 | The 131st Annual Meeting (November 15-19, 2003) of APHA |
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| The 131st Annual Meeting (November 15-19, 2003) of APHA |
Kelly J. Acton, MD, MPH1, S. Lorraine Valdez, RN, CDE1, Tammy Brown, MPH, RD, CDE1, Kelly Moore, MD1, Yvette Roubideaux, MD, MPH2, Cheryl A. Wilson1, and Susan Gilliland, PhD, RN1. (1) National Headquarters Diabetes Program, Indian Health Service, 5300 Homestead Rd NE, Albuquerque, NM 87110, 505-248-4182, kelly.acton@mail.ihs.gov, (2) College of Public Health, University of Arizona, 1601 N. Tucson Blvd, Suite 23A, Tucson, AZ 85716
Background: In 1997 Congress provided $150 million over 5 years to Indian Health Service (IHS) for establishment of the Special Diabetes Program for Indians grant program focused on “the prevention and treatment of diabetes.” The IHS was instructed to evaluate the grant program and provide reports to the Congress. In December 2000 Congress passed additional legislation authorizing supplemental funding ($240 million) of the Special Diabetes Program for Indians through 2003. Methods: The IHS National Diabetes Program applied a framework for program evaluation in public health developed by the CDC. Funds were allocated to local programs, tribes, tribal organizations, and urban Indian organizations through a grant process. Grant programs were encouraged to use "best practice" approaches to diabetes prevention and treatment. Short-term, intermediate and long-term outcomes were included in evaluation. Results: Grants were awarded to 318 programs under 286 administrative organizations within 12 IHS Areas in 35 states. There were 27 (9%) grants awarded to IHS programs, 33 (10%) to urban programs, and 258 (81%) to tribal programs. 67% of new programs focused on primary and secondary prevention; 32% focused on tertiary prevention. Compared with before grants were awarded: · more diabetes prevention efforts now focus on elders(86%), adults(89%), young adults(73%), adolescents(65%), school age(55%), preschool children (39%), screening(85%), nutrition(84%) and physical activity(69%). · more emphasis now placed on addressing prevention in overweight adults(73%), people with HTN(63%), overweight children and youth(67%), and tobacco users(40%). Conclusion: Significant improvements in diabetes treatment and prevention in AI/AN communities occurred as a result of the Special Diabetes Program for Indians.
Learning Objectives:
Keywords: Diabetes, Community-Based Public Health
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Indian Health Service, USPHS
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.