Strategies

Build assets through child development accounts (CDAs) with contributions from a sponsoring organization, such as government agencies or nonprofits, and family, friends; also called children’s savings accounts (CSAs)

Establish high deductible health plans paired with pre-tax medical expense accounts such as Health Reimbursement Arrangements (HRAs) or Health Savings Accounts (HSAs) and information tools

Provide education on basic budgeting, bank use, credit management, bankruptcy, credit building and counseling, homeownership, retirement, divorce, etc.

Provide prenatal care in a group setting, integrating health assessment, education, and support

Return the rights to land, property, and resources to Native people as part of policies and initiatives that promote tribal sovereignty

Increase access to LARCs through cost reduction, comprehensive birth control counseling, provider training, efforts to ensure availability at local clinics, etc.

Offer reproductive health services (e.g., pregnancy tests, prenatal and postpartum care, gynecological exams, STI screenings, etc.), health education, and social service referrals via medically equipped vans

Provide women with information about the risks and benefits of behaviors that affect their health before, during, and after pregnancy

Make pricing for hospital procedures and other health care services publicly available, often via websites, online databases, report cards, or similar tools

Establish plans consistent with personal values and current life circumstances that set goals related to having or not having children; goals often change over time