NU58DP007410

NC Advancing Health Equity for Priority Populations with or at Risk for Diabetes - Component A

NC Department of Health and Human Services, Division of Public Health, Community and Clinical Connections for Prevention and Health Branch (CCCPH)

5505 Six Forks Rd. Raleigh, NC 27609

The purpose of this Component A cooperative agreement is to reduce the burden of type 2 diabetes and prediabetes among high-risk and high-burden populations in North Carolina that are experiencing disproportionately high rates of morbidity and mortality because of diabetes. The strategies proposed aim to implement evidence-based and evidence-informed activities in various settings throughout the state.

Through previous cooperative agreements including 1305, 1422, 1815, 1817, and 1807, North Carolina has created and implemented evidence-based programs statewide to prevent, manage, and reduce risk factors associated with chronic diseases including obesity and diabetes. This experience informs NC's 23-0020 workplan, which outlines activities we will implement to reach the most vulnerable North Carolinians to reduce the burden of type 2 diabetes and prediabetes throughout the state. Established partnerships will be utilized to reach the priority populations and implement the proposed objectives and activities.

CCCPH is fully staffed, and staff currently serve as diabetes prevention and management experts as they have throughout 1815 and 1817 funding. Staff also include individuals who have extensive experience managing cooperative agreements, ensuring all deadlines are met, managing procurement and finances, writing and monitoring contracts, developing and maintaining partnerships, working with other CDC funded organizations, evaluating CDC funded cooperative agreements, implementing programs, and ensuring all efforts adhere to state and federal guidelines. See attached staffing plan for additional details on CCCPH's ability and capacity to implement 23-0020.

Short-term outcomes include an increase in the number of organizations implementing evidence-based community behavioral change programs, increased adaptation/tailoring of effective programs for priority populations, and an increased number of patients screened and referred to community resources. Intermediate outcomes include increased participation in evidence-based community behavioral change programs, improved self-management of chronic diseases, increased patient contact with community health workers or health care extenders, and an increased proportion of the population receiving the health care services they need and want. Long-term outcomes include a decrease in the proportion of people with diabetes with an A1C >9%, increased number of program completers served by CDC-recognized National DPP delivery organizations who reduce their risk for type 2 diabetes, and a decrease in the percent of the 95th percentile body mass index (BMI) and percent of median BMI in children and improvement in pediatric quality of life and decrease in BMI among caregivers.

By implementing evidence-based and evidence-informed programs, North Carolina will achieve its selected outcomes and improve the health of North Carolinians' most vulnerable citizens.

North Carolina Department Of Health & Human Services

NOT APPLICABLE

93.945 - Assistance Programs for Chronic Disease Prevention and Control

CDC Office of Financial Resources (OFR) [HHS - CDC]

National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) [HHS - CDC]

North Carolina United States

State-Wide

A Strategic Approach to Advancing Health Equity for Priority Populations with or at Risk for Diabetes (CDC-RFA-DP-23-0020)

Amendment Since initial award the total obligations have increased 200% from $1,250,000 to $3,750,000.