In 2013, Charmaine Kinney and the Future Generations Collaborative’s (FGC) Applied Health Leadership Project (AHLP) was focused on repairing relationships between Native and non-Native entities within Multnomah County, Oregon. They planned to facilitate the creation of culturally specific interventions and promote healthy pregnancies in American Indian Alaskan Native (AIAN) peoples through a community-based, participatory planning process that acknowledged historic injustices, integrated Native beliefs and culture, and invited leadership, input, and participation from Native community members.