title: Tribal connections health information outreach: results, evaluation, and challenges.
abstract: In 1997, the National Library of Medicine (NLM), a component of the National Institutes of Health (NIH), initiated a program of intensified outreach to Native Americans, initially focusing on the Pacific Northwest in collaboration with the Pacific Northwest Regional Medical Library (PNRML). This initiative, known as the Tribal Connections Project, emphasized the establishment or strengthening of Internet connections at select Indian reservations and Alaska Native villages and related needs assessment and training. The hope was that these efforts would improve tribal access to health information available via the Internet and the Web. Phase I included sixteen tribal sites--eight in Washington, four in Alaska, two in Montana, and one each in Oregon and Idaho. Phase I results indicate that the project was successful in assessing local needs and building awareness of the Internet, forging new partnerships with and between the participating Indian reservations and Alaska Native villages and other organizations, making real improvements in the information technology (IT) infrastructure and Internet connectivity at fifteen of sixteen sites, and conducting training sessions with several hundred tribal participants across thirteen sites. Most importantly, the project demonstrated the key role of tribal community involvement and empowerment and contributed to development of an outreach evaluation field manual and the evolving concept of community-based outreach. The knowledge gained from Tribal Connections Project Phase I is helping refine and enhance subsequent NLM-sponsored tribal connections and similar community outreach efforts.
authors.affiliation: Office of Health Information Programs Development, National Library of Medicine, Bethesda, Maryland 20894, USA. fred_wood@nlm.nih.gov
authors.forename: Fred B
authors.initials: FB
authors.lastname: Wood
authors.forename: Roy
authors.initials: R
authors.lastname: Sahali
authors.forename: Nancy
authors.initials: N
authors.lastname: Press
authors.forename: Catherine
authors.initials: C
authors.lastname: Burroughs
authors.forename: Theodore A
authors.initials: TA
authors.lastname: Mala
authors.forename: Elliot R
authors.initials: ER
authors.lastname: Siegel
authors.forename: Neil
authors.initials: N
authors.lastname: Rambo
authors.forename: Sherrilynne S
authors.initials: SS
authors.lastname: Fuller
mesh_terms: D003159:Community-Institutional Relations; D006266:Health Education / Q000458:organization & administration*; D006285:Health Planning; D006801:Humans; D007198:Indians, North American; D007255:Information Services / Q000458:organization & administration*; D020407:Internet; D007993:Libraries, Medical; D008507:Medically Underserved Area; D020380:Needs Assessment; D015205:Northwestern United States; D015397:Program Evaluation; D012041:Regional Medical Programs / Q000458:organization & administration*; D019035:Rural Health Services / Q000458:organization & administration; D013192:Staff Development / Q000458:organization & administration