1. Community Assessment The Tohono O’odham Nation Don Gerstner RN Jeanette VanKleeck RN Kelly Gordon RN Gina Christiansen RN

3. Demographics

4. Health Care Status Indicators Mortality Rates

5. Pediatric Mortality Review N=16

6. Health Care Status Indicators Diabetes vs Alcohol Diabetes Related Deaths Alcohol Related Deaths

7. Diabetes Related Mortality Rates (PERCENT)

8. Alcohol Related Mortality Rates (Percent)

9. Health Care Status Indicators Leading Causes of Death N=169

10. Morbidity of Communicable Diseases/Immunization Lag N=375

12. TRADITIONAL HOMES

17. Round House

18. Catholic Churches Catholic Church in Hickiwan Catholic Church in Sells

19. Hospitals and Clinics

20. Remote Clinics Santa Rosa Clinic West Side Clinic

24. Objectives 2/22/2006 8/31/2005 Diabetes and alcohol related deaths will be decreased by 10% The community health representative program will be re-evaluated to provide better transportation 2/22/2005 2/22/2005 Target Date Objective Present Date

25. Interventions #3. Work with the public health nurses of IHS to establish a better method of accountability for immunizations to include training of the CHR’s in the community. #2. With the help of the tribal government , revamp the CHR program, to provide better transportation, hence better access to healthcare. #1. Hold meeting with the tribal government and public health nurses to attempt to make community resources more available to educate and treat the community problems related to Alcohol and Diabetes

27. Conclusion