CHALLENGES AND SUCCESSES IN REDUCING HEALTH DISPARITIES: Workshop Summary by Institute of Medicine of the National Academies

Author:Institute of Medicine of the National Academies
Language: eng
Format: epub
Tags: Health and Medicine : Public Health and Prevention. Health and Medicine : Public Policy
Publisher: NATIONAL ACADEMY PRESS
Published: 2008-06-23T00:00:00+00:00

Program Challenges

The work that the Cherokee Nation does is very important, but it is just beginning. It has not reached its full potential for long-lasting change. The programs have been implemented and funded within the last 10 years, and it is going to take many more years to make lasting changes. There is a lack of physical infrastructure in the rural communities, and the rural service area is extremely large. There are currently 14 staff people who oversee programs in 100 local communities. That is why it is imperative to partner with other community services and education and human services programs. Local community members stated that they would like more individual exercise instruction, in-depth nutritional programs, additional group activities, and activities for special populations. Prioritizing policy adoption for health promotion programs in the Cherokee Nation has been challenging, as has strategizing implementation procedures and methods for reaching program goals and objectives. Recruiting staff and training individuals who are invested in their local community and willing to stay involved in the long term has been increasingly difficult, and managing competing priorities among program participants has been an ongoing challenge.

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