Cherokee Nation Healthy Nation Policy, Systems, and Environmental Change

1. Health Services Cherokee Nation Healthy Nation Policy, Systems, and Environmental Change

2. Cherokee Nation • Cherokee Nation Headquarters are located in Northeast Oklahoma. The nearest large city is Tulsa • Cherokee Nation is the 2nd Largest tribe in the Nation • 14 County Jurisdictional Area • Serve entire community

3. CHEROKEE NATIONTribal Jurisdictional Service Area (TJSA) Nowata Health Center Vinita Health Clinic Bartlesville Health Clinic Sam Hider Jay Community Clinic Claremore Indian Hospital A-Mo Salina Health Center Hastings Indian Medical Center Legend Wilma P. Mankiller Health Center Cherokee Nation Clinic IHS Hospital Main Complex Three Rivers Health Center Redbird Smith Health Center

4. The Cherokee Nation Health Services Mission We are dedicated to working with our communities, families, and individuals to promote and improve their health.

5. Cherokee Nation Health Services Group Programs within Health Services: • Direct clinical services • Cancer Programs • Diabetes • Women, Infants and children (WIC) • Jack Brown Treatment Center • Emergency Medical Services • Contract Health Services • Community Health Services • Health Promotion/Disease Prevention • Behavioral Health • Community Health Nursing

6. Community Health Health Promotion/Disease Prevention Provides services to schools and communities. Services include Wellness activities: • Smoking and Tobacco Cessation Classes • Wings Running/Walking Club • Youth Camps • Gardening and Traditional Food Programs • Establishing Traditional/Local foods Policy/Practices • Principal Chief Leadership Awards

7. 3 Workable Activities • Decrease the exposure of children 18 and under to environmental tobacco smoke • Increase daily consumption of fruits and dark green vegetables • Increase the percentage of adults and children in the Cherokee Nation 14 county area who engage in exercise several times per week

8. Policy Work Nutrition Tobacco Prevention Community Gardens 24/7 tobacco free policies School Gardens Multi-unit Smoke Free Housing Farm-to-School Smoke free parks Taste testing at local schools Food Policy Councils Food Nutrition policies Physical Activity Wings Safe Routes to Schools Joint-use agreements Quality Physical Education and Physical Activity Curriculums Spark-Catch-Cherokee Challenge-Mileage-Walking Clubs Traditional Games

9. Community Gardens • 5 communities have established gardens • Technical assistance, resources and education has been provided to the communities • Communities have developed planning committees.

12. WINGS • Self paced running/walking club • Sponsor 26 runs a year including a Duathalon and an Adventure Race • 8500 active members • Creates a sense of unity while being physically active.

13. Schools Physical Activity • Joint Use Agreements • Quality Physical Education • Cherokee Nation Health Leadership Grant • Safe Routes To School

14. Joint Use Agreements • 5-6 schools that have adopted the Joint Use Agreements • 2 community based organizations • Assist in creating the verbiage to fit the specific entity

15. School and Community Tobacco free policies • 249 school in our 14 County Jurisdictional Area • 108 schools that have 24/7 policies • Tobacco free parks

16. School Nutrition • Farm to School Program/School Gardens • Taste testing • Improving food nutrition policies in schools and childcare centers within CNTJSA

17. Principal Chief Health Leadership Award • School with high population of American Indian Students • Schools located in the CN TJSA with high rates of Obesity and Diabetes • School in Rural Settings • Schools with a high percentage of students receiving free and/or reduced price lunch

18. Benefits To the School • BMI assessment material and Fitness Gram kit • Ongoing technical assistance • Link to community resources and presenters • Cherokee Nation School Health Team assists in BMI and Fitness Gram data collection • School Health Index Assessment and Action planning

19. Requirements • Complete the 8 module School Health Index Assessment (SHI) and create action plan • Promote healthy eating behaviors • Promote and implement school and community gardens • Develop a policy that aims to increase the number of minutes of physical activity

20. Requirements cont. • Administer Fitness Gram physical fitness test and Body Mass Index (BMI) assessments • Implement an evidence based Physical Education curriculum • Implement an active SWAT (students working against tobacco) team • Develop and implement 24/7 policy • Apply to become an Oklahoma Certified Healthy School

21. Public Health Accreditation • A Cherokee Nation Public Health Code (draft) has been submitted for consideration to Administration • Health Impact Assessment is being studied • Collaboration with Human Impact Partners organization is ongoing to determine how the HIA process can best be utilized

22. Traditional Games • Establish Cherokee Stickball and Marble Leagues • School based • Community based • Partnering with cultural center, communications

23. Bobbie Jo Eagleton Public Health Educator Cherokee Nation/Healthy Nation Bobbie-eagleton@cherokee.org 918-453-5000 X6137