Not only federal apparatuses, but also regional states (such as South Dakota, where Pine Ridge Reservation is located) and Tribal councils influence the reproductive health care available to Native women. The Indian Health Service is accountable in different ways to all of these. Further, IHS is institutionally linked to and deeply influenced by lateral organizations in the Department of Health and Human Services (HHS) where it is located, particularly the Centers for Disease Control (CDC), the National Institutes of Health (NIH), the commissioned corps of the US Public Health Service (USPHS),
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