Key Findings from the Evaluation of the Tribal HPOG 2.0 Program, 2015-2020

Publication Date: December 3, 2021
Tribal HPOG 2.0 Practice Brief 6 Cover

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  • Pages: 11
  • Published: 2021


This practice brief is one in a series developed by the Tribal Health Profession Opportunity Grants (HPOG) 2.0 evaluation team. The briefs are used to disseminate findings from the evaluation of the Tribal HPOG 2.0 Program. The Tribal HPOG 2.0 Program supports demonstration projects that provide Temporary Assistance for Needy Families (TANF) recipients and other low-income individuals with the opportunity to obtain education and training for occupations in the healthcare field that pay well and are expected to either experience labor shortages or be in high demand.


This practice brief highlights key findings from the Final Report of the five-year evaluation of the Tribal HPOG 2.0 Program. This brief describes how the Tribal HPOG 2.0 grantees implemented the career pathways framework for their HPOG programs. It also provides an overview of program and participant outcomes from the five-year evaluation.

Key Findings and Highlights

  • The Tribal HPOG 2.0 grantees used a career pathways framework to provide post-secondary training to participants. All grantees implemented a career pathway in nursing, with opportunities for entry-level training and employment as a Certified Nursing Assistant (CNA) and mid-to-higher level opportunities as a Licensed Practical Nurse (LPN) or Registered Nurse (RN). Some grantees offered other trainings in allied health professions, such as Emergency Medical Responses, Phlebotomy, and Medical Administrative Assistant.
  • Grantees tailored academic and non-academic supports to meet participant needs. Academic supports included financial assistance for tuition and other training-related costs. To varying degrees, grantees and their partners provided academic advising, tutoring, and mentoring to help participants prepare for and complete healthcare training.
  • Non-academic supports included transportation assistance, food assistance, emergency assistance, childcare assistance, and employment-related supports such as job search assistance. However, across grantees, there was low uptake of some of these non-academic supports, such as emergency assistance and childcare assistance.
  • The majority of participants (69 percent) completed at least one healthcare training. Of that 69 percent, 74 percent completed one training and 26 percent completed one training and enrolled in a second training. Eighty percent of participants who enrolled in a second training completed it.
  • Forty-two percent of participants obtained employment after enrollment. The majority of participants (93 percent) who obtained employment after enrollment worked in a healthcare occupation (e.g., Nursing Assistant, Registered Nurse, and Personal Care Aide).


The Tribal HPOG 2.0 Evaluation team used a community-based, participatory research approach to examine program implementation by the five grantees and participant outcomes. The seven values described in A Roadmap for Collaborative and Effective Evaluation in Tribal Communities guided these efforts. The Tribal HPOG 2.0 Evaluation team collected qualitative data during four annual site visits to grantees. The evaluation team conducted focus groups with participants and interviews with grantee and partner administrative staff, program implementation staff, employers, and participants who completed training, as well as those who did not complete training. Quantitative data comes from the HPOG 2.0 Participant Accomplishment and Grant Evaluation System (PAGES), a management information system used by all grantees to record participant characteristics, engagement in programs, and training and employment outcomes. More than 2,600 participants enrolled in Tribal HPOG 2.0; of those, 63 percent (1,681) consented to participate in the evaluation. Data in this report reflects only those who consented to participate in the evaluation.


Hafford, C., Fromknecht, C., Dougherty, M., Holden, C., and Maitra, P. (2021). Key Findings from the Evaluation of the Tribal HPOG 2.0 Program, 2015-2020. OPRE Report #2021-202, Washington, DC: Office of Planning, Research, and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services.


Administration for Children and Families
American Indian/Alaska Native
Cankdeska Cikana Community College
Cook Inlet Tribal Council, Inc.
Great Plains Tribal Leaders Health Board
Health Profession Opportunity Grants
Participant Accomplishment and Grant Evaluation System
Temporary Assistance for Needy Families
Turtle Mountain Community College
Ute Mountain Ute Tribe