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 four counties in New
York, to implement community action plans to reduce health disparities and
promote quality health care and prevention services.
- Broome County: Binghamton (population 200,536).
- Chautauqua County: Jamestown, Dunkirk-Fredonia (population 139,750).
- Jefferson County: Fort Drum, Watertown (population 111,738).
- Rockland County: Ramapo (population 286,000).
Target Population of Steps Interventions
Students and staff members in low-income school districts, children,
employees, health care providers, low-income mothers, people with special
needs, people with disabilities, tobacco users, public housing residents,
people with diabetes or prediabetes, people living in households with someone
with asthma, teachers, Hispanic communities, and African-American mothers.
Increase public awareness of the health breast-feeding (Broome).
Multimedia campaign on diabetes and obesity prevention (Chautauqua).
Reinforce the Eat Well Play Hard (EWPH) message through multimedia
Initiate media/education campaigns with messages related to diabetes care,
low-fat milk, EWPH and promotion of smoke-free homes and vehicles (Jefferson).
Incorporated into the school-based and workplace initiatives.
Promote 5 A Day for Better Health concepts in selected school districts
through policy changes, school activities, and school communication channels
Conduct asthma education programs for preschool staff, day care providers,
and school children (Broome, Chautauqua, Jefferson).
Train elementary and special education teachers to integrate physical
activity into the classroom (Rockland).
Offer mini-grants to schools to implement or enhance nutrition or physical
activity policy change. (Rockland).
Complete and analyze results of CDC’s School Health Index assessment and
planning guide to identify opportunities to improve physical activity and
healthy food choices (Chautauqua, Rockland, Jefferson).
Improve healthy food options in elementary schools (Rockland).
Expand the reach of K–12 curriculum promoting physical activity and
Enlist grocery stores in a promotional campaign to highlight the
nutritional value of locally grown produce (Broome).
Expand BC Walks, a community walking program, and promote use of
school athletic facilities for community members (Broome).
Increase referrals of high-risk families to the Broome County Health
Department’s Environmental Health Team, which will make home visits to help
identify environmental triggers and help families develop a remediation plan
Sponsor programs for people at risk for diabetes and obesity that
incorporate Diabetes Prevention Program strategies (Broome, Jefferson).
Develop tobacco-use cessation programs, focusing on people with diabetes
and people who share a household with someone who has asthma (Broome).
Promote participation in Get Moving Chautauqua and offer
mini-grants to increase physical activity options (Chautauqua).
Train day care center providers to increase children’s access to healthy
food options (Chautauqua).
Promote obesity prevention and EWPH messages in grocery stores frequented
by low-income and ethnic minorities (Rockland).
Implement asthma awareness/education program in a Hispanic community
Develop smoking cessation programs and educational materials for Hispanic
Provide a diabetes public education forum (Jefferson).
Expand the existing tobacco-use cessation referral system and provide
home-bound cessation and asthma intervention services (Jefferson).
Implement a 5 A Day promotional campaign in Broome County’s largest
Provide guidance to work sites on breast-feeding policies (Broome).
Promote nutritional strategies and 5 A Day in work sites (Chautauqua).
Develop tobacco screening, counseling, and referral systems within health
care facilities (Broome).
Provide continuing education related to diabetes prevention, screening,
and the American Diabetes Association’s clinical practice recommendations for
health care professionals (Broome, Chautauqua, Rockland, Jefferson).
Provide mini-grants to local hospitals to increase the number of
tobacco-use cessation counselors (Chautauqua).
Train health care providers on Clinical Practice Guidelines for
Treating Tobacco Use and Dependence (Chautauqua).
Train health care professionals on standards of asthma care and
Conduct educational sessions for health care providers on the link between
tobacco use, secondhand smoke, and asthma (Rockland).
Train pediatric health care providers on asthma management (Rockland).
Provide case management to Hispanic families at high risk for asthma
Identify and refer people at high risk for diabetes to appropriate
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.
Departments of education and health; various other government agencies;
school district personnel; Board of Cooperative Education Services (BOCES);
health care providers; health plans; national and local health organizations;
faith-based organizations; private sector participants; YMCA; chambers of
commerce; cooperative extensions; and academic institutions, offices, county
executives and other county government personnel; offices for the aging; rural
health networks; youth bureaus; boys and girls club; WIC programs; business
community; transit authorities; breast-feeding coalitions; organizations
assisting people with disabilities; prenatal/perinatal councils; alcohol and
substance abuse council; teacher training centers; family resource centers;
child and adult food care programs; Head Start; and social services and
environmental resources agencies.
New York Steps Contact
- Elizabeth Berberian, MPH
- Assistant Director, Bureau of Chronic Disease Services
- NYS Department of Health
- 150 Broadway
- Albany, NY 12204
- (518) 474-1222
- (518) 473-0642 fax
Note: Steps communities have until May 2004 to finalize their
community action plans. Proposed interventions may change accordingly.
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