Indigenous Social Determinants of Health

About Indigenous Social Determinants of Health

NNPHI partnered with the Centers of Disease Control and Prevention (CDC), and Seven Directions, A Center for Indigenous Public Health, to explore the social determinants of health concept, frameworks, and models from an Indigenous-centered perspective. Activities included development of a framework and literature review for ISDOH; gathering feedback from tribal communities across the country through group discussions to learn more about their experiences; creating and pilot testing the six module training with tribal communities and a national Advisory Group. We share gratitude with the tribal leaders, community members, and tribal health professionals who shared their understanding of the influencers that create conditions for healing, health, and wellbeing of Indigenous peoples in the U.S.

What are Indigenous Social Determinants of Health? 

This project defines ISDOH as those aspects of American Indian and Alaska Native social and political existence in the United States that create conditions that influence the health and wellbeing of the peoples beyond those determinants in mainstream populations.

Related Resources: Indigenous social determinants of health resources and materials for tribal and urban public health systems.

This site ( brings together ISDoH related resources and a six-module training to share in your communities. The materials and resources center Indigenous perspectives and views on health, healing, and well-being. This training will allow public health practitioners to reevaluate social determinants of health from an Indigenous lens.

Access the ISDOH Training Modules:

Access the ISDOH Training Report:

This project is supported by the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services(HHS), as part of a financial assistance award totaling $300,000 with 100 percent funded by CDC/HHS(Award #s 1 NU38OT000303-01-00, 5 NU38OT000303-02-00, and 5NU38OT000303-03-00). The contents are those of the authors and do not necessarily represent the official views of, nor an endorsement, by CDC/HHS, or the U.S. Government.  


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