August 29- September 2, 2016
Backflow Management Inc. (BMI) office
17752 NE Rafael Street
Portland, Oregon 97230

Click Here: Announcement and Registration




Tribal Utility Management Training and Exam, September 12-13, 2016, Phoenix, Arizona

Tribal Utility Management Training & Exam
Workshop and Certification Examination for Tribal Personnel
September 12-13, 2016
Northern Arizona University-North Valley Campus
15451 N. 28th Avenue, Room 157
Phoenix, Arizona 85053

Click Here: Announcement and Registration

Click Here: Application for Tribal Utility Management Certification

Advisory Committee Meeting, September 14, 2016, Phoenix, Arizona

Advisory Committee Meeting
September 14, 2016
Northern Arizona University-North Valley Campus
15451 N. 28th Avenue, Room 157
Phoenix, Arizona 85053

Click Here: Announcement and Registration

National Tribal Water and Wastewater Operator Work Group Meeting, September 15-16, 2016, Phoenix, Arizona

National Tribal Water & Wastewater Operator Work Group Meeting
September 15-16, 2016
Northern Arizona University-North Valley Campus
15451 N. 28th Avenue, Room 157
Phoenix, Arizona 85053

Click Here: Announcement, Tentative Agenda, and Registration

Click Here: Application for Water Operator Certification

Click Here: Application for Wastewater Operator Certification

Click Here: Application for Tribal Utility Management Certification



Region 8 Tribal Water Summit, September 20-21, 2016

Regional Tribal Water Summit
September 20-21, 2016

Sponsored by Bartlett and West
Prairie Knights Casino and Resort
Fort Yates, North Dakota

Click Here: Announcement and Registration

Click Here: Application for Water Operator Certification

Click Here: Application for Wastewater Operator Certification

Click Here: Application for Tribal Utility Management Certification