|Steps Along the Border Initiative, Arizona|
The Steps to a HealthierUS five-year cooperative agreement program aims to help Americans live longer, better, and healthier lives by reducing the burden of diabetes, overweight, obesity, and asthma and addressing three related risk factors—physical inactivity, poor nutrition, and tobacco use.
For FY 2003, this U.S. Department of Health and Human Services (HHS) program allocated $13.6 million to fund 23 communities, including three counties in Arizona, to implement community action plans to reduce health disparities and promote quality health care and prevention services.
Three Arizona–Mexico rural border communities:
Target Population for Steps Interventions
Hispanics/Latinos, people with incomes 200% below the federal poverty level, and people without health insurance.
The proposed interventions build on and expand an existing state and local model, Border Health ¡Si!, which is a comprehensive, community-based project designed to prevent and control diabetes in a high-risk population. The new interventions add obesity and asthma components.
HHS will provide training and technical assistance to help each Steps community develop measurable program objectives and specific indicators of progress and use relevant data to support ongoing program improvement. HHS also will conduct a national evaluation of the overall program. Existing data sources, such as the Behavioral Risk Factor Surveillance System and the Youth Risk Behavior Surveillance System, will be used to identify and measure program outcomes and assess progress toward program goals.
WIC; University of Arizona College of Public Health; Arizona Department of Education; Health Services Advisory Group; Western Growers Association; Cochise County: Cochise County Health Department; University of Arizona Cooperative Extension; Douglas Parks and Recreation; Border Health Foundation; Chiricahua Community Health Centers; Naco School District No. 23; Douglas Unified School District No. 27; Esperanza Community Center; Mexican Consulate; Douglas Police Department; Copper Queen Community Hospital; Women’s Transition Project; Willcox Food Bank; First Southern Baptist Church; Santa Cruz County: City of Nogales; Santa Cruz County; City of Patagonia; Nogales Unified School District; Santa Cruz County School Superintendent; Santa Cruz Valley Unified School District No.35; Patagonia Unified School District; Southeastern Arizona Area Health Education Center (SEAHEC); Carondelet Health Network; Arizona Association of Community Health Centers; Mariposa Community Health Center; American Lung Association; American Cancer Society; Wilson-Batiz Borderland Food Bank; St. Andrews Episcopal Church; Sacred Heart of Jesus; San Felipe de Jesus, Most Holy Nativity; Produce Association of the Americas; Nogales International; radio Xeny; La Campeona; Nogales Police Department; Boys and Girls Club; Lions Club; Rotary; Headstart/Even Start; United Church Village (subsidized senior housing); Tubac; Patagonia and Nogales Senior Centers; GUIA Public Housing Tenant Association; Yuma County: Somerton City Manager; Campesinos Sin Fronteras; Western Area Health Education Center; Gadsden and Somerton School Districts; City of San Luis and City of Somerton Libraries; Sunset Community Health Center; Yuma County Health Department; Por un Mejor Mañan; San Luis Neighborhood Watch; Gadsden Community Development Board; Promotoras; Yuma County Interfaith Group; City of San Luis and City of Somerton Parks and Recreation Departments; Gowan Company; Factor Sales & Food City; Bajo El Sol; City of San Luis and City of Somerton Police Departments; Yuma County Development Services; Yuma County Public Works; Mexican Consulate; and Cocopah Tribal Council.
Arizona Steps Contacts
Nicole L. Olmstead, MPH
Sheri Gallager, MS
Note: Steps communities have until May 2004 to finalize their community action plans. Proposed interventions may change accordingly.
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