About the State and Local Public Health Actions Program

CDC’s Division for Heart Disease and Stroke Prevention (DHDSP) funds state and local health departments and tribes to support programs and activities to prevent and control heart disease and stroke.

CDC’s funding and activities are part of several multi-program cooperative agreements, in which CDC provides additional guidance and support beyond simply overseeing and monitoring activities. These cooperative agreements address heart disease and stroke as well as type 2 diabetes; nutrition, physical activity, obesity, and school health.

CDC’s State Public Health Actions to Prevent and Control Diabetes, Heart Disease, Obesity, and Associated Risk Factors and Promote School Health (1305)

The State Public Health Actions to Prevent and Control Diabetes, Heart Disease, Obesity, and Associated Risk Factors and Promote School Health (State Public Health Actions-1305) cooperative agreement is a multifaceted initiative to improve health for all Americans through coordinated chronic disease prevention programs. The State Public Health Actions cooperative agreement funds statewide initiatives to prevent, manage, and reduce the risk factors associated with heart disease, stroke, diabetes, and obesity.

To maximize efficiency, states engage in cross-cutting activities that capitalize on the similarities of these chronic diseases and many of the methods to prevent and control them. Work areas include implementing environmental approaches to support healthful behaviors, health system interventions to improve effective delivery of care, community-clinical linkages to support prevention and management of high blood pressure and diabetes, and collecting and analyzing data to guide work.

Basic Component

Funded by CDC, State Public Health Actions is a national program that provides funding to all 50 states and the District of Columbia to address chronic disease. Key strategies include the following:

• Promote adoption of food service guidelines and nutrition standards that include sodium.
• Promote adoption of physical education and physical activity in schools.
• Promote adoption of physical activity in early child care centers, schools, and work sites.
• Promote reporting of blood pressure and A1C measures and initiate activities that promote clinical innovations, team-based care, and self-monitoring of blood pressure.
• Promote awareness of high blood pressure among patients.
• Promote awareness of prediabetes among people at high risk for type 2 diabetes.
• Promote participation in American Diabetes Association-recognized, American Association of Diabetes Educators-accredited, state-accredited/certified, and Stanford licensed Diabetes Self-Management Education programs.

Enhanced Component

CDC provides additional resources to 32 states to enable more intensive interventions for these chronic conditions. These include strategies to:

• Increase access to healthy foods and beverages and supportive nutrition environments.
• Increase implementation of quality improvement processes and use of team-based care in health systems.
• Increase use of health care extenders in support of self-management of high blood pressure.

Learn more about State Public Health Actions (1305).

State and Local Public Health Actions to Prevent Obesity, Diabetes, and Heart Disease and Stroke (1422)

This cooperative agreement builds on and complements activities initiated under State Public Health Actions (1305) and intensifies work in state, local and large city health departments to prevent heart disease and stroke and reduce health disparities. Each state sub-awards half of the funds it receives to support prevention activities in four to eight communities to reach the high-burden priority populations with the largest disparities in high blood pressure and type 2 diabetes. Under State and Local Public Health Actions (1422), the state and city health departments conduct activities to address environmental, health care system, and community-clinical linkage strategies to prevent obesity, type 2 diabetes, heart disease, and stroke.

Learn more about State and Local Public Health Actions (1422).

Good Health and Wellness in Indian Country (1421)

CDC’s Division for Heart Disease and Stroke Prevention funds Good Health and Wellness in Indian Country, a cooperative agreement for American Indians and Alaska Natives. These grantees develop and work on strategies to improve the health of tribal communities. This cooperative agreement supports the following:

• Twelve tribes work on effective community-chosen and culturally adapted strategies.
• Eleven tribal organizations provide leadership, technical assistance, training, and resources to tribes and villages in their Indian Health Service Administrative Areas.
• Twelve Tribal Epidemiology Centers perform a variety of functions in consultation with, and at the request of, tribes, tribal organizations, and urban Indian organizations.

Learn more about Good Health and Wellness in Indian Country (1421).