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Additional Investments in Indian Country

marathon participants of all ages running together

CDC’s National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) makes a variety of investments in Indian Country. In addition to the Good Health and Wellness in Indian Country program, other investments include:

Tobacco Prevention and Control

  • Consortium of National Networks to Impact Populations Experiencing Tobacco-Related and Cancer Health Disparities. This 5-year initiative, launched in September 2013, supports a consortium of national networks to advance prevention of commercial tobacco use and cancer in populations with higher-than-average levels of tobacco use, cancer incidence, and cancer mortality. With Fiscal Year 2017 funds, CDC will support one tribal organization at $600,000. The consortium is jointly funded by NCCDPHP’s Office on Smoking and Health and Division of Cancer Prevention and Control.


  • National Breast and Cervical Cancer Early Detection Program (NBCCEDP). This program funds American Indian/Alaska Native tribes to increase cancer screening rates by using evidence-based strategies and conducting population-level activities within health systems and providing direct screening services. With $10 million in Fiscal Year 2017 funds, CDC supports 13 tribes to do this work.
  • Comprehensive Cancer Control (CCC). This program funds tribes and tribal organizations to assess the burden of cancer in their area, create cancer control plans to prioritize cancer prevention and control strategies, and leverage resources to put cancer control interventions into practice. With $1.5 million in Fiscal Year 2017 funds, CDC supports eight tribes and tribal organizations to do this work.
  • Colorectal Cancer Control Program (CRCCP). This program supports one tribal awardee with $732,400 in Fiscal Year 2017 funds to use effective interventions and strategies recommended by the Community Guide to improve overall health system delivery of screenings to all eligible adults. These interventions and strategies include patient and provider reminder systems, provider assessment and feedback, and patient navigation (helping patients navigate through the healthcare system).

Community Programs

  • Racial and Ethnic Approaches to Community Health (REACH). This program began in 1999 and focuses on racial and ethnic communities experiencing health disparities as a way to reduce these disparities. With $1.5 million in Fiscal Year 2017 funds, CDC supports three tribal organizations to use public health strategies to reduce tobacco use and exposure; improve nutrition; increase physical activity; and improve access to chronic disease prevention, risk reduction, and management opportunities.


Success Story from Previously Funded Projects

Standing Rock Sioux Tribe

The Standing Rock Sioux Tribe’s Native Gardens Project, funded through CDC’s National Diabetes Wellness Program’s Traditional Foods Program, increased access to local, traditional foods and awareness about the availability and health benefits of harvesting and eating these foods. From 2009 to 2012, the project collaborated with local farmers, the US Department of Agriculture’s (USDA’s) Nutrition for the Elderly program, the tribe’s Special Diabetes Program, and the County Extension Service to hold 61 farmers’ market days, serving an estimated 2,500 people.

Almost 13,000 farmers’ market vouchers ($50 value each) were distributed as part of the USDA program to 1,193 elders, who exchanged their vouchers for produce. Voucher redemption increased from 22% in 2009 to 100% in 2012. The vouchers generated about $18,000 in sales, encouraging local farmers to keep growing and selling in the community.

Winter and summer markets were advertised on the radio and on posters. Community members prepared foods according to traditional knowledge, shared meals, and sold local produce, including prairie turnips (called tinpsila, in Lakota). The length of almost six and a half football fields were tilled for gardens across the eight tribal districts in North and South Dakota (154 family gardens) and three community gardens were developed in three districts (20,000 square feet of space).