Performance Improvement 2004. HIV/AIDS/STD/TB/Hepatitis B and C Case Reporting of Tribally Operated Health Facilities


This second in a series qualitative assessments investigated public health surveillance of a related set of infectious diseases among American Indian and Alaska Native (AI/AN) people. AI/AN people are affected disproportionately by many infectious diseases, including human immunodeficiency virus and acquired immunodeficiency syndrome (HIV/AIDS), sexually transmitted diseases (STDs), hepatitis B and C (HBV and HCV, respectively), and active tuberculosis (TB). In recent years, under the Indian Self-Determination and Education Assistance Act (1975), tribes are increasingly assuming more control over health care resources. More than 50 percent of federally recognized tribes have already participated in some manner in the movement toward managing health care for their members. Serious concerns have been raised regarding the impact on public health surveillance of recent changes in the way health care is delivered to AI/AN communities. Whether and how public health surveillance has been affected by this decentralization of services that were originally provided by IHS has not been studied. The findings illustrated surveillance issues that exist in tribal and urban Indian health facilities. The results of this evaluation suggest that the difficulty and complexity of addressing infectious disease surveillance challenges in tribally operated and urban Indian health facilities.

PIC ID: 7875
Agency Sponsor: CDC, Centers for Disease Control
Federal Contact: Bertolli, Jeanne, 404- 639-8500
Performer: Research Triangle Institute, Research Triangle Park, NC

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