This report is an assessment of health care for American Indians and Alaska Natives who are eligible for medical and health-related services from the federal government. Chapters outline Federal-Indian relationships; provide demographic and economic information on the Indian population; trace current health status, changing health problems, and…

Health care for American Indians and Alaska Natives eligible for medical and health-related services from the federal government, specifically the Indian Health Service (IHS), is assessed. The basic population eligible for IHS services consists of "persons of Indian descent belonging to the Indian community served by the local facilities and…

A study was undertaken of the retirement preparation practices and programs in higher eudcation institutions in the United States. More than 2,200 colleges and universities participated. Only 4 percent (96) had a formal program to help employees prepare for retirement, and these institutions were mostly four-year, public, and large. Two-thirds of…

A Critical Health Manpower Shortage Area (CHMSA) is a medical service area that has inadequate opportunities for access to medical care, mostly primary care (the first line encounter which diagnoses and treats sick or injured people). Most CHMSA's are located far from large population centers. Six hundred seventy three CHMSA's are found in…

The document is a collection of six papers on key problems in health manpower which were presented at a symposium during the 1974 spring meeting of the Institute of Medicine. A seventh paper provides a summary of the major themes at the conclusion of the program. All of the symposium papers deal with the principal manpower issues of supply,…

This document presents findings of the Presidential Commission on the Human Immunodeficiency Virus (HIV) epidemic. The executive summary lists 20 major findings and recommendations which together comprise a comprehensive national strategy for managing the HIV epidemic. The commission recommends: (1) replacement of the obsolete term "AIDS"…

Health planning is a complex procedure in the American federal system of multi-authorities and multi-levels of responsibility. Because of its public nature, responsibility for the area of health planning is delegated to the health professional for its substantive dimension, but to the politician-bureaucrat and public-decision-maker for its policy…

This manual is designed as a resource for trainers who provide preservice training, either in-country or state-side, to health specialists and generalists assigned to health projects at the community and clinical levels. The training is intended to assist the volunteer in developing knowledge and skill in the areas of primary health care and the…

The sister cities of Brownsville, Texas and H. Matamoros Tamaulipas represent a microcosm of United States-Mexico border cities. The combined characteristics of urban poverty, an agricultural-based economy and high unemployment, in a predominantly Hispanic population, coupled with a high percentage of illegal aliens produce a situation of poor…

Intended to assist Agency for International Development officers, advisors, and health officials in incorporating health planning into national plans for economic development, this ninth of ten manuals in the International Health Planning Methods series contains eight papers dealing with the integration of community health concerns into…

A bilingual and bicultural organization, CISCO (Chicano-Indian Study Center of Oregon) assists students to escape the poverty cycle through vocational training, academic programs, and general guidance counseling. A major CISCO goal is to provide vocational training in the health care industry in conjunction with a program meeting the health needs…

Accomplishments of the Navajo Health Authority (NHA) since it began in 1972 are presented in synopsis form in a report of programs underway at Window Rock and Shiprock, along with NHA goals: to promote development of Navajo Health manpower, preventive medicine, health education, and native healing sciences. After a brief review of executive and…

Nonmetropolitan and totally rural areas have greater unmet health needs and fewer health resources than urban areas. Blacks, American Indians, migrants, and Appalachians have specialized rural health care needs as a result of cultural isolation, poverty, and discrimination. The reversal of the rural to urban population migration has increased the…

Infanticide in the United States today usually happens in the hospital. Occasionally, handicapped infants are killed by a direct act, but more often infanticide is accomplished by withholding something (for example, food, medication, surgery) that babies need to survive. The Rehabilitation Act of 1973, the Baby Doe regulations of May 1982, and the…

This monograph for health care professionals considers the impact that chronic illness and disability have on youth and their families and provides information on adapting principles of family-centered care to promote resilience in adolescents and their families. The monograph stresses the need for community systems of comprehensive services…