Cherokee Nation Partnerships to Improve Community Health (PICH) Grant

Cherokee Nation PICH efforts

In Cherokee Nation, the Partnerships to Improve Community Health Grant (PICH) works to expand efforts in tobacco-free environments, healthy food or beverage options, and increasing chronic disease prevention opportunities, all toward a goal of improving health and reducing the burden of chronic disease.

Screen Shot 2015-07-12 at 2.16.22 PMIn 2014 Cherokee Nation Health Services was awarded $900,000 per year for three years by the Centers for Disease Control and Prevention (CDC) to serve as the lead agency to coordinate efforts across the Cherokee Nation Tribal Jurisdictional Service Area (CNTJSA). PICH builds on the previous work of the Cherokee Nation Community Health Promotion Program and continues to strengthen efforts to build a Healthy Cherokee Nation for this and future generations. PICH also supports Cherokee Nation public health improvement activities by engaging community members in identifying community strengths and expanding the reach of public health efforts to create greater access to healthier options in the Cherokee Nation where people live, learn, work, and play. These efforts aim to impact not only Cherokee citizens but all people living in the tribal service area.

Cherokee Nation PICH Strategies

The Cherokee Nation Community Health Promotion Program will provide technical assistance and resources to schools and communities to improve nutrition, increase physical activity, and decrease exposure to commercial tobacco products using the following strategies:

  • Healthy food and beverage options: Increase access and use of Farm to School programs and local farmers markets.
  • Reducing tobacco use and exposure: Increasing access to tobacco free school campuses and tobacco free worksites policies.
  • Linking community& clinical prevention services: Increasing access and use of provider referrals to the Oklahoma Tobacco Quit Line and Provider referrals to community based chronic disease prevention programs.


Cherokee Nation will work in collaboration with 10 existing Oklahoma Turning Point County multi-sector Coalitions in Northeastern Oklahoma to implement specific interventions that will target priority populations located in the tribal jurisdictional service area. These priority populations are defined as census tracts that have the following characteristics: at least 20% of the population with an income below 100% federal poverty level (FPL) and at least 10% of the adult (≥ 25 years of age) population without a high school education. These socioeconomic characteristics can also be used as predictors of health outcomes and help identify areas in most need in the tribal service area to focus resources and efforts. Thirty priority populations have been identified within the CNTJSA (Figure 1) to target for the PICH grant.

While the CNTJSA encompasses 14 counties in Northeastern Oklahoma, all 30 of the PICH priority populations are located in 10 of those 14 counties. The following counties have at least one priority population: Adair, Cherokee, Craig, Delaware, Mayes, Muskogee, Nowata, Ottawa, Rogers, and Sequoyah.


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