As tribal community health agencies work to strengthen their public health systems, those striving for Public Health Accreditation Board accreditation may encounter challenges due to the unique context in which they operate. Little published research exists on promising practices for tribes in this pursuit. This community-based participatory case study research project was an in-depth exploration of the infrastructure, partnerships, performance, and outcomes of one tribal public health system. The results of the study, funded by the Robert Wood Johnson Foundation, explored the alignment of the 10 Essential Public Health Services (EPHS) and PHAB’s Domains with the services in this community, highlighting areas where the tribal system addressed community health needs and promoted health equity in ways that honor culture.
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