Health Promotion and Disease Prevention

The Indian Health Service (IHS) announces a cooperative agreement for Health Promotion and Disease Prevention (HP/DP).

This Program is authorized under the authority of the Public Health Service Act section 301(a); Snyder Act, 25 U.S.C.

13; the Transfer Act, 42 U.S.C.

2001; and the


Indian Health Care Improvement Act, 25 U.S.C.

1621(b), et seq., as amended.

This Program is described under 9 3. 443 in the Catalog of Federal Domestic Assistance (CFDA).

The purpose of the program is to enable American Indian/Alaska Native (AI/AN) communities to enhance and expand health promotion and reduce chronic disease by:
increasing physical activity, avoiding the use of tobacco and alcohol, and improving nutrition to support healthier AI/AN communities through innovative and effective community, school, clinic and work site health promotion and chronic disease prevention programs.

The IHS HP/DP Initiative focuses on enhancing and expanding health promotion and chronic disease prevention to reduce health disparities among AI/AN populations.

The initiative is fully integrated with the Department of Health and Human Services (HHS) Initiatives ''Healthy People 201 0. '' Potential applicants may obtain a printed copy of Healthy People 2010, (Summary Report No.

017-001-00549-5) or CD-ROM, Stock No.

017-001-00549-5, through the Superintendent of Documents, Government Printing Office, P.O.

Box 371954, Pittsburgh, PA 15250-7945, (202) 512-180 0. You may also access this information at the following Web sites: Publications and

The HP/DP Initiative targets cardiovascular disease, cancer, obesity, and underage drinking prevention and intervention efforts in AI/AN communities.

Focus efforts include enhancing and maintaining personal and behavioral factors that support healthy lifestyles such as making healthier food choices, avoiding the use of tobacco and alcohol, being physically active, and demonstrating other positive behaviors to achieve and maintain good health.

Major focus areas include preventing and controlling obesity by developing and implementing science-based nutrition and physical activity interventions (i.e., increase consumption of fruits and vegetables, reduce consumption of foods that are high in fat, increase breast feeding, reduce television time, and increase opportunities for physical activity).

Other focal areas include preventing the consumption of alcohol and tobacco use among youth, increasing accessibility to tobacco cessation programs, and reducing exposure to second-hand smoke.

The HP/DP initiative encourages Tribal applicants to fully engage their local schools, communities, health care providers, health centers, faith-based/spiritual communities, elderly centers, youth programs, local governments, academia, non-profit organizations, and many other community sectors to work together to enhance and promote health and prevent chronic disease in their communities.

The initiative is described in the Catalog of Federal Domestic Assistance No.

9 3. 443 at and is not subject to the intergovernmental requirements of Executive Order 12372 or the Health Systems Agency review.

This competitive grant is awarded under the authorization of the Snyder Act, 25 U.S.C.

13; the Transfer Act, 42 U.S.C.

2001; and the Indian Health Care Improvement Act, 25 U.S.C.

1621(b), et seq., as amended.

The grant will be administered under the Public Health Service (PHS) Grants Policy Statement and other applicable agency policies.

The HHS is committed to achieving the health promotion and disease prevention objectives of Healthy People 2010, a HHS-led activity for setting and monitoring program for priority areas.

This program announcement is related to the priority area of Education and Community-Based Programs.

Potential applicants may obtain a printed copy of Healthy People 2010, (Summary Report No.

017-001-00549-5) or CD-ROM, Stock No.

017-001-00549-5, through the Superintendent of Documents, Government Printing Office, P.O.

Box 371954, Pittsburgh, PA, 15250-7945, (202) 512-180 0. You may also access this information at the following Web site:

Background Heart disease, cancer and unintentional injuries are the leading cause of morbidity and mortality among AI/AN.

Many of these diseases and injuries are impacted by modifiable behavioral risk factors such as physical inactivity, unhealthy diet, commercial tobacco use, and alcohol abuse.

Concerted efforts to increase effective public health, prevention, and intervention strategies are necessary to reduce tobacco/alcohol use, poor diet, and insufficient physical activity to reduce the burden of diseases and disabilities in AI/AN communities.

Despite the well known benefits of physical activity, many adults and children remain sedentary.

A healthy diet and regular physical activity are both important for maintaining a healthy weight.

Regular physical activity, fitness, and exercise are extremely important for the health and well being of all people.

A proliferation of fast food restaurants and convenience stores selling foods that are high in fat and sugar, as well as sedentary lifestyles have translated into weight gain and obesity.

There are also epidemiological studies indicating that increased intake of fruits and vegetables decreases the risk of many types of cancer.

Many of the medical and health problems of AI/AN are associated with obesity.

According to the IHS Clinical Reporting System data, more than 80% of the adults are either overweight or obese and 49% of the children (ages 6 to 11) are overweight or obese.

Tobacco use is the largest preventable cause of disease and premature death in the United States.

More than 400,000 Americans die each year from illnesses related to smoking.

Cardiovascular disease and lung cancer are the leading causes of death among AI/AN, and tobacco use is one of the risk factors for these diseases.

Non-ceremonial tobacco use varies amongst AI/AN regions and states.

Alcohol use is associated with serious public health problems including violence, motor vehicle crashes, and teen pregnancy among youth.

Long term drinking can lead to heart disease, cancer, and alcohol-related liver disease.

Interventions may include environmental and policy changes in the community, school, clinic or work site to increase physical activity, increase healthier food items at school fund raising, vending machines, school food service, senior centers, shopping centers, food vendors, work sites, Tribal colleges and other community settings.

Other strategies include implementing tobacco-free policies in the workplace and clinics, increasing access to safe walking trails, improving access to tobacco cessation programs, utilizing social marketing to promote change and prevent disease, reducing underage drinking, increasing effective self management of chronic disease and associated risk factors, and increasing evidence-based clinical preventive care practices.

Programs are expected to utilize evidence-based public health strategies that may include system improvement, public education and information, media campaigns to support healthier behaviors, policy and environmental changes, community capacity building and training, school classroom curricula, and health care provider education.

Identify and implement high priority, effective strategies proven to prevent, reduce and control chronic diseases.

The communities must examine their chronic disease burden, identify behavioral risk factors, at-risk populations, current services and resources, Tribal and IHS strategic plans, and partnership capabilities in order to develop a comprehensive intervention plan.

Applicants are encouraged to identify and examine local data sources to describe the extent of the health problem.

Data sources include IHS Resource Patient Management System (RPMS), Government Performance and Results Act (GPRA), Clinical Registry System (CRS), diabetes registry, hospital/clinic data, Women Infant Children (WIC) data, school data, behavioral risk surveys, and other sources of information about individual, group, or community health status, needs, and resources.

Communities can address behavioral risk factors contributing to chronic conditions and diseases such as cardiovascular disease, diabetes, obesity, and cancer.

These factors include physical inactivity, poor nutrition, commercial tobacco use, alcohol and substance use.

Applicants are encouraged to apply effective and innovative strategies to reduce chronic disease and unintentional injuries associated with alcohol and substance use.

Current evidence-based and promising public health strategies can be found at the IHS Best Practices database at , Guide to Clinical Preventive Services at, and and the National Registry for Effective Programs at

Related Programs

Health Promotion/Disease Prevention Program for American Indians and Alaska Natives

Department of Health and Human Services

Agency: Indian Health Service


Estimated Funding: $10,000,000

Who's Eligible

Obtain Full Opportunity Text:

Additional Information of Eligibility:

Eligible Applicants must be one of the following as defined by 25 U.S.C.

1603: i.

A Federally-recognized Indian Tribe 25 U.S.C.

1603(d); ii.

Tribal organization 25 U.S.C.

1603(e); iii.

Urban Indian organization as defined by 25 U.S.C.


Applicants must provide proof of non-profit status with the application, e.g.


Full Opportunity Web Address:


Agency Email Description:

Agency Email:

Date Posted:

Application Due Date:

Archive Date:

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