The development and dissemination of culturally
relevant health care information has traditionally taken a
“top-down” approach. Governmental funding agencies
and research institutions have too often dictated the
importance and focus of health-related research and
information dissemination. In addition, the digital
divide has aff ected rural communities in such a way that
their members often do not possess the knowledge or
experience necessary to use technological resources. And,
even when they do, their skills may be limited, adequate
only for implementing applications and programs
designed by others who live and work outside of these
communities. This need became the driving force in the
creation of the Native Telehealth Outreach and Technical
Assistance Program. The goal of the program is to
equip Native community members, at both the lay and
professional levels, with the means to use technology to
address tribal health care needs. The transfer of relevant
technical knowledge and skills enables participants to
develop projects which enhance the community-wide
dissemination of health care information.
Nine community health advocates and professionals
participated in the initial cohort. Eight of the participants
successfully developed multimedia-based projects
including Web sites, interactive CD-ROMs, and video
focusing on a variety of health concerns. At the
conclusion of the 18-month program period, projects were
disseminated throughout rural communities. The NTOTAP
staff continues to evaluate the use of these projects and
their benefi ts within the rural communities.