Date of Award

August 2026

Document Type

Dissertation

Degree Name

Doctor of Philosophy (PhD)

Department

Indigenous Health

First Advisor

Shawnda Schroeder

Abstract

This study explores the experiences of Health Tribes recipients managing or participatingin more than one funding opportunity provided through the CDC Healthy Tribes program; offering an opportunity to share successes and challenges in multidimensional funding management, program implementation, and impacts, as well as recommendations for funders and other American Indian and Alaska Native communities. This qualitative study used document analysis and a focus group, with data analyzed using deductive thematic analysis to identify patterns and develop themes.

The findings highlight methods of funding management and factors, such as organizational structures, that drive the organization of funding management. The findings also highlight the successes (e.g., community connection) and challenges (e.g., departmental silos) participants experience while implementing Healthy Tribes programming. Key considerations for funders and for American Indian and Alaska Native organizations, including data sovereignty, organizational readiness, and flexible funding strategies, were also noted. Overall, the study provides empirical insight into how multidimensional funding is managed within Healthy Tribes programming and offers implications for funders, researchers, and future recipients. This research contributes to the literature on the impacts of traditional best practices in American Indian and Alaska Native communities while also examining a funding mechanism and opportunity designed to support their efforts.

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