title: Beyond tribal self determination: a community health initiative.
abstract: The Gila River Indian Community is a 583-square mile community located 45 miles south of Phoenix, Arizona, home to 11,257 residents and 16,985 enrolled tribal members. The community is in the midst of significant change, primarily due to determination to prosper and ensure a healthier life for all tribal members and residents. The authors describe the evolution of the Gila River Indian Community Turning Point Initiative from its emphasis on development of a tribal health department through its growth and change into a community partnership.
authors.affiliation: Gila River Indian Community Department of Public Health, Sacaton, Arizona, USA.
authors.forename: David
authors.initials: D
authors.lastname: Harrowe
authors.forename: Merle A
authors.initials: MA
authors.lastname: Lustig
authors.forename: Teresa
authors.initials: T
authors.lastname: Wall
mesh_terms: D001130:Arizona / Q000453:epidemiology; D003141:Communicable Diseases / Q000453:epidemiology; D018672:Community Health Planning / Q000458:organization & administration*; D003299:Cooperative Behavior; D006265:Health Care Coalitions; D006801:Humans; D007198:Indians, North American; D011159:Population Surveillance; D011635:Public Health Administration