Module 4

This module provides definitions of the structural determinants of health within and across tribal and urban Indian communities.

At the end of this module, attendees will be able to:

• Recognize the impact of structural determinants on American Indian and Alaska Native communities.
• Evaluate the difference and/or connection among structural determinants using case study examples.
• Define the role that tribal sovereignty and tribal public health governance have on health in American Indian and Alaska Native communities.