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Researchers at Avera are working to understand factors underlying maternal health care for Native Americans in western South Dakota.
Most counties west of the Missouri River are considered a maternal health care desert.
As South Dakota Public Broadcasting’s Lee Strubinger reports, that means women live more than 100 miles away from medical providers that specialize in delivery.
Distance, weather, transportation, and trauma are just a few of the barriers standing in the way of pregnant Native American women needing or wanting prenatal health care.
That’s coupled with a lack of providers West River — both in reservations and in the Black Hills.
Dr. Amy Elliott is a chief research officer at Avera McKennon.
She describes the issue bluntly.
“It’s crisis levels. With the lack of obstetrics providers especially on the western side of the state. How do we find solutions, not just for recruiting more people, but also do we have to think a little bit different about how we deliver care?”
According to the South Dakota Department of Health, from 2012 to 2021, American Indians made up 20% of all live births, but 44% of all pregnancy-associated deaths.
Dr. Elliot and others want to fully understand what’s causing that issue, and others.
Dr. Elliot says a lack of data hinders insight into understanding causes or generating solutions.
“An advantage of being in a health system is we have access to quite a bit of data and we also have close partnerships with the Department of Health, Great Plains Tribal Leaders Board and other agencies around so we’re able to help maybe combine different data streams that haven’t been combined before.”
That, Dr. Elliot hopes, will lead to lasting and systemic change in better health outcomes for Native women on the great plains.
A new documentary Bad River spotlights the Bad River Band of Lake Superior Chippewa — and the tribe’s David vs. Goliath battle against the Line 5 pipeline.
Lina Tran of WUWM in Milwaukee reports.
The Bad River Band is up against the Canadian energy company Enbridge.
Twelve miles of pipeline runs through the Bad River reservation.
It’s a fight the Band says is necessary to defend Lake Superior from the aging pipeline. And protect the lake for future generations.
RunningHorse Livingston is a Bad River member featured in the film.
“We’re fighting this battle for water, but it’s really a battle for our home. And keeping it safe and keeping it beautiful, the way that it has been for forever.”
The film says there’s no evidence the Band ever consented to the pipeline. A federal judge ruled that Enbridge is trespassing and has three years to shut it down.
The film argues this is only the latest chapter in the tribe’s long fight for sovereignty.
Here’s producer, writer, and director Mary Mazzio.
“And you know, long after this challenge, there will be another one, because that’s just the history of who we are as a country. This is a very, very precarious situation happening in real time.”
Erosion near the banks of the Bad River has stoked the Band’s concerns that the exposed pipeline could rupture.
Their urgency grows as climate change makes extreme rainfall and flooding more and more likely.
The film started screening March 15 in select theaters.
The U.S. Department of Veterans Affairs and the Kiowa Tribe in Oklahoma are hosting a veterans benefits event on April 5.
Tribal Veteran Service Officers and other advocates are expected to be onsite at the tribe’s community center to assist veterans, spouses, and widows with VA claims.
According to the VA, collaborations with other tribes across the country are in the works to hold similar events.
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