Indigenous Social Determinants of Health

Strengthening healing, health, and wellness systems 'by and for' Native Nations and Indigenous communities.

About ISDoH

Indigenous Knowledge Pathways

Explore resources organized by the ISDOH framework components 


Building a network of of Indigenous scholars and community based organizations dedicated to elevating Indiegenous knowledge pathways.

Indigenous Social Determinants of Health

A public health framework for Tribal Nations and Indigenous Communities.

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Our Connections to Lands, Peoples, & Knowledge

Landscapes bring us home. We see our connection to place, across time and distances. Our landscape can represents the conditions that influence a person’s life journey of healing and being well for themselves, their family, and peoples.

Along the journey there are paths taken, barriers overcome, knowledge gained, and experience lived. As Native people, our connections to land and place support how we understand and apply the concept of Indigenous Social Determinants of Health (ISDoH) for our shared purpose of community healing, health and well-being.

Indigenous social determinants of health resources and materials for tribal and urban public health systems.

This site brings together ISDoH related resources and a six-module training to share in your communities. The material and resources we share center Indigenous perspectives and views on health, healing, and well-being. This training will allow public health practitioners to reevaluate social determinants of health from an Indigenous lens.

About Indigenous Social Determinants of Health

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Our History

Since 2019, Seven Directions has engaged in a project with the Centers of Disease Control and Prevention (CDC), and the National Network of Public Health Institutes (NNPHI), to explore the social determinants of health concept, frameworks, and models from an Indigenous-centered perspective.

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Indigenous Knowledge Systems + Health

Indigenous ways of being, knowing, and doing for public health. Explore resources and literature organized by the components of the ISDoH framework specific to public health practice.

Indigenous Knowledge Systems
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Creating a space to acknowledge and bring together community-based, grass-roots collectives and organizations, and public health practitioners and scholars that center Indigenous communities and privilege Indigenous knowledge systems.

Meet Our Advisory Board
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ISDoH Training Modules

Explore our training modules Transforming Indigenous Public Health Practice: Our Stories, Our Journeys

Take the Online Training
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ISDoH Training Report

Explore our training model resource for public health practice and health systems strengthening

Read the Full Report

Join Gathering Grounds

We invite you to join an Indigenous community of practice that provides a space for a peer-to-peer exchange of knowledge, experiences, and resources. 

Join Gathering Grounds

While the material is available publicly, it is currently developed for use by tribal and urban Indian health departments and organizations in U.S. Please email us if you would like to consider if it is a good fit for your group or program.

It is important to acknowledge the work, here is the citation and funding source.


Parker, M., Largo, D., Benally, T., & Oré,C.E. (2023). Indigenous social determinants of health: training modules [Training Module]. Seven Directions: A Center for Indigenous Health, University of Washington. Retrieved Date, from


This webpage is supported by the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services(HHS), as part of a financial assistance award to the National Network of Public Health Institutes (NNPHI), totaling $300,000 with 100 percent funded by CDC/HHS (Award #s 1 NU38OT000303-01-00, 5 NU38OT000303-02-00, and 5NU38OT000303-03-00). NNPHI has collaborated with Seven Directions, at the University of Washington, and the CDC’s Office of Tribal Affairs and Strategic Alliances on this effort. The contents are those of the authors and do not necessarily represent the official views of, nor an endorsement, by CDC/HHS, or the U.S. Government.  

Indigenous Social Determinants of Health


Indigenous Knowledge Systems + Health Equity


The Indigenous Social Determinants of Health project is funded by the National Network for Public Health Institutes (NNPHI) through a CDC cooperative agreement.

Indigenous Social Determinants of Health graphics and artwork created by Josiah Concho, Navajo Nation / Pueblo of Acoma

Please join us!

This site invites community members, community-based, grass-roots organizations, tribal health departments and organizations, and Indigenous scholars and practitioners to engage in an exchange of knowledge, resources, and experiences related to Indigenous social determinants of health.