Performance Improvement 2003. Office of Public Health


Evaluating the Impact of Primary Intervention Techniques on the Dental Caries Rate in Children Living in Southwest Alaska Native Villages

This study evaluated how the dental staff analyzed potential reasons for variation in caries rates between villages in an attempt to reverse the trend of increasing caries rates in all villages. In the 1990s, the Bristol Bay Area Health Corporation dental staff noticed a persistent increase in caries (dental decay) rate in all Bristol Bay village children, particularly in the youngest ages (0-4 years old). The staff concluded that 3 factors contributed the most to lowering caries rates in a given village. First was the presence of a prominent individual in the village, such as a community health aide or teacher, who encouraged good oral hygiene habits in the children. Second was the exposure to fluoride through community water fluoridation or with a consistent fluoride mouth rinse program. Third was a low sugar diet among the children.

FEDERAL CONTACT: Debbie Melton, 301-443-2417 PIC ID: 7138

PERFORMER: Indian Health Service, Rockville MD


Quantifying the Unmet Need in IHS/Tribal EMS

The purpose of this report was to present data collected from Tribal Emergency Medical Services (EMS) programs, report their unmet needs, and make suggestions for future resource allocation by the Indian Health Service. It was found that the 562 federally recognized Tribes do not have their own EMS programs. While it was not known how the members of these Tribes obtain emergency medical services, it was assumed that they relied on local public (city or county) and private ambulance services to access EMS. Injury deaths among Native American children were caused by motor vehicle crashes, pedestrian related mother vehicle crashes, drowning, fires, and suicide. It was reasonable to assume these fatality rates reflected a significant portion of the EMS run volume by tribal Emergency Medical Technicians (EMTs) within their communities. It was also reasonable to conclude that these same EMTs do, or could contribute to Service Unit injury prevention activities through their role as participating members of Injury Prevention Committees. These childhood injury fatalities had significant impact on the direction of community and service area Emergency Medical Services for Children activities.

FEDERAL CONTACT: Dr. Eric B. Broderick, 301-443-3024 PIC ID: 7860

PERFORMER: Office of Program Planning and Evaluation, Bethesda MD


Study of the Impact of a Full-Time Community Health Nurse on the Health of Native American (Sioux) Patients with Hypertension & Prevention

The goal of this project was to hire a community health nurse to follow hypersensitive patients. The nurse was responsible for identification, education, and following the progress of the hypertensive patients at the Sisseton Service Unit. Statistics were gathered on the patients in order to know more about them and to better plan their treatment. The goal of the project was to achieve a blood pressure control rate of 50 percent for patients with hypertension. Control was defined as a systolic blood pressure below than 140 and a diastolic lower than 90. This report presents preliminary results of the Community Health Nurse on the care of the hypertensive population. It also presents the process by which a pharmacist influenced the treatment of hypertension and outcomes. The impact made on the treatment of hypertension is expected to be more fully demonstrated through lower illness and death from Cardiovascular Disease in the Native American Population.

FEDERAL CONTACT: Elizabeth A. Fowler, 301-443-1270 PIC ID: 6413

PERFORMER: Aberdeen Area Indian Health Service, Aberdeen, SD

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