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How does the SFC program support the IHS?

To support the IHS mission, the SFC Program provides technical and financial assistance to American Indian tribes and Alaska Native villages for cooperative development and construction of safe water, wastewater, and solid waste systems and related support facilities. More information can be found on the resources page.

When did the Indian Health Service create the SFC program?

The SFC Program accomplishes its responsibilities through the allocation of available resources to the twelve Indian Health Service (IHS) Area Offices. The enactment of Public Law 86-121, in 1959, is a milestone in Indian health legislation and authorizes the creation of the SFC Program within the IHS.

How does the Indian Health Service ( IHS ) work?

All IHS Areas, whether they deliver the SFC Program through direct service or through the provisions of the Indian Self-Determination and Education Assistance Act, must report their sanitation deficiencies uniformly as projects according to these guidelines, as required by Sections 1632 (g) (2) and (3) of the Indian Health Care Improvement Act.

What is the Indian Health Service sanitation deficiency system?

The Indian Health Service (IHS) Sanitation Deficiency System (SDS) is an inventory of projects developed to address existing sanitation deficiencies in American Indian and Alaska Native communities. This guidance document provides the standards and procedures for identifying deficiencies, developing projects, and prioritizing projects.


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