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Like the vision statement. HIV infections will be prevented among all American Indian…

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Add a few things to make it clear—partnership with Tribes and Tribal Health system

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Make Indigenous values more prominent. Vision includes all people.

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Within or outside of their community—related to access to care. Accessing care within the communities is not specifically mentioned.

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Takes miles and miles to access care…other strategies may not be attainable locally

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Care can be accessed wherever that person is and perhaps comes to them. If someone is in need of something, you bring it to them. That’s what you’re supposed to do.

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I'd keep the statement above, but only add on a few things to make it clear that a partnership is taking place with Tribes and the Tribal Health System. I'd also like to make Indigenousness more prominent. Perhaps it would read:  "The United States will be a place where new HIV infections are prevented, every person knows their status, and every person with HIV has high-quality care and treatment and lives free from stigma and discrimination in partnership with the Tribes, Tribal systems, and Indigenous peoples of the United States. This vision includes all people, regardless of age, sex, gender identity, sexual orientation, race, ethnicity, religion, disability, geographic location, socioeconomic circumstance, or tribal affiliation."

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Focus on strengths and assets. Recognize cultural values as strengths for HIV epidemic specific to our communities. Think about the issues in terms of kinship and valued members of our community.

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Focusing on a holistic approach vs. something that is completely data-based.

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Words/phrases like “infection”, “someone gave it to somebody” can be stigmatizing. Persons living with HIV or persons being diagnosed with HIV—less stigmatizing.

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Throughout the plan, AI/AN are mentioned twice.  Pacific Islanders are mentioned once.

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Culture, culturally appropriate, are very generic statements…almost like fluff. Is there a space to hold the concept of culture and honor culture in a less generic way.

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When you are doing this plan for all, culture becomes fluff. Don’t know what it is and how to use it. Have a great opportunity to weave culture into everything and weave Indigenous values, teachings, and learnings into our work.

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All our American Indian, Alaska Native, and Native Hawaiian relatives will have access to holistic care to prevent and treat HIV....that focuses on bridging our cultural values and strengths...

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Coordinated effort among multiple agencies, community members that break the siloes that tend to happen because of the way in which funding tends to happen in our communities

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Indigenous communities are so diverse, and values also vary by Nation so this one is a bit complicated. Something like keeping indigenous peoples healthy in mind, body, and spirit.

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I'd like to recognize Indigenous diversity. Indigenous values will be different from place to place within this nation, but perhaps there are core values that exist such as; community, family, trust, humor, and hard work. By centering Indigenousness into the vision, or the Indigenous health system as a partner alongside the United States government, we can assume that Indigenous values are important and central to the EHE strategic plan. Perhaps we can identify some core values and list them underneath the two vision statements above as something like "this vision was created with the following Indigenous core concepts in mind"  I'd also like to very much emphasize that there is a partnership between the Tribal Health System and the United States, something that includes the idea of working together and doesn't emphasize control or ownership of tribal health/identity.

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Add a sentence/paragraph that addresses the importance of the delivery of services that honors culture values and humility.   “Culturally” is used generically throughout the plan (13x).   This really should be defined and described deeper. Could there be a glossary or reference sheet of some sort that defines our values, etc.?

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Create focus group to find common words to incorporate into vision.

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Focusing on our relationships to each other, the land, and all beings and reciprocity

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Like the relational aspect that we’re discussing. A large focus of the plan and goals wasn’t focused on the prevention aspect and the holistic health and wellness that happens and can be promoted in Indigenous communities, in general.

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Should we explain Indigenous and Western values? Define both and the differences and how they are linked together.

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Tell the difference between Indigenous and Western values in story.

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Something on the lines of “Culturally based values…?” I don’t know I would word that.

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How are we supposed to make people understand the difference in the culture, if we have to use a Western word to explain it? Loss in translation.

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We talk about health disparities, but where do those disparities come from. Historical, intergenerational issues within our communities. Really has to be acknowledged within this plans. The systems and ways that we were in our communities was totally disrupted. Now, our populations are not big enough for you to even think about, so to speak. Continue to be left out of conversations.

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There is a lot of space to note that our populations are not big enough in the larger picture and what that means for communities. That, coupled with the political, government-to-government relationship that Tribes have with federal entities is really important.

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And, racism

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This can be done in different ways... off the top of my head...
something like... being a trustworthy source for information or creating trustworthy partnerships

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Just a few links to reflect on that provide more insight into Native values and what they look like in Alaska:

University of Alaska Fairbanks(UAF) Native values website: http://ankn.uaf.edu/ancr/Values/index.html

UAF Alaska Native Language Education Center: https://www.uaf.edu/anlc/languages/denaina.php

Alaska Native Heritage Center - Forward Promise: https://forwardpromise.org/alaska-native-heritage-center/

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Just as a reminder the vision describes the long-term goals and doesn't get into the details or steps of how we get there

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we could refer to the term "core values", because each indigenous community typically has their own