July 2013 ᏣᎳᎩ Tribal Health Assessment HMD Vision A healthy Cherokee community where all people can enjoy health and wellness in a clean, safe environment, be protected from public health threats, and access highquality, culturally respectful health care. HMD Mission In partnership with the Cherokee community, the Health and Medical Division works to improve the health of individuals, families and the community through disease prevention, health promotion and protection from public health threats. Spring 2013 Community Survey •795 eligible surveys •Enrolled members age 18 and over •Tribe represented across age groups and communities. •More women responded than men. Thank you to everyone who completed a survey, and who distributed and collected them! Satisfaction with Cherokee Health System Services (n=782) 8% 3% Very Satisfied 18% Satisfied Neutral 25% 46% Dissatisfied Very Dissatisfied Comments: Satisfied with quality, access to care and medications, providers positive attitudes, respect, improvements, well-run. Quality of Life: Top 3 Positive Impacts Love, support, spending time with family/friends Satisfying Job/school and financial sustainability Receiving care (surgery& medicine) Quality of Life: Top 3 Negative Impacts •Personal health problems •Family/home life stress/problems with personal relationships(family/ spouse) •Work stress/ employment struggles Biggest Concerns •Individual: weight, diabetes •For the future: healthy weight, diabetes & complications •For the community: diabetes and complications, addiction Hunger 23% ate less than they should because of lack of money or food in last year Preparedness 75% are prepared to stay home for three days without outside help Our Strengths Approximately 60% agreed: •Plenty of help in times of need •Satisfied with the natural environment •Cherokee culture and traditions are valued •Good place to grow old and to raise children • There is economic opportunity in EBCI Key Informant Interviews 15 Community Health Leaders said: •Emphasis on prevention! •Priorities: •School clinic •Substance abuse •Some community members do not have a voice •Disease/ risk factors agreed with the community survey •Current changes are addressing some of the issues, including access to doctors Sgi for your support.