H1D1IHS1141
Cooperative Agreement
Overview
Grant Description
The Cheyenne and Arapaho Tribes Diabetes Wellness Program is designed to promote health and wellness education in the prevention of DM and to empower those with DM to cope with the complications of DM - Organization: Cheyenne & Arapaho Tribes 100 Red Moon Circle Concho, OK 73022.
Demographics & Target Population: Services will be provided for American Indian/Alaska Natives [AI/AN] in the Cheyenne and Arapaho (C&A) Tribe's 10-county service area, which spans a rural 8,996 square miles. Location sites for services provided include, but are not limited to; local and rural schools, home residences, assisted living centers, elderly nutrition centers, and governmental and tribal programs.
According to the United States Department of Agriculture's Food Access Research Atlas, there were eight counties within the C&A Tribal jurisdiction with populations that had low access to a grocery store. Local convenience stores are the main source of purchasing groceries in many isolated C&A Tribal communities, and accessing healthy foods is frequently limited. Lack of access to affordable fruits and vegetables for a healthy diet increases the risk of developing Diabetes Mellitus [DM], hinders its control, and its future complications.
Historically, the C&A Tribal population has struggled with high poverty rates, high levels of unemployment, and low rates of income on a per capita basis as compared with the general population in the region. Unemployment rates for the C&A Tribes have been significantly higher than the general population in the region. The Bureau of Indian Affairs reported a 70% unemployment rate among the C&A Tribes. In comparison, unemployment rates for the state of Oklahoma was 6.8%, while the nationwide unemployment rate was 9.9%. In addition, BIA showed 24% of C&A Tribal members were employed but still living below poverty guidelines.
The C&A Tribes are a direct service tribe, meaning healthcare is, "...in whole or in part, receiving primary health care directly from the Indian Health Services [IHS]". These IHS clinics in the service area are set up to provide basic healthcare needs only. Specialty or emergency care must be gained through purchased and referred care at the nearest facility capable. But, the nearest specialty medical care is in Oklahoma City which is over a 6-hour, roundtrip drive from some locations within the C&A service area where reliable transportation is significantly limited.
Overview: The C&A Tribe's Diabetes Wellness Program [DWP] is designed to promote health and wellness education in the prevention of DM and to empower those with DM to cope with the complications of the disease while providing support of healthy lifestyle choices. The program will focus on nutritional, DM self-care, and physical fitness services geared for awareness, education, prevention, and promotion of self-management behaviors to decrease the risks of DM and associated complications.
DWP partnership with IHS began in 1998 when the C&A Tribes received their first IHS grant, which is currently known as Special Diabetes Prevention for Indians. This collaboration continues to thrive and expand today.
Outcomes: As the chosen best practice will focus on DM-related education, outcomes will quantify the number and percent of individuals who receive DM-related education within the grant year. Further measures collected will include, but are not limited to, the average DM-related education per individual, average time spent with each client, and number of those receiving case management services. The need for DM-related education is vital to the prevention and self-management care of those affected by the DM epidemic, both nationally and more locally within C&A Tribal jurisdiction.
The C&A DWP is part of an essential, grassroots educational effort that provides essential services desperately needed to reduce the risk of developing DM and its future complications. Chronic diseases are built slowly over time, and their solutions are no.
Demographics & Target Population: Services will be provided for American Indian/Alaska Natives [AI/AN] in the Cheyenne and Arapaho (C&A) Tribe's 10-county service area, which spans a rural 8,996 square miles. Location sites for services provided include, but are not limited to; local and rural schools, home residences, assisted living centers, elderly nutrition centers, and governmental and tribal programs.
According to the United States Department of Agriculture's Food Access Research Atlas, there were eight counties within the C&A Tribal jurisdiction with populations that had low access to a grocery store. Local convenience stores are the main source of purchasing groceries in many isolated C&A Tribal communities, and accessing healthy foods is frequently limited. Lack of access to affordable fruits and vegetables for a healthy diet increases the risk of developing Diabetes Mellitus [DM], hinders its control, and its future complications.
Historically, the C&A Tribal population has struggled with high poverty rates, high levels of unemployment, and low rates of income on a per capita basis as compared with the general population in the region. Unemployment rates for the C&A Tribes have been significantly higher than the general population in the region. The Bureau of Indian Affairs reported a 70% unemployment rate among the C&A Tribes. In comparison, unemployment rates for the state of Oklahoma was 6.8%, while the nationwide unemployment rate was 9.9%. In addition, BIA showed 24% of C&A Tribal members were employed but still living below poverty guidelines.
The C&A Tribes are a direct service tribe, meaning healthcare is, "...in whole or in part, receiving primary health care directly from the Indian Health Services [IHS]". These IHS clinics in the service area are set up to provide basic healthcare needs only. Specialty or emergency care must be gained through purchased and referred care at the nearest facility capable. But, the nearest specialty medical care is in Oklahoma City which is over a 6-hour, roundtrip drive from some locations within the C&A service area where reliable transportation is significantly limited.
Overview: The C&A Tribe's Diabetes Wellness Program [DWP] is designed to promote health and wellness education in the prevention of DM and to empower those with DM to cope with the complications of the disease while providing support of healthy lifestyle choices. The program will focus on nutritional, DM self-care, and physical fitness services geared for awareness, education, prevention, and promotion of self-management behaviors to decrease the risks of DM and associated complications.
DWP partnership with IHS began in 1998 when the C&A Tribes received their first IHS grant, which is currently known as Special Diabetes Prevention for Indians. This collaboration continues to thrive and expand today.
Outcomes: As the chosen best practice will focus on DM-related education, outcomes will quantify the number and percent of individuals who receive DM-related education within the grant year. Further measures collected will include, but are not limited to, the average DM-related education per individual, average time spent with each client, and number of those receiving case management services. The need for DM-related education is vital to the prevention and self-management care of those affected by the DM epidemic, both nationally and more locally within C&A Tribal jurisdiction.
The C&A DWP is part of an essential, grassroots educational effort that provides essential services desperately needed to reduce the risk of developing DM and its future complications. Chronic diseases are built slowly over time, and their solutions are no.
Awardee
Funding Goals
NOT APPLICABLE
Grant Program (CFDA)
Awarding Agency
Funding Agency
Place of Performance
Oklahoma
United States
Geographic Scope
State-Wide
Related Opportunity
Analysis Notes
Amendment Since initial award the total obligations have increased 325% from $722,527 to $3,070,740.
Cheyenne Arapaho Tribe was awarded
Empowering Wellness: Cheyenne & Arapaho Tribes Diabetes Program
Cooperative Agreement H1D1IHS1141
worth $3,070,740
from the HIS Office of the Director in January 2022 with work to be completed primarily in Oklahoma United States.
The grant
has a duration of 5 years and
was awarded through assistance program 93.237 Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects.
The Cooperative Agreement was awarded through grant opportunity Special Diabetes Program for Indians.
Status
(Ongoing)
Last Modified 6/22/26
Period of Performance
1/1/23
Start Date
12/31/27
End Date
Funding Split
$3.1M
Federal Obligation
$0.0
Non-Federal Obligation
$3.1M
Total Obligated
Activity Timeline
Transaction History
Modifications to H1D1IHS1141
Additional Detail
Award ID FAIN
H1D1IHS1141
SAI Number
H1D1IHS1141-3227839624
Award ID URI
SAI UNAVAILABLE
Awardee Classifications
Indian/Native American Tribal Government (Federally-Recognized)
Awarding Office
75A1HS IHS Office of Management Services/Division of Grants Management
Funding Office
75GA00 IHS OFFICE OF THE DIRECTOR
Awardee UEI
K26TL2SG17E7
Awardee CAGE
3NRD4
Performance District
OK-90
Senators
James Lankford
Markwayne Mullin
Markwayne Mullin
Budget Funding
| Federal Account | Budget Subfunction | Object Class | Total | Percentage |
|---|---|---|---|---|
| Indian Health Services, Indian Health Service, Health and Human Services (075-0390) | Health care services | Grants, subsidies, and contributions (41.0) | $722,527 | 100% |
Modified: 6/22/26