National Indian Health Board Tribal Prenatal-to-Three Policy Agenda

The National Indian Health Board developed the Tribal Prenatal-to-Three Policy Agenda to raise
awareness regarding the most impactful and culturally appropriate policy levers and strategies
to support American Indian and Alaska Native (AI/AN) health and wellbeing in the earliest years
of life, from the prenatal period through age 3. These recommendations chart a path forward to
health equity and improved outcomes for AI/AN families, infants, and toddlers.
2024 Tribal Prenatal-To-Three Policy Agenda

Online Session Tools

RoadMap EmpoweredBodies BestPractices ICARE PatientInfo PatientInfo PatientInfo

2024-2025 GHWIC Registration Links

Funding for this was made possible (in part) by the Centers for Disease Control and Prevention. The views expressed in written materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services, nor does the mention of trade names, commercial practices, or organizations imply endorsement by the U.S. government.

Fiscal Year 1 Project Schedule for ITCA GHWIC Subawardees (UPDATED 07/02/2025)
FY25_GHWIC Project Schedule_rev20250702

2024-2025 registration links can be accessed below.

Conference Calls

Conference Call 1

  • Presenters: Inter Tribal Council of Arizona, Inc.
  • Date: January 14, 2025
  • Time: 10:00 AM Mountain Standard Time
  • Subawardee-specific meeting, ITCA Health Promotion Specialist will send Tribal Site Coordinators the registration link directly.

Conference Call 2

Conference Call 3

  • Presenters: Inter Tribal Council of Arizona, Inc.
  • Date: June 3, 2025
  • Time: 10:00 AM Mountain Standard Time
  • Subawardee-specific meeting, ITCA Health Promotion Specialist will send Tribal Site Coordinators the registration link directly.

Conference Call 4

  • Presenters: Inter Tribal Council of Arizona, Inc.
  • Date: September 23, 2025
  • Time: 10:00 AM Mountain Standard Time
  • Subawardee-specific meeting, ITCA Health Promotion Specialist will send Tribal Site Coordinators the registration link directly.

 

Webinars

Webinar 1 – “ITCA GHWIC Virtual Kickoff”

  • Presenters: Inter Tribal Council of Arizona, Inc.
  • Date: December 17, 2024
  • Time: 10:00 AM Mountain Standard Time
  • Registration sent to subawardees’ names listed on application submitted to ITCA

Webinar 2 

  • Presenters: Inter Tribal Council of Arizona, Inc.
  • Date: February 11, 2025
  • Time: 10:00 AM Mountain Standard Time
  • Registration closed

Webinar 3

  • Presenters: Inter Tribal Council of Arizona, Inc.
  • Date: April 8, 2025
  • Time: 10:00 AM Mountain Standard Time
  • Registration closed

Webinar 4 – “Public Health Law Center”

  • Presenters: Inter Tribal Council of Arizona, Inc.
  • Date: August 12, 2025
  • Time: 10:00 AM Mountain Standard Time
  • Registration closed

 

Trainings

Training 1 – “Policy, Systems, and Environmental (PSE) Change Overview (in-person meeting in Phoenix, AZ)

  • Dates: June 10 – 11, 2025 (In-person)
  • Times: 8am – 4pm Mountain Standard Time
  • Registration closed

Training 2 – “Indigenous Food Demo” (in-person meeting in Tucson, AZ)

 

GHWIC Work Groups

GHWIC Work Group 1 (in-person meeting in Mesa, AZ)

  • Dates: March 25 – 27, 2025 (In-person)
  • Times: 8am – 4pm Mountain Standard Time
  • Registration closed

GHWIC Work Group 2 (hybrid meeting in Reno, NV)

  • Dates: July 22 – 24, 2025 (In-person)
  • Times: 8am – 4pm Mountain Standard Time
  • Registration closed

MHI Tribal Maternal Health Strategic Plan

ITCA_MaternalHealth_Secondary Logo_Black

In 2020, the Inter Tribal Council of Arizona, Inc. (ITCA), was contracted by the Arizona Department of Health Services (ADHS) to develop a strategic plan in collaboration with tribal maternal health professionals. The Maternal Health Innovation program is funded nationally by HRSA and is designed to assist states in collaborating with maternal health experts and optimizing resources to implement state-specific actions that address disparities in maternal health and improve maternal health outcomes.

Program Purpose:

The purpose of the Maternal Health Innovation Program is to reduce maternal mortality and morbidity in American Indian communities in Arizona.

MHI Program Goals

  1. Improve maternal mortality and morbidity in Tribal communities
  2. Improve access to maternal health data surveillance
  3. Improve maternal health partnerships between tribal communities and the state

Strategic Plan Image

Recorded Webinars

Missed a webinar? Check them out below.

Lactation Part 1: Social & Emotional Wellness for the workplace Part 2: Social & Emotional Wellness for the workplace Perinatal Harm Reduction Training Advancing Health Equity Advancing Health Equity Advancing Health Equity Advancing Health Equity CongenitalSyphilis Syphilis101 EmpoweredBodies EmpoweredBodies NurturingConnections NurturingConnections IndigenousPeople&Epigenetics Epigenetics DataSovereignty Severe Maternal Morbidity
HistoricalTraumaProviders HistoricalTraumaProviders PostpartumCare ACES

Pathway 2 Wellness (diabetes prevention)

Funding for this was made possible (in part) by the Centers for Disease Control and Prevention. The views expressed in written materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services, nor does the mention of trade names, commercial practices, or organizations imply endorsement by the U.S. government.

 

Pathway 2 Wellness

  • Mini grant opportunity for additional funding plus support to implement a one-year long cohort of the National Diabetes Prevention Program (National DPP).
  • If you’re interested in learning more about the Pathway 2 Wellness, please send an email to Glenda Tovar (Glenda.Tovar@itcaonline.com) to schedule a meeting.

 

Eligibility for Participants of the National DPP Lifestyle Change Program

  • Infographic (click image to enlarge)

NDPP_eligibility

  • Prediabetes Risk Test (click image to enlarge)

Prediabetes Risk Test

 

About the Lifestyle Change Program

Highlights:

  • The lifestyle change program can help you build healthy new habits that last a lifetime.
  • When you join the program, you’ll learn, laugh, share stories, and try new things.
  • Most of all, you’ll lower your risk of type 2 diabetes and improve your health.

The program includes:

  • A CDC-approved curriculum
  • A lifestyle coach
  • A support group

What you’ll learn:

In the first half of the program, you’ll learn to:

  • Eat healthy without giving up all the foods you love.
  • Add physical activity to your life, even if you don’t think you have time.
  • Deal with stress.
  • Cope with challenges that can slow your progress, like choosing healthy food when eating out.
  • Get back on track if you stray from your plan. Everyone slips now and then!

In the second half of the program, you’ll enhance the skills you’ve learned so you can maintain the changes you’ve made.

Time Commitment:

The program runs for 1 year.

  • During the first 6 months, you’ll meet about once a week.
  • During the second 6 months, you’ll meet once or twice a month.

 

Source: About the Lifestyle Change Program | National Diabetes Prevention Program | CDC

 

Program Staff

Glenda Tovar, Lifestyle Coach

glenda.tovar@itcaonline.com

Gwenda Gorman, Lifestyle Coach

grenda.gorman@itcaonline.com

Juan Lopez, Lifestyle Coach

juan.lopez@itcaonline.com

Vanessa Dodge, Lifestyle Coach and Data Preparer

vanessa.dodge@itcaonline.com

 

Syphilis 101: Understanding an Emerging Infection in AI/AN Communities

July 23, 2024 

12:00-1:30pm MST/PHX

Topic: Syphilis 101: Understanding an Emerging Infection in AI/AN Communities

Presenter: Mayra Mollo, ADHS, STI/HIV DIS Coordinator

Nurturing Connections

Nurturing Connections: The Social-Ecological Model, ACES and Maternal Health

July 17, 2024 and July 31, 2024 

12:00-1:30pm

Topic: Nurturing Connections: The Social-Ecological Model, ACES and Maternal Health

Presenters:
Stephanie Noriega, University of Arizona
Lakisa Muhammad, AZ Birthworkers of Color

Nurturing Connections

Maternal Health Resources

ITCA_MaternalHealth_Secondary Logo_BlackPublic Health and Policy Resources
Governmental and large-scale health and policy organizations addressing maternal and child health (MHI) broadly.

• Arizona Department of Health Services (ADHS)
• ADHS Women’s and Children’s Health
• CDC: Maternal Mortality
• CDC: Hear Her Campaign
• Health Resources and Services Administration (HRSA)
• HRSA Tribal Affairs
• Indian Health Service (IHS)
• Medicaid Innovation Collaborative
• Arizona Health Care Cost Containment System (AHCCCS)
• National Indian Health Board (NIHB)
• Public Health Shift (Maricopa)
• American Public Health Association (APHA)
• Doula Medicaid Project
• Doula Medicaid Resource Library
• Best Practices for Medicaid Coverage for Doula Care
• Pregnancy Related Deaths: Data from Maternal Mortality Review Committees
• American Indian/Alaska Native Pregnancy Related Deaths: Data from Maternal Mortality Review Committees
________________________________________
Indigenous and Tribal Maternal Health Resources
Organizations and initiatives supporting Indigenous and tribal maternal health needs.

• Native Health
• Native Birthworkers
• Cihuapactli Collective
• Seattle Urban Natives
• Native American Women’s Dialogue on Infant Mortality (NAWDIM)
• Family Spirit Program
• Indigenous Midwifery
• Paths Remembered
• Arizona Birthworkers of Color
• Indigenous Birth
• Navajo Nation Institute (NNI)
• Labriola National American Indian Data Center
• Indian Country ECHO
• Native Reach
• Albuquerque Area Southwest Tribal Epidemiology Center (AASTEC)
• National Council of Urban Indian Health (NCUIH)
• Arizona Advisory Council on Indian Health Care (AACIHC)
________________________________________
Maternal Support, Education, and Community Initiatives
Community-focused organizations, advocacy groups, and educational resources for maternal health.

• Spinning Babies
• Evidence-Based Birth
• Doula Match
• Candelen.org
• Healthy Families Arizona
• March of Dimes
• Maternal Health Learning and Innovation Center
• Support Birth
• PSI Arizona
• Spiritual Garden Healing
• CityMatCH
• Brazelton Touchpoints: Indigenous Early Learning
• CARE Principles for Indigenous Data Governance – NNI Database
________________________________________
Research, Data, and Specialized Maternal Programs
Research organizations and specialized initiatives for advancing maternal health and well-being.

• Seven Directions Indigenous Public Health Institute
• Johns Hopkins Center for Indigenous Health (CIH)
• Maternal and Child Health Bureau
• Reproductive Grief Care
• Brazelton Touchpoints Center
• Safe to Sleep Campaign (NICHD)
• First Things First
• Arizona Perinatal Trust
• Rural Development (USDA)
• Fatherhood Initiative
________________________________________
Substance Use Resources
Research and resources to support recovery and well-being.

• Opioid Service Locator
• Arizona Pregnant and Parenting Women Resource Guide
• Supporting Recovery with Pregnant, Birthing and Parenting People Living with Substance Use Disorder
• AZ Mental Health Map

Arizona Department of Health Services: Doula Licensing

Laws 2021, Ch. 282 (Senate Bill 1181), created a voluntary licensing program for doulas within the Arizona Department of Health Services. A.R.S. § 36-766(3) states, a “doula” is “… a trained nonmedical professional who may provide continuous physical, emotional and informational support to families before, during and after childbirth for a period of one year after birth or in the case of loss and who may serve as a liaison between the birth parents and medical and social services staff to improve the quality of medical, social, and behavioral outcomes.”- ADHS

Resources & Information: 

Related Resources for Further Learning

Maternal Mortality and Severe Maternal Morbidity Data presented by Arizona Department of Health Services

Topic: Maternal Mortality and Severe Maternal Morbidity Data presented by Arizona Department of Health Services
Date: June 30, 2023
Time: 10:00AM-11:00AM MST
Presenter: Glenda M. Ramirez, MPH, and Aubri Perez
Link to Recording

Links to Resources:
Presentation Slides

 

The Importance of Postpartum Care

Topic: The Importance of Postpartum Care
Presenter: Jacqueline Badine, RDN
Link to Recording

The Importance of Postpartum Care Presentation

Nutrition and Pregnancy

April 27, 2023

Topic: Nutrition and Pregnancy
Presenter: Jacqueline Badine, RDN
Link to Recording

Links to Resources:
Nutrition and Pregnancy Presentation
Healthy eating during pregnancy
Healthy eating tips while pregnant
My plate
Cooking temperatures

Breastfeeding Training for Healthcare Providers- Together for the Duration

The Together for the Duration is a program developed by the Arizona Department of Health Services, AZ Health Zone, and the Arizona WIC Program to support health care professionals in their lactation education and build stronger community partnerships while working with maternal and infant populations. The Together for the Duration series contains 15 online learning courses. Each course is 60 minutes long, including the review of external resources and completion of all items within the course.

More information is available here.

Introduction to Cultural Safety

This course is available free on line through Frontier Nursing University.

The purpose of this course is to:

Introduce the concept of cultural safety and to explore the three main aspects of it, which include:

  • Learning about the history and impacts of colonization on Indigenous people in the U.S.
  • Being self-reflective on our identities as health providers who may care for Indigenous people
  • Centering the Indigenous patient experience and listening as the patient defines what safe care is

At the end of this Introduction to Cultural Safety course, learners will be able to:

  1. Define cultural safety
  2. Identify the three key tenets of cultural safety
  3. Explain the impacts of colonization on Indigenous people in the U.S.
  4. Describe what culturally safe vs. culturally unsafe care may look like (give examples)
  5. Discuss personal and systems change strategies for improving the cultural safety of care

https://ceu.catalog.instructure.com/courses/introduction2cultural-safety

 

Standardized Prenatal & Postpartum Care at Whiteriver Indian Hospital Birthing Center

March 29, 2023

Topic: Standardized Prenatal & Postpartum Care at Whiteriver Indian Hospital Birthing Center
Presenter: Laura Close, DNP, FNP-BC

Link to Recording

Link to Resource:
Presentation Slides

Navigating Maternal Health Care

 March 22, 2023

Topic: Navigating Maternal Health Care
Presenter: Nicolle L. Gonzales, BSN, RN, MSN, CNM

Link to Recording

Links to Resources:
Presentation Slides
Road Map through Pregnancy Care

Toolkits

Social Media Toolkit
ITCA is pleased to provide a social media toolkit for tribal health programs to promote perinatal health in their communities. This is a living document that will be updated periodically as we add new information so check back often! There are also links to presentations on how to share maternal health research findings using social media.

Click here to access the social media toolkit

Disseminating Maternal Health Research Findings on Social Media

Practical Steps for Using Social Media to Improve Maternal Health Outcomes

——————————————————————————————————————————————

Implementing a Tribal Maternal Health Task Force Toolkit

PatientInfo

The Power of Prenatal Care During Pregnancy

February 27, 2023

Topic: The Power of Prenatal Care during Pregnancy
Presenter: Jacqueline Badine, RDN

Link to Recording

Links to Resources:
Presentation Slide

Reproductive Grief Care: Sensitivity to Pregnancy Loss

February 24, 2023

Topic: Reproductive Grief Care: Sensitivity to Pregnancy Loss
Presenter: Sara West, MSHS-PH
Link to Recording

Links to Resources:
Presentation Slides
Best Practices
Misconceptions about Miscarriages
I Care- What to do if someone shares their story
Patient Information Sheet- Grief and Loss after Miscarriage
Patient Information Sheet- Grief and Loss after Abortion
abortionchangesyou.com

ACES and Trauma Informed Perinatal Care

January 10, 2023

Topic: Adverse Childhood Experiences (ACEs) and Trauma Informed Perinatal Care
Presenter: Valerie M. Kading, DNP, MBA, MSN, PMHNP-BC
Link to Recording

Links to Resources:
ACE Questionnaire
Preventing ACEs
ACEs in AI/AN Population Article
ACEs Aware
ACEs Resource Basket

2025 Tribal Public Health Conferences

The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services, nor does the mention of trade names, commercial practices, or organizations imply endorsement by the U.S. government.

Upcoming National and Regional Conferences

Seventh Annual Conference on Native American Nutrition; “Cultivating Seeds of Joy and Justice”

  • Dates: September 14 – 16, 2025
  • Location: Mystic Lake Center, Prior Lake, MN
  • Website: 2025 conference | Native American Nutrition
  • The Seventh Annual Conference on Native American Nutrition will bring together tribal and community leaders, nutrition and wellness educators, researchers and students, health practitioners, government officials, funders, and others to discuss the current state of both Indigenous and academic scientific knowledge about Native food systems, food sovereignty, nutrition, and health, and will identify new areas of work. The most cutting edge information will be presented, and networking, community building, and the formation of new collaborations among the attendees will be encouraged and facilitated.

Previous Recording and Survey Links

Funding for this was made possible (in part) by the Centers for Disease Control and Prevention. The views expressed in written materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services, nor does the mention of trade names, commercial practices, or organizations imply endorsement by the U.S. government.

Recent recordings and survey links (2024-2025) can be accessed below.

Webinars

Webinar 1 – “ITCA GHWIC Virtual Kickoff”

 

Webinar 2 – “Prior GHWIC Successes, MOA, and Updates”

 

Webinar 3 – “Prior GHWIC Successes from ITCA GHWIC Subawardees”

 

Webinar 4 – “Tribal Public Health Law & Policy: Foundations”

 

GHWIC Work Group

Work Group 1 (March 25 – 27, 2025) – Mesa, Arizona

> DAY 1: March 25, 2025

> Session 1 “Indigenous Framework Approach”

  • Presenter: Eric Hardy, ASU Labriola Center

> Session 2 “Building and Strengthening Partnerships”

  • Denisa Livingston, Diné Community Advocacy Alliance (DCAA)

 >> DAY 2: March 26, 2025

>> Session 3 “Promoting Wellness Your Way”

>> Session 4 “Getting Back on Track – Exercise Programming to Battle Diabetes”

>> Session 5 “Pascua Yaqui Tribe’s Approach to Diabetes Prevention”

>> Session 6 “A Cultural Approach to Good Health & Wellness”

>>> DAY 3: March 27, 2025

>>> Session 7: “Tribal CHR Panel”

  • Presenter: Jesse Morgan, San Carlos CHR Program
  • Presenter: Amanda Whitesinger, Gila River Health Care CHR Program

>>> Session 8: “Live, Life, Powerfully”

  • Presenter: Waylon Pee Pahona, Founder/Creator of Healthy Active Natives

 

GHWIC Work Group

Work Group 2 (July 22 – 24, 2025) – Reno, Nevada

 

Older recordings (2022-2024) can be found in the ribbon at the bottom of the page.

Conference Calls

Conference Call 1

  • Presenter: Inter Tribal Council of Arizona, Inc.
  • Held: October 17, 2022
  • Subawardee specific updates, recording available on request

Conference Call 2

Conference Call 3

  • Presenters: ITCA GHWIC Subawardees
  • Held: May 13, 2024
  • Subawardee specific updates, recording available on request

 

 

Webinars

Webinar 1 – “KHOP Community Activities Improving Health and Wellness”

 

Webinar 2 – “Traditional Healing and Medicinal Flora in Alaska”

 

Webinar 3 – “Canva for Multimedia Creation”

 

Webinar 4 – “Social Media Campaigns & Digital Storytelling Training”

 

Trainings

Training 1 (February 6 – 7, 2024) “Building a Blueprint for Success”

> Day 1: Strategies for Inclusive Community Involvement

>> Day 2: Mastering Project Planning and Implementation

 

Training 2 (July 9 – 10, 2024) “Grant Writing Training”

> Day 1: Define purpose, craft case statement, measure impact, & develop program budget

>> Day 2: Research grants, elements for writing, funder relationships, and tips for successful proposals

 

 

Chronic Disease Prevention Working Group (CDPWG)

CDPWG Meeting 1 (December 12 – 14, 2023)

> CDPWG 1, Day 1

  • Presenters: Tribal Subawardees + Coordinating Center for GHWIC (CCG)
  • Held: Dec 12, 2023
  • Recording: Recording limited to ITCA GHWIC sub-awardees, please contact Vanessa.Dodge@itcaonline.com for permission to view.
  • Passcode: %.+1%w#y
  • Survey link: https://www.surveymonkey.com/r/GHWIC_WG1_20231212

>> CDPWG 1, Day 2

  • Presenters: Dine Community Advocacy Alliance + Little Traverse Bay Bands of Odawa Indians
  • Held: Dec 13, 2023
  • Recording: Recording limited to ITCA GHWIC sub-awardees, please contact Vanessa.Dodge@itcaonline.com for permission to view.
  • Passcode: 1Lt@?TH*
  • Survey link: https://www.surveymonkey.com/r/GHWIC_WG1_20231213

>>> CDPWG 1, Day 3

Conference Calls

Conference Call 1

  • Presenter: Inter Tribal Council of Arizona, Inc.
  • Held: October 17, 2022
  • Year 4 sub-awardee specific, recording available on request

Conference Call 2

Conference Call 3

  • Presenter: Inter Tribal Council of Arizona, Inc. + Sub-awardees
  • Held: February 22, 2023
  • Year 4 sub-awardee specific, recording available on request

Conference Call 4

  • Presenter: Inter Tribal Council of Arizona, Inc.
  • Held: April 17, 2023
  • Year 4 sub-awardee specific, recording available on request

Conference Call 5

  • Presenter: Inter Tribal Council of Arizona, Inc.
  • Held: June 20, 2023
  • Year 4 sub-awardee specific, recording available on request

 

Webinars

 

Webinar 1 – “Breastfeeding Policy in Practice”

 

Webinar 2 - “Self-Monitoring Blood Pressure Program”

 

Webinar 3 - “Canva for Multimedia Creation”

 

Webinar 4 - “SPTHB’s GHWIC Overview”

 

Trainings

 

Training 1  (November 29 – 30, 2022)

> Day 1 – What is Team-Based Care?

 

Training 2  (June 7 – 8, 2023)

> Day 1 – “Empowering Indigenous Communities through Inclusive Nutrition Education”

 

>> Day 2 – “Empowering Indigenous Communities through Inclusive Nutrition Education” cont’d

 

Chronic Disease Prevention Working Group (CDPWG)

 

CDPWG Meeting 1  (February 14 – 16, 2023)

> Day 1 – Lightening Round Presentations

>> Day 2 – “Cultivating Indigenous-Focused Nutrition Programs: Leveraging the Power of Dieticians in Community Programs”

>>> Day 3 – “Engaging & Retaining Community & Staff Members through Health Promotion”

 

CDPWG Meeting 2  (July 18 – 20, 2023)

> Day 1 – “Nation to Nation GHWIC Tour” and “Need for Policy / Bringing it Back”

>> Day 2 – “Community Health Representatives: Key to Tribal Community-Clinical Linkages”,  “Improving Land Use Design”, and “Full Circle Indigenous Planning and Design”

>>> Day 3 – “Increasing Access and Participation in the Diabetes Prevention Program (DPP)”

Data Reports

AZ Tribal Needs Assessment ADHS Health Status Profile ADHS Health Status Profile ADHS Health Status Profile ADHS Health Status Profile ADHS Health Status Profile ADHS Health Status Profile ADHS 2024 Health Profile ADHS Health Status Profile SMM Report ADHS Health Status Profile ADHS Health Status Profile ADHS Health Status Profile