H1D1IHS1181
Cooperative Agreement
Overview
Grant Description
Tohono O'odham Nation Department of Health and Human Services Healthy O'odham Promotion Program: Diabetes Prevention and Education with Tohono O'odham Tribal Members
The Tohono O'odham Nation is a federally recognized tribe located in southern Arizona with a land base of 2.8 million acres. The reservation runs roughly seventy-five (75) miles along the United States/Mexico international border to the south, Tucson to the east, Ajo to the west, and Casa Grande to the north. Located in the heart of the Sonoran Desert, the Tohono O'odham Nation consists of mountainous, desert terrain, with a hot, dry climate.
The Tohono O'odham Nation's Healthy O'odham Promotion Program (HOPP) has been providing community-based diabetes prevention and management services to the nation's 30,000+ tribal members since 1999. The prevention of diabetes has been a top health priority of the Tohono O'odham Nation for the past 23 years. HOPP utilizes the best practice of diabetes-related education and provides these services to community members across the reservation with a variety of services and activities that include nutrition education and physical activities.
The project has assessed and identified 3 areas of improvement for tribal members diagnosed with diabetes: 1) body mass index (obese (BMI = 30.0), 2) blood sugar control (A1C > 7.0), 3) diabetes-related education (physical activity). The Healthy O'odham Promotion Program will utilize the relationships and collaborations it has formed over the past 23 years, along with 23 staff, including 17 health education specialists, 1 medical services supervisor, and 5 administrative support staff to provide diabetes-related education services to the community.
The Tohono O'odham Nation is requesting $2,241,130 for the first year of the five-year SDPI funding cycle to continue and improve services for tribal members under the best practice of diabetes-related education. The Health O'odham Promotion Program has planned several major activities for 2023 to improve the required key measure for a target group of 800 Tohono O'odham adults (ages 18-65) at risk for diabetes. The following activities will take place throughout the year:
- Diabetes Health Fair
- Jewed Da:m Ac Wa:po (Run Across the Land) Series
- Group and Individual Physical Fitness (Weight Training, Zumba, Cardiovascular, Spin, Step Aerobics, Tai Chi, etc.)
- Traditional and Modern Food Demonstrations
- Mobile Wellness Center Events
- Nutrition Education
In addition to these activities and services directly related to the target group, HOPP will utilize SDPI funds to provide diabetes-related education to youth by utilizing two evidence-based curriculums: Diabetes Education in Tribal Schools and Family Spirit.
As the majority of the nation's workforce are also tribal members, the Healthy O'odham Promotion Program will also support the Tohono O'odham Nation's Employee Apedag (Wellness) Program to improve the health and wellbeing of the nation's employees.
The Special Diabetes Program for Indians has been a vital component for the Tohono O'odham Nation in the fight against type 2 diabetes. The Healthy O'odham Promotion Program is well known across the Tohono O'odham Nation for the variety of diabetes-related education services it provides to community members. The Healthy O'odham Promotion Program is building off the program's 23 years of experience, as well as implementing new services to continue to reduce the prevalence and impact diabetes has on Tohono O'odham tribal members.
The Tohono O'odham Nation is a federally recognized tribe located in southern Arizona with a land base of 2.8 million acres. The reservation runs roughly seventy-five (75) miles along the United States/Mexico international border to the south, Tucson to the east, Ajo to the west, and Casa Grande to the north. Located in the heart of the Sonoran Desert, the Tohono O'odham Nation consists of mountainous, desert terrain, with a hot, dry climate.
The Tohono O'odham Nation's Healthy O'odham Promotion Program (HOPP) has been providing community-based diabetes prevention and management services to the nation's 30,000+ tribal members since 1999. The prevention of diabetes has been a top health priority of the Tohono O'odham Nation for the past 23 years. HOPP utilizes the best practice of diabetes-related education and provides these services to community members across the reservation with a variety of services and activities that include nutrition education and physical activities.
The project has assessed and identified 3 areas of improvement for tribal members diagnosed with diabetes: 1) body mass index (obese (BMI = 30.0), 2) blood sugar control (A1C > 7.0), 3) diabetes-related education (physical activity). The Healthy O'odham Promotion Program will utilize the relationships and collaborations it has formed over the past 23 years, along with 23 staff, including 17 health education specialists, 1 medical services supervisor, and 5 administrative support staff to provide diabetes-related education services to the community.
The Tohono O'odham Nation is requesting $2,241,130 for the first year of the five-year SDPI funding cycle to continue and improve services for tribal members under the best practice of diabetes-related education. The Health O'odham Promotion Program has planned several major activities for 2023 to improve the required key measure for a target group of 800 Tohono O'odham adults (ages 18-65) at risk for diabetes. The following activities will take place throughout the year:
- Diabetes Health Fair
- Jewed Da:m Ac Wa:po (Run Across the Land) Series
- Group and Individual Physical Fitness (Weight Training, Zumba, Cardiovascular, Spin, Step Aerobics, Tai Chi, etc.)
- Traditional and Modern Food Demonstrations
- Mobile Wellness Center Events
- Nutrition Education
In addition to these activities and services directly related to the target group, HOPP will utilize SDPI funds to provide diabetes-related education to youth by utilizing two evidence-based curriculums: Diabetes Education in Tribal Schools and Family Spirit.
As the majority of the nation's workforce are also tribal members, the Healthy O'odham Promotion Program will also support the Tohono O'odham Nation's Employee Apedag (Wellness) Program to improve the health and wellbeing of the nation's employees.
The Special Diabetes Program for Indians has been a vital component for the Tohono O'odham Nation in the fight against type 2 diabetes. The Healthy O'odham Promotion Program is well known across the Tohono O'odham Nation for the variety of diabetes-related education services it provides to community members. The Healthy O'odham Promotion Program is building off the program's 23 years of experience, as well as implementing new services to continue to reduce the prevalence and impact diabetes has on Tohono O'odham tribal members.
Awardee
Funding Goals
NOT APPLICABLE
Grant Program (CFDA)
Awarding Agency
Funding Agency
Place of Performance
Arizona
United States
Geographic Scope
State-Wide
Related Opportunity
Analysis Notes
Amendment Since initial award the total obligations have increased 261% from $2,241,130 to $8,093,955.
Tohono O'Odham Nation was awarded
Tohono O'odham Diabetes Prevention & Education Program
Cooperative Agreement H1D1IHS1181
worth $8,093,955
from the HIS Office of the Director in January 2022 with work to be completed primarily in Arizona 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 12/19/25
Period of Performance
1/1/23
Start Date
12/31/27
End Date
Funding Split
$8.1M
Federal Obligation
$0.0
Non-Federal Obligation
$8.1M
Total Obligated
Activity Timeline
Transaction History
Modifications to H1D1IHS1181
Additional Detail
Award ID FAIN
H1D1IHS1181
SAI Number
H1D1IHS1181-4155229283
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
CBVGALEXQ8K3
Awardee CAGE
3UKC9
Performance District
AZ-90
Senators
Kyrsten Sinema
Mark Kelly
Mark Kelly
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) | $2,241,130 | 100% |
Modified: 12/19/25