Responsibility to All Relations

Indigenous 
Evaluation of an AI/AN Public Health Workforce Development Program

Authors

  • Cheyenne N. Seneca Seneca & Urban Indian Health Institute, Seattle, Washington
  • Banita M. McCarn Koyukon Athabascan & Urban Indian Health Institute, Seattle, Washington
  • Lannesse Baker Anishinaabe & Urban Indian Health Institute, Seattle, Washington

DOI:

https://doi.org/10.3138/cjpe-2025-0008

Keywords:

community, decolonization of data, Indigenous evaluation, urban Indian organization, urban Native

Abstract

Aligning with the Western Door – Do Good Work, this article presents an evaluation of Urban Indian Health Institute’s Public Health Training Program (PHTP) by applying their Indigenous Evaluation Framework. The framework was created by and for urban Indigenous communities to conduct evaluation in a culturally rigorous way by reclaiming data for the well-being of the community, staying grounded in cultural knowledge systems, and utilizing Western science when needed. This article focuses on how the framework was applied to evaluate the PHTP’s effectiveness in strengthening the urban American Indian/Alaska Native (AI/AN) public health workforce. Findings contribute to the evidence base for culturally attuned approaches for improving the 
AI/AN workforce development in public health. The article makes the following recommendations for AI/AN workforce development programs: co-create training spaces with AI/AN communities, intentionally recruit and support AI/AN mentors, and use flexible workforce development frameworks that honour diverse pathways and definitions of success.

References

Adair, D. (2022, November 9). Congratulations 2022 NAIOPWA Night of the Stars Winners! NAIOP Commercial Real Estate Development Association, Washington State Chapter. https://www.naiopwa.org/index.php?option=com_dailyplanetblog&view=entry&year=2022&month=11&day=06&id=191:congratulations-2022-naiopwa-night-of-the-stars-winners.

Bykova, A. (2021, March 21). Urban Indian Health Institute awards over $500,000 for chronic disease prevention. Native News Online. https://nativenewsonline.net/health/urban-indian-health-institute-awards-over-500-000-for-chronic-disease-prevention.

Carroll S. R., Suina, M., Jäger, M. B., Black, J., Cornell, S., Gonzales, A. A., Jorgensen, M., Palmanteer-Holder, N. L., De La Rosa, J. S., & Teufel-Shone, N. I. (2022). Reclaiming Indigenous health in the US: Moving beyond the social determinants of health. International Journal of Environmental Research and Public Health, 19 (12), 7495.

Clark Blickenstaff, J. (2005). Women and science careers: Leaky pipeline or gender filter? Gender and Education, 17(4), 369–386.

Echo-Hawk. (n.d.). Urban Indian dictionary. Urban Indian Health Institute. Retrieved February 10, 2025, from https://www.uihi.org/wp-content/uploads/2018/06/Urban-Indian-Dictionary.pdf

Greska, L. (2023, August 31). Women in academia: Why and where does the pipeline leak, and how can we fix it? MIT Science Policy Review, 4. https://doi.org/10.38105/spr.xmvdiojee1

Grogan, K. E. (2019). How the entire scientific community can confront gender bias in the workplace. Nature Ecology & Evolution, 3(1), 3–6.

Hammond, C., Gifford, W., Thomas, R., Rabaa, S., Thomas, O., & Domecq, M. C. (2018). Arts-based research methods with indigenous peoples: an international scoping review. AlterNative, 14(3), 260–276.

Urban Indian Health Institute (n.d.). Indigenous evaluation. Retrieved February 10, 2025, from https://www.uihi.org/health-initiative/indigenous-evaluation/

James, R., Starks, H., Segrest, V. A., & Burke W. (2012). From leaky pipeline to irrigation system: Minority education through the lens of community-based participatory research. Progress in Community Health Partners Research, Education, and Action, 6(4), 471–479.

King County. (2024, September 24). Council honors Seattle Indian Health Board’s Esther Lucero with 2024 Recovery Champion Award. https://kingcounty.gov/en/dept/council/governance-leadership/county-council/newsroom/2024/9-24-recovery-champion-lucero2

Kovach, M. (2021). Indigenous methodologies: Characteristics, conversations, and contexts, second edition. University of Toronto Press.

Leavy, P. (2020). Method meets art, third edition: Arts-based research practice. Guilford.

Locklear, S., Hesketh, M., Begay, N., Brixey, J., Echo-Hawk, A., & James, R. (2023). Reclaiming our narratives: An Indigenous evaluation framework for urban American Indian/Alaska Native communities. Canadian Journal of Program Evaluation, 38(1), 8–26.

Motta-Ochoa, R., Patenaude, D., Barbe-Welzel, M. A., Incio-Serra, N., Audeoud, E. R., Gómez-Rendón, A., & Flores-Aranda, J. (2024). Evidence about art-based interventions for Indigenous people: a scoping review protocol. BMJ Open, 14(6), e083448.

Peters, H. J., Peterson, T. R., & Dakota Wicohan Community. (2019). Developing an Indigenous measure of overall health and well-being: The Wicozani Instrument. American Indian and Alaska Native Mental Health Research, 26(2), 96. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6800221/

Saylor, C. (2004). The circle of health: A health definition model. Journal of Holistic Nursing, 22(2), 97–115.

Seattle Indian Health Board. (2025). Traditional health. Retrieved February 10, 2025, from https://www.sihb.org/services-and-programs/traditional-health/

Smith, L. T. (2021). Decolonizing methodologies: Research and Indigenous peoples. Bloomsbury Publishing.

Snowshoe, A., Crooks, C. V., Tremblay, P. F., & Hinson, R. E. (2017). Cultural connectedness and its relation to mental wellness for First Nations youth. Journal of Primary Prevention, 38, 67–86.

Waapalaneexkweew (Bowman, N.) & Dodge-Francis, C. (2018). Culturally responsive Indigenous evaluation and tribal governments: Understanding the relationship. New Directions for Evaluation, 2018(159), 17–31.

Walls, M., Hautala, D., Cole, A., Kosobuski, L., Weiss, N., Hill, K., & Ozhaawashkodewe’iganiikwe Williams, S. (2022). Socio-cultural integration, and holistic health among Indigenous young adults. BMC Public Health, 22(1), 1002.

Downloads

Published

2025-08-05

How to Cite

Seneca, C. N., McCarn, B. M., & Baker, L. (2025). Responsibility to All Relations: Indigenous 
Evaluation of an AI/AN Public Health Workforce Development Program. Canadian Journal of Program Evaluation, 39(3), 526–546. https://doi.org/10.3138/cjpe-2025-0008

Issue

Section

Roots and Relations (R&R)