Introduction
This brief provides an overview of the strategies that Tribal HPOG grantees have used to implement the HPOG program, challenges encountered during implementation, lessons learned, and ongoing program evolution and adaptation to address unique tribal cultural and programmatic needs. The brief draws upon qualitative data collected from the first year of evaluation activities with the Tribal HPOG programs. It is part of a series of briefs being developed by the Tribal HPOG evaluation team, comprised of NORC at the University of Chicago, Red Star Innovations and the National Indian Health Board (NIHB).