B2 PachecoStrategies

Lessons Learned from CDC’s Pre-teen Vaccine Pilot Project in New Mexico : 

Lessons Learned from CDC’s Pre-teen Vaccine Pilot Project in New Mexico Rachel R. Pacheco, RN Consultant

Context : 

Context CDC wanted to develop culturally & linguistically appropriate education materials for parents/caregivers of pre-teens based on audience research. Two regions of the country were selected Southwest and Northwest In 2007, the agency hired RRP Consultants to assist with the project in New Mexico (Southwest). Partnerships were developed with Tribes & urban Indian organizations to educate them about the health issue and to reach parents for involvement in the focus groups.

Context (II) : 

Context (II) Through input from Tribal/urban organization staff and caregivers, intervention strategies were developed.

American Indians inNew Mexico : 

American Indians inNew Mexico The population of New Mexico is 10% American Indian 19 Pueblos, 5 Non-Pueblos All federally recognized Much of the State is rural Tribal, Urban & Indian Health Service health care delivery systems

Intervention with Parents/Caregivers of Pre-teens : 

Intervention with Parents/Caregivers of Pre-teens Exhibits at community events such as pow wows Workshops with female caregivers of pre-teens about the 11 and 12 year old check-up, the pre-teen vaccines and the diseases they prevent Distribution of the campaign materials to Tribes, urban organizations and community groups/schools

Steps for Engaging AI/AN Tribes and Urban Organizations : 

Steps for Engaging AI/AN Tribes and Urban Organizations Find out where the Tribes and urban organizations are located in your jurisdiction. Who serves urban Indians in your city/state? Assess what working relationships exist between the immunization program or coalition and AI/AN tribes, communities, and organizations.

Steps (II) : 

Steps (II) How are the relationships between the health department and the tribes? Any existing or past experiences of working with tribes? Who else at your agency is working with this community? Are there any existing memoranda of agreement or contracts to address health issues?

How To Work with Tribes and Urban Groups : 

How To Work with Tribes and Urban Groups Be sincere and respectful Develop trust Follow-up visits after your initial contact with tribes/groups and/or individuals Be non-authoritative and don’t be directive Do some homework before you approach them

How To Work with Tribes and Urban Groups (II) : 

How To Work with Tribes and Urban Groups (II) Ask what they are doing in this health area already. Know when to offer specific tribal information & when you should communicate in general terms (use of metaphors). Educate a person or a smaller group of people to help support & recruit your activities/agenda. Always tell them what the benefits are & the risks involved, if any. Allow plenty of time for a response.

Discussion : 

Discussion Are there data specific to AI communities available from the State? Vaccine coverage rates Disease rates Identify some culturally appropriate ways that data & other information could be collected/used

Discussion : 

Discussion How would you encourage joint data sharing agreements betw. state health departments & tribes, i.e., to collect & report data to include AI population? Are needs assessments inclusive of AI populations? What is the protocol before a needs assessment is conducted with AI?

Summary : 

Summary AI/AN have dual citizenship-”living in two worlds” States do not have any jurisdiction over tribal lands Many other competing health/social issues & limitations Awareness of cultural attributes make a difference in effectively working with AI/AN

Summary : 

Summary Sometimes it’s only an encouraging word that is needed, personal invitation/phone call & sharing of information Be an active listener Support mentoring & on-going education Know the resources

Slide 15: 

THANK YOU! RRP Consulting & Special Projects 505-697-8658 rachelrp@comcast.net