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H1D4IHS0181

Cooperative Agreement

Overview

Grant Description
Tuba City Health Care Corporation Special Diabetes Program for Indians - The Health Promotion Disease Prevention (HPDP) program's role within the Tuba City Regional Health Care Corporation (TCRHCC) is to provide diabetes prevention best practices in school health and community-based physical activities. In addition, HPDP's role is to increase physical activity and health education among community members and their families.

The HPDP's biannual FitnessGram assessment assesses the Tuba City service area schools. In 2019, the FitnessGram data has identified approximately 1,660 overweight and obese students, ages 6-18, in 11 schools in the Western Agency portion of the Navajo Reservation. The HPDP Childhood Obesity Intervention Program will serve as a resource to build the capacity of schools in implementing evidence-based programs and strategies to reduce diabetes risk. The strategy is to integrate the services provided by TCRHCC with after-school programs, community participation with regard to decision-making, family activities, and the collection of data to support the activities. To complement these strategies, TCRHCC's approach includes activities to keep students engaged as well as supporting academic success in the classroom.

Additionally, the HPDP community-based physical activities target over 20,000 participants/community members in the Western Navajo Agency. The HPDP program provides activities for youth and adults. These community-based programs are conducted seasonally throughout the year. The activities include, but are not limited to, family walking/running series, community sport leagues, weight management programs, health education classes, social marketing, summer youth activities, healthy food demonstrations, and fitness classes.

The Healthy Living Center (HLC) Diabetes Education and Clinical Nutrition (DECN) department collaborates with Health Promotion Disease Prevention in grant activities and program objectives. HLC/DECN is the clinical component for the fight against diabetes. The Healthy Living Center/Diabetes Education and Clinical Nutrition includes a diabetes education program recognized by the American Association of Diabetes Educators, which allows reimbursement for the services they provide and as an indicator of the quality of those services. The HLC/DECN provides group and individual diabetes self-management education, medication management, medical nutrition therapy, foot exams, retinopathy screening, as well as glucometer training and support. Nutrition therapy for health concerns other than diabetes, such as obesity, pregnancy, and hyperlipidemia, are also available. The HLC is also responsible for providing nutrition care and diabetes education in the inpatient setting. The HLC is responsible for maintaining the diabetes registry and completing the annual diabetes audit. The HLC works closely with primary care clinics to coordinate referrals and ensure adherence to diabetes standards of care. HLC plays an integral role in the treatment of diabetes and is focused on providing culturally sensitive care to reduce complications associated with diabetes.
Funding Goals
NOT APPLICABLE
Place of Performance
Arizona United States
Geographic Scope
State-Wide
Analysis Notes
Amendment Since initial award the total obligations have increased 218% from $1,361,069 to $4,333,207.
Tuba City Regional Health Care Corporation was awarded Navajo Diabetes Prevention : Promoting Health Fitness in Tuba City Cooperative Agreement H1D4IHS0181 worth $4,333,207 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 4/21/25

Period of Performance
1/1/23
Start Date
12/31/27
End Date
58.0% Complete

Funding Split
$4.3M
Federal Obligation
$0.0
Non-Federal Obligation
$4.3M
Total Obligated
100.0% Federal Funding
0.0% Non-Federal Funding

Activity Timeline

Interactive chart of timeline of amendments to H1D4IHS0181

Transaction History

Modifications to H1D4IHS0181

Additional Detail

Award ID FAIN
H1D4IHS0181
SAI Number
H1D4IHS0181-1558701695
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
SN79KL2LYXM5
Awardee CAGE
4FMU3
Performance District
AZ-90
Senators
Kyrsten Sinema
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) $1,361,069 100%
Modified: 4/21/25