The Paths (Re)Membered Project centers the Two Spirit and LGBTQ+ community–its strengths, resiliencies, and histories—in our movement toward health equity. Through community engagement, research, and advocacy, we work toward a liberated 2SLGBTQ+ future, which includes the memories of Two Spirit ancestors, the wisdom of our elders, and the creativity of our young people. The seven parts of our logo, designed by Lorenzo Yazzie, represent the seven generations which guide our work. The circle represents the unceasing ties between our Nations, art, medicines, and ceremonies, as well as our health as individuals and communities. It is with the memories of our ancestral pasts, where our Two Spirit people were highly regarded and integral to our villages, and the thoughts and dreams of our (Re)Membered futures, that we restore our places in the circle.
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The Board is staffed with approximately 45 individuals, the majority of whom have BA/BS or advanced degrees and training to meet the needs of diverse activities provided to the tribal health programs of the 43 NPAIHB member tribes. The EpiCenter has four core purposes: Administrative, Data Management/Analysis, Training, and Research. The NPAIHB organizational chart outlines the managerial structure.
From early in the history of the NPAIHB, the Northwest Tribes recognized that data, surveillance, and research were central to building awareness about health disparities afflicting American Indians and Alaska Natives. The Northwest Tribal EpiCenter has successfully engaged Northwest tribes in collaborative research and surveillance activities and, as a result, serves as an essential resource for these tribes for tribal health data and health information services support, including capacity building. All data from such activities belong to the tribes involved in the research. In addition, the NPAIHB hosts the Portland Area IHS Institutional Review Board (IRB), which oversees protection of human subjects in research occurring in Northwest Indian communities.
Over 190,000 American Indians/Alaska Natives reside in Oregon, Washington, and Idaho, representing 6.3 percent of the United States.