H1D1IHS1274
Cooperative Agreement
Overview
Grant Description
Navajo Special Diabetes Program - 2023-2027 SDPI Application (Funding Opportunity Number: HHS-2023-IHS-SDPI-0001)
The Navajo Special Diabetes Program (NSDP) is respectfully seeking Special Diabetes Project for Indians grant funding (Funding Opportunity Number: HHS-2023-IHS-SDPI-0001) for calendar years 2023-2027. NSDP, a Navajo Nation government-operated agency within the Navajo Department of Health, was established in June 1999 to promote healthy lifestyles and develop strategies to reduce and prevent diabetes affecting the Navajo people. NSDP's vision is to promote a life filled with beauty, harmony, and happiness through diabetes prevention, education, and wellness.
According to the U.S. Department of Health and Human Services Office of Minority Health Diabetes Mellitus, 23.5% of American Indian/Alaska Native (AI/AN) adults are diagnosed with diabetes. Moreover, AI/AN adults are almost three times more likely than non-Hispanic white adults to be diagnosed with diabetes, 2.3 times more likely to die from diabetes, and twice as likely to be diagnosed with end-stage renal disease than non-Hispanic whites. When compared to the Navajo Nation, the overall prevalence of diabetes (24,092 individuals) on the Navajo Nation in 2021 is consistent with the estimates above.
Prior to the COVID-19 pandemic, the prevalence of diabetes increased 13% from 2016-2020 per Navajo Area Indian Health Service audit. However, current data through the pandemic indicates a decrease in prevalence from prior years. While the onset of diabetes across the U.S. has increased since the pandemic, the NSDP is concerned that diabetes has increased on the Navajo Nation. The Centers for Disease Control and Prevention (CDC) states that AI/AN are susceptible to COVID-19 due to underlying health conditions such as diabetes, obesity, and heart disease. In addition, the Navajo Epidemiology Center (NEC) also indicates high rates of COVID-19 transmission on the Navajo Nation. Based on the national and local data, it is imperative to continue providing diabetes prevention and intervention on the Navajo Nation.
Navajo Special Diabetes Program proposes, in the next five-year grant cycle, to involve 20% of the targeted population and/or approximately 48,000 individuals annually, ranging from ages 10 years old and older, to increase awareness through education, events, and activities to the communities on the impact of diabetes. NSDP identifies the following best practices activities: 1) community-based diabetes education, 2) community-based nutrition education, and 3) community-based physical activity. The non-best practice activities selected are: 1) to improve wellness center activities using certified group fitness and personal trainers, 2) to enhance the media campaign to promote diabetes education through mass media productions, and 3) to implement the Native Lifestyle Balance curriculum to integrate Navajo culture into our diabetes and nutrition education.
In 2023, the NSDP intends to open two brand new wellness centers in the underserved western and northern areas of the Navajo Nation. Currently, NSDP has seven (7) service units, one (1) central administrative office, and four (4) wellness centers located throughout the Navajo Nation. SDPI grant funding will be inclusive of materials/services to operate our offices and wellness centers, implementation of program community outreach services and deliverables, as well as salary for eighty-three (83) staff including professional development and applicable license/certification costs.
The Navajo Special Diabetes Program (NSDP) is respectfully seeking Special Diabetes Project for Indians grant funding (Funding Opportunity Number: HHS-2023-IHS-SDPI-0001) for calendar years 2023-2027. NSDP, a Navajo Nation government-operated agency within the Navajo Department of Health, was established in June 1999 to promote healthy lifestyles and develop strategies to reduce and prevent diabetes affecting the Navajo people. NSDP's vision is to promote a life filled with beauty, harmony, and happiness through diabetes prevention, education, and wellness.
According to the U.S. Department of Health and Human Services Office of Minority Health Diabetes Mellitus, 23.5% of American Indian/Alaska Native (AI/AN) adults are diagnosed with diabetes. Moreover, AI/AN adults are almost three times more likely than non-Hispanic white adults to be diagnosed with diabetes, 2.3 times more likely to die from diabetes, and twice as likely to be diagnosed with end-stage renal disease than non-Hispanic whites. When compared to the Navajo Nation, the overall prevalence of diabetes (24,092 individuals) on the Navajo Nation in 2021 is consistent with the estimates above.
Prior to the COVID-19 pandemic, the prevalence of diabetes increased 13% from 2016-2020 per Navajo Area Indian Health Service audit. However, current data through the pandemic indicates a decrease in prevalence from prior years. While the onset of diabetes across the U.S. has increased since the pandemic, the NSDP is concerned that diabetes has increased on the Navajo Nation. The Centers for Disease Control and Prevention (CDC) states that AI/AN are susceptible to COVID-19 due to underlying health conditions such as diabetes, obesity, and heart disease. In addition, the Navajo Epidemiology Center (NEC) also indicates high rates of COVID-19 transmission on the Navajo Nation. Based on the national and local data, it is imperative to continue providing diabetes prevention and intervention on the Navajo Nation.
Navajo Special Diabetes Program proposes, in the next five-year grant cycle, to involve 20% of the targeted population and/or approximately 48,000 individuals annually, ranging from ages 10 years old and older, to increase awareness through education, events, and activities to the communities on the impact of diabetes. NSDP identifies the following best practices activities: 1) community-based diabetes education, 2) community-based nutrition education, and 3) community-based physical activity. The non-best practice activities selected are: 1) to improve wellness center activities using certified group fitness and personal trainers, 2) to enhance the media campaign to promote diabetes education through mass media productions, and 3) to implement the Native Lifestyle Balance curriculum to integrate Navajo culture into our diabetes and nutrition education.
In 2023, the NSDP intends to open two brand new wellness centers in the underserved western and northern areas of the Navajo Nation. Currently, NSDP has seven (7) service units, one (1) central administrative office, and four (4) wellness centers located throughout the Navajo Nation. SDPI grant funding will be inclusive of materials/services to operate our offices and wellness centers, implementation of program community outreach services and deliverables, as well as salary for eighty-three (83) staff including professional development and applicable license/certification costs.
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 204% from $6,483,988 to $19,701,964.
Navajo Nation Tribal Government was awarded
Navajo Diabetes Prevention Program - SDPI Grant 2023-2027
Cooperative Agreement H1D1IHS1274
worth $19,701,964
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 5/5/25
Period of Performance
1/1/23
Start Date
12/31/27
End Date
Funding Split
$19.7M
Federal Obligation
$0.0
Non-Federal Obligation
$19.7M
Total Obligated
Activity Timeline
Transaction History
Modifications to H1D1IHS1274
Additional Detail
Award ID FAIN
H1D1IHS1274
SAI Number
H1D1IHS1274-1292675288
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
KEBVZNK93W87
Awardee CAGE
3FS58
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) | $6,483,988 | 100% |
Modified: 5/5/25