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For nearly 50 years, ACOG has been committed to improving the health care for American Indian/Alaska Native (AI/AN) women. ACOG, in collaboration with the Indian Health Service (IHS), has contributed to quality-of-care improvements throughout the Indian Health Service, Tribal, and Urban programs (I/T/U) that  provide care  to AI/AN women and children. 

ACOG's Committee on American Indian/Alaska Native Women focuses on maternal and gynecologic health problems among American Indian and Alaska Native women. The committee works closely with the IHS to meet the health needs of American Indian and Alaska Native women in ways that acknowledge and respect the rich cultural heritage of the AI/AN community. 

The AI/AN program and Committee provides on-site peer review and educational opportunities for AI/AN providers and health care workers on Reservations, in remote areas, and in low-resource facilities. In recent years, ACOG has expanded its resources to include Tribal health and urban Indian programs.

In 2014, ACOG began formally co-sponsoring the International Meeting on Indigenous Women’s Health. The biennial meeting is nationally recognized as one of the best evidence-based meetings in the country. It is also co-sponsored by the Society for Obstetricians and Gynaecologists of Canada (SOGC) and attracts top faculty from the US and Canada. The focus of the meeting changes every edition; the 2020 focus was “Advancing and advocating for health in rural and urban communities”. The 7th edition will be held in 2022.