• SIOUX FALLS, S.D. (AP) -- Despite health challenges facing Native Americans living in South Dakota, there are many positive initiatives taking place on the reservations to combat disparities, Secretary of Health and Human Services Kathleen Sebelius said Tuesday.
• Sebelius' comments followed a tour of several different programs at schools and clinics on the Rosebud and Pine Ridge reservations. She is making a two-day trip to South Dakota's Indian country, including a visit Wednesday to the Cheyenne River reservation.
• "While there certainly are serious challenges and ones we are working with the tribal leaders to address and pay attention to, I think there are also encouraging signs of innovative programs that can have a huge beneficial impact on Native Americans," Sebelius said by phone.
• Native Americans in South Dakota have higher rates of some chronic diseases and shorter life spans than non-Native Americans.
• Sebelius pointed to the IHS hospital in Rosebud that has been designated as "baby friendly" as a positive sign. The designation means the hospital is focusing on unique baby delivery methods and promoting breast feeding.
• Sebelius met with a couple of mothers who had recently given birth, and the secretary said she was impressed by the level of care. It was similar to what her daughter-in-law received when she gave birth 10 days ago, she said.

(Continued on page 15)