H1D1IHS1268
Cooperative Agreement
Overview
Grant Description
White Earth Tribal Diabetes Project - White Earth Reservation is located in northwestern Minnesota and encompasses all of Mahnomen County, the northern half of Becker County, and a small southwest corner of Clearwater County, spanning a total of 1300 square miles.
The Minnesota Chippewa Tribe-White Earth Band (White Earth Reservation) is a federally recognized reservation and is positioned in the Indian Health Service's Bemidji Service Area. The total White Earth tribal membership is approximately 19,400 individuals nationwide, with an overall reported on-reservation population of 9,726 (including non-tribal members & White Earth Reservation members). Of this total, 4,343 individuals are American Indian (2020 Census).
This rural and isolated reservation is one of the poorest areas in the state of Minnesota. Poverty and its related outcomes are considered to be high contributing factors influencing insubstantial health habits resulting in poor health consequences.
The data available through White Earth Indian Health Services states there are 817 diagnosed cases of diabetes on the White Earth Reservation, which translates to 10.3% of the total American Indian population.
In conclusion to this information, the need for comprehensive education, programming, and services is at a critical level for the people of the White Earth Reservation. This project proposes to continue on the path which has been created through previous years of implementation and dedication while looking forward to the future to address the health and wellbeing of the members of the White Earth Reservation.
A collaborative effort from the White Earth Reservation Tribal Chairman, Tribal Council, White Earth Tribal Health Director, and additional supervisory staff signify the White Earth Reservation has made a commitment to addressing the dire consequences of diabetes for our people with a proactive and systemic approach.
Education and the gathering of knowledge is embraced by the White Earth Reservation. This application looks to continue, expand, and enhance our current diabetes foot clinics and educational efforts, including a special concentration on diabetes education and the need to understand vascular status. Additionally, diabetes education will expand the focus to include teaching the benefits of physical activity and eating nutritious foods and to incorporate a holistic approach to knowledge on diabetes prevention.
Tribal infrastructure and services are currently in place to support the full development of comprehensive foot examination clinics and diabetes educational programming. The White Earth Reservation has made it our goal to educate all program participants of the White Earth Tribal Diabetes Program to include diabetes education, including vascular status, understanding the need for foot examination, nutrition, and physical health.
The White Earth Reservation will incorporate a no wrong door approach to diabetes education. With this approach, the White Earth Reservation members can receive education anywhere they access public health services, including but not limited to health fairs, classrooms, foot care clinics, WIC services, and fitness centers. The goal is to cover the White Earth Reservation in positive messages of diabetes nutrition and physical education so regardless of where members go, they are reminded of the importance of health and wellness. This constructive reinforcement is significant moving toward the outcome of positively changing community behaviors and the reduction of poor health consequences, which have increased diabetes to epidemic levels.
Supporting the diabetes education efforts of the White Earth Tribal Diabetes Program includes the continuation of the mobile clinic with Dr. Ung, podiatrist/surgeon who visits the White Earth Reservation members monthly. Dr. Ung has saved the lives and limbs of people of the White Earth Reservation resulting from his intervention and prevention efforts. Dr. Ung is joined with additiona.
The Minnesota Chippewa Tribe-White Earth Band (White Earth Reservation) is a federally recognized reservation and is positioned in the Indian Health Service's Bemidji Service Area. The total White Earth tribal membership is approximately 19,400 individuals nationwide, with an overall reported on-reservation population of 9,726 (including non-tribal members & White Earth Reservation members). Of this total, 4,343 individuals are American Indian (2020 Census).
This rural and isolated reservation is one of the poorest areas in the state of Minnesota. Poverty and its related outcomes are considered to be high contributing factors influencing insubstantial health habits resulting in poor health consequences.
The data available through White Earth Indian Health Services states there are 817 diagnosed cases of diabetes on the White Earth Reservation, which translates to 10.3% of the total American Indian population.
In conclusion to this information, the need for comprehensive education, programming, and services is at a critical level for the people of the White Earth Reservation. This project proposes to continue on the path which has been created through previous years of implementation and dedication while looking forward to the future to address the health and wellbeing of the members of the White Earth Reservation.
A collaborative effort from the White Earth Reservation Tribal Chairman, Tribal Council, White Earth Tribal Health Director, and additional supervisory staff signify the White Earth Reservation has made a commitment to addressing the dire consequences of diabetes for our people with a proactive and systemic approach.
Education and the gathering of knowledge is embraced by the White Earth Reservation. This application looks to continue, expand, and enhance our current diabetes foot clinics and educational efforts, including a special concentration on diabetes education and the need to understand vascular status. Additionally, diabetes education will expand the focus to include teaching the benefits of physical activity and eating nutritious foods and to incorporate a holistic approach to knowledge on diabetes prevention.
Tribal infrastructure and services are currently in place to support the full development of comprehensive foot examination clinics and diabetes educational programming. The White Earth Reservation has made it our goal to educate all program participants of the White Earth Tribal Diabetes Program to include diabetes education, including vascular status, understanding the need for foot examination, nutrition, and physical health.
The White Earth Reservation will incorporate a no wrong door approach to diabetes education. With this approach, the White Earth Reservation members can receive education anywhere they access public health services, including but not limited to health fairs, classrooms, foot care clinics, WIC services, and fitness centers. The goal is to cover the White Earth Reservation in positive messages of diabetes nutrition and physical education so regardless of where members go, they are reminded of the importance of health and wellness. This constructive reinforcement is significant moving toward the outcome of positively changing community behaviors and the reduction of poor health consequences, which have increased diabetes to epidemic levels.
Supporting the diabetes education efforts of the White Earth Tribal Diabetes Program includes the continuation of the mobile clinic with Dr. Ung, podiatrist/surgeon who visits the White Earth Reservation members monthly. Dr. Ung has saved the lives and limbs of people of the White Earth Reservation resulting from his intervention and prevention efforts. Dr. Ung is joined with additiona.
Funding Goals
NOT APPLICABLE
Grant Program (CFDA)
Awarding Agency
Funding Agency
Place of Performance
Ogema,
Minnesota
United States
Geographic Scope
City-Wide
Related Opportunity
Analysis Notes
Amendment Since initial award the total obligations have increased 325% from $715,560 to $3,041,130.
Minnesota Chippewa Tribe - White Earth Band was awarded
White Earth Tribal Diabetes Project - Health Education & Services
Cooperative Agreement H1D1IHS1268
worth $3,041,130
from the HIS Office of the Director in January 2022 with work to be completed primarily in Ogema Minnesota United States.
The grant
has a duration of 5 years and
was awarded through assistance program 93.237 Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects.
The Cooperative Agreement was awarded through grant opportunity Special Diabetes Program for Indians.
Status
(Ongoing)
Last Modified 6/22/26
Period of Performance
1/1/23
Start Date
12/31/27
End Date
Funding Split
$3.0M
Federal Obligation
$0.0
Non-Federal Obligation
$3.0M
Total Obligated
Activity Timeline
Transaction History
Modifications to H1D1IHS1268
Additional Detail
Award ID FAIN
H1D1IHS1268
SAI Number
H1D1IHS1268-2913060672
Award ID URI
SAI UNAVAILABLE
Awardee Classifications
Indian/Native American Tribal Government (Federally-Recognized)
Awarding Office
75A1HS IHS Office of Management Services/Division of Grants Management
Funding Office
75GA00 IHS OFFICE OF THE DIRECTOR
Awardee UEI
GR1MGDM3ZSV7
Awardee CAGE
1URR9
Performance District
MN-08
Senators
Amy Klobuchar
Tina Smith
Tina Smith
Budget Funding
| Federal Account | Budget Subfunction | Object Class | Total | Percentage |
|---|---|---|---|---|
| Indian Health Services, Indian Health Service, Health and Human Services (075-0390) | Health care services | Grants, subsidies, and contributions (41.0) | $715,560 | 100% |
Modified: 6/22/26