First, not all AI/AN in Washington seek care at IHS, tribal, or urban Indian health
facilities, and thus, they would not have been included in the linkage.
The 2010 study was accidentally rediscovered by Urban Indian Health
Institute director Abigail Echo-Hawk in 2016 but was only published recently.
Exactly, 5.1 percent of NTR records were from the Seattle Indian Health Board (SIHB, an Urban Indian Health
Organization located in the Puget Sound region of Washington) (2007-2012), and the remaining 5.4 percent of records were from a tribally operated clinic in the South Puget Sound region of Washington, 2005-2011.
In fact, advocates for urban Indian health
take issue with IHS's emphasis on rural communities because of an ever-increasing urban population of American Indians.
The holistic model was chosen in 2009 by the National Consortium of Urban Indian Health
Programs for inclusion in the Compendium of Best Practices for Indigenous American Indian/Alaska Native and Pacific Island Populations (Echo-Hawk 2011).
I would rate our Urban Indian Health
Programs as critical to our mission.
Access to health care is even more dire for urban Natives because the "Urban Indian Health
Programs serve only an estimated 150,000 Native Americans and this represents 6% of the total Native population." (51)
* Building and strengthening the capacity of tribal organizations and urban Indian health
centers throughout the United States to develop effective HIV prevention through intertribal networking and collaboration
A study examined the rate of Cesarean delivery among Native American women giving birth from 1996-1999 at an urban Indian Health
Service facility, and found the rate to be 9.6%, which is well below the national average of 21.2% (in 1998).
The gatekeeper I relied on to open doors for me there was Ron Morton, who ran an urban Indian health
Samuelson, a family physician with Sacramento Urban Indian Health
who chairs the CAFP legislative affairs committee.