Toward systemic change: indigenous cross-border health Solidarity cooperation / leadership

The mission to safeguard Indigenous communities' human rights and address tribal, migratory, and refugee health disparities offers insights that intersect. The geographic and cultural complexities of the US and Mexico cross-border region, including language differences and remote communities across long distances, need an intricate system of support and  advocacy for patient populations to be adequately served." Indigenous centered care" is more effective for self determination of health needs than the current Western model. 

The health challenges throughout Indigenous communities and other vulnerable populations along the border region can be effectively addressed through a solidarity of resources. This would restore connections that have been compromised or severed due to colonialism, arbitrary borders, marginalization, and neglect. A network of diverse yet unified cooperation, knowledge and guidance would provide primary care in more comprehensive and co-ordinated systems. This is a key to preventative care. These bio, psycho, social, cultural and economic components of referral networks have been underutilized. The opportunity for training is evident. 

Evaluation to reassess would be documented with AI and mapping complicated systems and impact. 

An  exchange of health care promoters and medical professionals will potentially increase the awareness and collective knowledge of health care disparities and provide realistic targets for action to enhance services. A new service/ access to care model can be intricate and implies a thoughtful development of these connected strategies, an opportunity for technology to have a practical impact and mature. 

International health care services are regulated through various organizations, and the data is highly complex. Cross-border cooperation requires the involvement of an extensive range of stakeholders and resources. Some of the challenges for this extensive a project are cultural, academic, legal, regulatory, financial and in policy.  This could be overcome with skillful integration and  practical planning, where Western actors (i.e. medical doctors, public health officials, researchers etc.) should be held to a standard of cultural humility with the partnering tribal councils and along with functioning entities (who?) COFEPRIS COMAEM. The United Nations Permanent Forum on Indigenous Issues, FDA etc. 

Entire communities of internally displaced populations face a lack of access to the vital resources of basic health care. Communities are also dealing with this disparity of access on both sides of the US/Mexico border and are in need of actionable health services. The current threat of emergent and increasing infections, both vector borne and contagious, exacerbated by climate change, demonstrates the crucial need for this solidarity and cooperation across  borders.  Addressing diseases, challenging these populations, requires effective language translation and culturally appropriate sensitivity to concepts of health, and a evolving interwoven model documenting this dynamic method of implementation. 

Many significant initiatives are already in place and need to be made available. Creating awareness of existing resources, enhancing quality of care, lowering redundancies, improving social services will generate more effective continuity of health practices and implementation for these communities.  These challenges, (cultural, academic, legal, financial and regulatory), require thoughtful planning. Ultimately, the outcomes must be driven by the quality of health care provided to  individuals.

The mission to safeguard Indigenous communities' human rights and address tribal, migratory, and refugee health disparities offers insights that intersect. The geographic and cultural complexities of the US and Mexico cross-border region, including language differences and remote communities across long distances, need an intricate system of support and  advocacy for patient populations to be adequately served. Indigenous centered care is more effective for self determination of health needs than the current Western model.  The health challenges throughout Indigenous communities and other vulnerable populations along the border region can be effectively addressed through a solidarity of resources. This would restore connections that have been compromised or severed due to colonialism, arbitrary borders, marginalization, and neglect. A network of diverse yet unified cooperation, knowledge and guidance would provide primary health care in a more comprehensive, continuous, and co-ordinated systems, This is a key to developing preventative care. These bio, psycho, social, cultural and economic components of referral networks have been underutilized. The opportunity for cooperation, innovation, training, diagnosis and treatment, supplies, and emergency care is evident. 

Evaluation to reassess as progress moves forward would be documented with AI and mapping complicated systems and impact. 

An  exchange of health care promoters and medical professionals will potentially increase the awareness and collective knowledge of health care disparities and challenges and provide realistic targets for action to enhance capacity and services. A new service/ access to care model can be intricate and implies a dynamic development of these connected strategies. 

Entire communities of internally displaced populations in Mexico face a lack of access to vital resources of basic health care. Communities are also dealing with this disparity of access on both sides of the US/Mexico border and are in need of viable health services. The current threat of emergent and increasing infections, both vector borne and contagious, exacerbated by climate change, demonstrates the need for this solidarity and cooperation across borders.  These diseases, existing in  border region populations, require effective treatments and a public health model as a potential method of implementation. 

 In this way, resources for care and education can be successfully put into action within an environment of broader cross-border and cross-cultural cooperation.  

In order to understand and provide further measures, the project must complete these steps: 

• Identify existing services
• Review resource allocations
• Staff stuff systems
• Partner academic institutions
• Organize (what?)
• Consult with leadership (whose leadership?)

The optimal implementation is to begin with small groups in specifically targeted communities, designed to increase partnering efforts in a gradual and culturally sensitive way in indigenous regions, while taking into account cross-border governance to build in resilient systems of response to external threats, emergencies and in reinforcing health-management services for these settings. 

We are an indigenous based non profit clinic working in the region in cross border health seeking to create an integrated plan across tribes that have been interested in collaborating .Pasqua Yaqu, Yoreme Mayo.Makurawe Guarijillo, Raramuri/Tarahumara, Wirarica /Huichol

We have worked for 11 years serving indigenous communities migrants and vulnerable populations in healthcare services education and development serving a population of ape 6000 people in remote areas.Educating and empowering individuals with equipment for health services empowerd by skill sharing and setting up these systems. we have gained a great deal of experience through our baby steps and our failures.

We need collaborative guidance , technical consulting  for drone development (which we have initiated), and data filtering systems for ethics and privacy, AI evaluation systems to provide viable data and mooing to communities for healthcare records and financial support plans to move forward.

Our innovation is based on the economy of value of integrating community connecting challenged with remoteness and marginalization. Telemedicine with simple connections forging bridges of isolation to access to resources has been our testing ground . We need help with technology and integrating data.Applying our solutions with Solves ability to guide our delivery.We have identified drone access and developed practical models for remote delivery for health intervention and extensive health care training.

The mission to safeguard Indigenous communities' human rights and address tribal, migratory, and refugee health disparities offers insights that intersect. The geographic and cultural complexities of the US and Mexico cross-border region, including language differences and remote communities across long distances, need an intricate system of support and  advocacy for patient populations to be adequately served. Indigenous centered care is more effective for self determination of health needs than the current Western model.  The health challenges throughout Indigenous communities and other vulnerable populations along the border region can be effectively addressed through a solidarity of resources. This would restore connections that have been compromised or severed due to colonialism, arbitrary borders, marginalization, and neglect. A network of diverse yet unified cooperation, knowledge and guidance would provide primary health care in a more comprehensive, continuous, and co-ordinated systems, This is a key to developing preventative care. These bio, psycho, social, cultural and economic components of referral networks have been underutilized. The opportunity for cooperation, innovation, training, diagnosis and treatment, supplies, and emergency care is evident. 

Evaluation to reassess as progress moves forward would be documented with AI and mapping complicated systems and impact. 

An  exchange of health care promoters and medical professionals will potentially increase the awareness and collective knowledge of health care disparities and challenges and provide realistic targets for action to enhance capacity and services. A new service/ access to care model can be intricate and implies a dynamic development of these connected strategies. 

Will will seek a weaving of partnerships for diagnostics and treatment available to the remote rural communities. – leading thereby to a significant improvement in morbidity and mortality rates overall. At present, there is a significant delay in providing this life-saving information due to distance, lack of transportation, and backlog in outside medical facilities.

A long-term goal of this project is to create a sustainable and replicable model of culturally appropriate healthcare that can provide accessible and individualized culturally sensitive care in remote indigenous  communities models a Medical+Community Health Team that has experience, training, and resources to work together on a

Continuing basis toward optimal  outcomes documented  and mapped for community ownership of data. Mapping

Together whether doctors are in these remote communities or not. Telecommunication / telemedicine systems

telecommunications Will bring them into closer contact will help to bridge the distances.

appropriate technology drone delivery for medication and treatment supply access 

Film documentation is an essential tool for skill sharing. We have produced documentaries and are sharing with the indigenous radio stations Radio Tres Rios will creating a resilient seed of knowledge to continue both resources and spread a network of community education and support.

We have created this system of networking and learned what works and what needs improvement for community ownership.

We have consulted with Yaqui leadership and Guarijillo in Mexico and the southern communities of the US border.

We will continue implementing Local community healthcare promoters capacity building to provide skilled care with Appropriate technology.

• Telemedicine/ partner with cell service provider infrastructure and local medical care remote modums
• Energy system provided with inverters for equipment in remote access regions (wind, solar)DC to AC
• Core first aid and medical equipment for triage and support pulse oximeters remote EKG, Fast Ultrasounds
• 1. Skill sharing for health-care professionals working in cross-border settings such as bilingual courses and multilingual public health education information as well as defining logistics for access to care, tele-health initiatives, transportation and delivery of medication, and services in remote regions, connected to existing programs.
• 2. Health data across the border region, shared within a system that maintains the integrity of indigenous ethics (with impartial auditing, academic investigation and community councils) to ensure reciprocal trust and dialogue within the Indigenous communities. These systems must be designed so they are compatible, and efficient, and staff need to be appropriately trained.
• 3.An initiative of service learning in an international exchange program amongst participating tribes and academic institutions in Arizona and northern Mexico with medical students, doctors and other health care professionals, with the potential to enhance trust amongst stakeholders

we have a team of doctors who come for social service to complete their education usually two per year

full time employees 4

partime volunteers and health care promoters app 16

many affiate academic and non profit partnerships ie.SEAHEC, University of Arizona, UNISON Sonora

11years

Directed by Cross-tribal collaboration: create  a rich resource to care for displaced or vulnerable populations  

We are committed to unity in diversity fostering a culture and practices that promote balance.

Our clinic has constantly witnessed systemic barriers, biases, and inequities persist for Indigenous Peoples, migrant and internally displaced people, neurodivergant individuals ,disabilities or specific health conditions, racialized groups, two spirit LGBTQIA+ communities, women, and others who experience stigma, marginalization, isolation, or discrimination.

These inequities demands  measurable action that is consulted and reviewed with intent to grow sustained through ongoing engagement with our communities,listening, creating accountability for failures, supportive leadership, dedicated resources,  and transparency.

We have survived on individual donations and grants but need  guidance and direction. Our clinic is in a transition where we would like to integrate resources and tap into the networking we have developed in cross border alliances and partnerships

we attended the fund raising course Exponential fund raising with Jennifer McCrea we have a social service academic exchange model