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Centers for
Disease Control and Prevention
(CDC)
FY 2002 and FY 2003 Implementation Plans for the White House
Initiative on Asian Americans and Pacific Islanders (AAPI)
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Strategic Goal #1: |
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Institutionalize an agency
wide mechanism to address AAPI issues. |
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Objectives: |
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1. |
Institutionalize CDC-wide mechanism to address AAPI issues. |
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Strategic
Goal #2: |
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Improve data
collection, analysis, and dissemination for Asian Americans and
Pacific Islanders. |
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Objectives: |
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1. |
Improve surveillance system by utilizing the
CDC-developed Tuberculosis Information System (TIMS) in Guam, Republic
of Palau (Palau), the Commonwealth of Northern Mariana Islands (CNMI),
American Samoa (AS), the Federated States of Micronesia (FSM), and the
Republic of Marshal Islands (RMI). |
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2. |
Establish and maintain a consistent and routine HIV
and AIDS case reporting system in all six funded Pacific Island
jurisdictions by using either the electronic HIV and AIDS Reporting
System (HARS) or a modified manual system, when appropriate. |
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3. |
Collect results and analyze Youth Risk Behavior Survey
(YRBS) from the Pacific Region including American Samoa, RMI, CMNI,
Republic of Palau, Guam, and Hawaii. |
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4. |
Characterize molecular changes that serve as early and
quantitative markers for neurotic effects. |
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5. |
Establish relations between cause and effect hampered
by a lack of defined human cohorts, verification of exposure and the
lack of quantitative index of brain tissue damage. |
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6. |
Protect the health and safety of agricultural workers
and their families, and to prevent occupational disease and injury
among agricultural workers and their families. |
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7. |
Improve the safety and health of construction workers
through evaluating targeted intervention strategies for their
effectiveness and applicability across the industry. |
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8. |
Plan and implement an on-site hazard survey of
establishments and workers. |
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9. |
Increase the number of states conducting Adult Blood
Lead Epidemiology and Surveillance (ABLES) program and enhance the
state surveillance programs in reducing to zero the number of workers
having blood lead concentrations of 25 mcg/dL or greater of whole
blood (Objective 20.7 in Healthy People 2010). |
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10. |
Further the field development, evaluation, and
demonstration of interventions aimed at reducing worker exposure to
moving vehicles and equipment operating inside the boundaries of work
zones and other work areas. |
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11. |
Evaluation of Electrical Safety High School
Curriculum. This project will research the critical elements that
contribute the most strongly in improving secondary school vocational
education students' knowledge, attitudes, and behavioral intentions
about Occupational Safety and Health (OSH). By identifying how best to
reach these young workers, this project supports the National
Occupational Research Agenda (NORA) area of Special Populations at
Risk with its focus on adolescent workers. |
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12. |
llustratrate CDC’s
National Institute for Occupational Safety and Health (NIOSH)
publications to convey information to illiterate, semi-literate, and
English-as-a-second-language workers. |
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13. |
Identify relationships between 14 job stressors,
depression, hypertension, angina, and myocardial infarction (heart
attack); make recommendations that reduce the magnitude of
cardiovascular disease and depression of 10,000 working men and 10,000
working women. |
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14. |
Evaluate interventions that will decrease accidents
involving equipment at roadway construction work zone. |
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15. |
Develop a validated respirator performance test for
the NIOSH certification program. |
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16. |
Establish fit test panels into the NIOSH certification
program. |
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17. |
Target educational and informational programs to
reduce the exposures of workers and minimize hazards associated with
respirators. |
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18. |
Establish a Pregnancy Risk Assessment Monitoring
System (PRAMS) in Hawaii. |
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19. |
Identify risk and protective factors for infant
mortality. |
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20. |
Develop National Program of Cancer Registries (NPCR)
in Republic of Palau. |
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21. |
Develop and implement a multi-center collaborative
Diabetes Translation Research Initiative and Translating Research into
Action for Diabetes (TRIAD) within managed care settings in Hawaii. |
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Strategic Goal #3: |
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Ensure access, especially linguistic
access and cultural competence, for Asian Americans and Pacific
Islanders. |
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Objectives: |
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1. |
Expand CDC-based training for goal and promote visits
to Pacific Island entities to enhance cultural competence and promote
existing educational products. |
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2. |
Expand opportunity for training that will help to
better address the multiple cultures and issues facing the
Micronesian; increase the availability of technical assistance
necessary to develop HIV prevention and interventions that are
culturally and linguistically appropriate; address the inter-island
migration and travel and how that impacts HIV prevention efforts. |
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3. |
Facilitate linkages into the Asian and Pacific
Islander communities to provide technical assistance and training on
culturally competent and linguistically appropriate breast and
cervical cancer screening program. |
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4. |
Develop and implement a model based on scientific
evidence for preventing sexual and intimate partner violence among
college-aged Asian American women. |
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5. |
This project uses Native Hawaiian values, beliefs, and
practices to address intimate partner violence and sexual violence
among Native Hawaiian perpetrators and victims. |
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6. |
Replicate and disseminate cultural competency training
on breast and cervical cancer in Asian women for a broad base of
health care providers. |
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7. |
Reduce infant mortality by county and ethnicity among
AAPIs in Hawaii. |
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Strategic Goal #4: |
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Protect civil rights and equal opportunity
for Asian Americans and Pacific Islanders. |
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Objectives: |
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1. |
Ensure confidentiality of patient information, funding
parity, and equal access to all federal resources. |
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Strategic Goal #5: |
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Strengthen and sustain Asian American and
Pacific Islander community capacity. |
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Objectives: |
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1. |
Increase availability of training opportunities that
encourage laboratorians, Tuberculosis (TB) program coordinators, and
other related health professionals to address TB and HIV laboratorian
testing proficiency and capacity. |
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2. |
Resolve the problem surrounding the transshipment of
infectious or diagnostic goods throughout the communities of FSM, RMI,
American Samoa, Republic of Palau, Guam, CNMI and Hawaii to the
mainland as necessary. |
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3. |
Evaluate the impact of Hepatitis B immunization in
AAPI children and their family members. |
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4. |
Provide funding for 34 state-base hepatitis
coordinators; establish 5 new sites. |
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5. |
In collaboration with the Department of Interior,
Office of Insular Affairs, provide funding for Hepatitis B research
and implementation of Hepatitis B control programs to the
U.S.-associated Pacific jurisdictions. |
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6. |
The Asian-Pacific Economic Cooperation (APEC)
Telecommunications Network for emerging infectious disease continues
to develop and enhance its communications technology-based approach to
prevent emerging infectious diseases related to trade and travel
within the 21 economies of the APEC consortium. |
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7. |
Establish and strengthen school health education
programs that address youth risk behaviors that result in HIV
infection, sexually transmitted disease, and unintended pregnancy. |
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8. |
Develop strategies to eliminate health disparities
among Asian Americans, Native Hawaiians and other Pacific Islanders. |
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9. |
Effective youth violence prevention. |
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10. |
Provide resources for rape prevention and education
programs to rape crisis centers, state and territory sexual assault
coalitions, and other public and private nonprofit entities. |
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11. |
Develop, implement, and evaluate System-Based Diabetes
Prevention and Control Programs (DCPs). |
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12. |
Maintain a Regional Center to foster community
involvement and action to address the burden of diabetes in the
Pacific Basins. |
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13. |
Through the National Diabetes Education Program
(NDEP), develop program to reduce morbidity and premature mortality
due to diabetes. |
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14. |
Initiative to mobilize for the prevention and control
of tobacco use through the National Tobacco Prevention and Control
Program. |
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Strategic Goal #6: |
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Recognize and include Native Hawaiians and
Pacific Islanders in federal programs and services. |
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Objectives: |
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1. |
Utilize cooperative agreements (COAG) to fund TB
prevention, control, and laboratory efforts in the Pacific Islands
Basin and Hawaii. |
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2. |
Further develop and strengthen the relationship
between CDC/DHAP and the Native Hawaiian and Pacific Islander HIV
prevention partners currently funded through HIV prevention
cooperative agreement. |
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3. |
Provide technical consultation to the Pacific Islander
Health Officers Association (PIHOA). |
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4. |
Provide National Research Council (NRC) Post-doctoral
visiting fellowship program. The purpose of this associate
ship-training program is to provide education and training to help
alleviate the critical shortage of occupational safety and health
manpower. |
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5. |
Demonstrate evidence of AAPI women being screened
through minimum data elements reported twice yearly by each screening
program to the National Breast and Cervical Cancer Early Detection
Program (NBCCEDP). |
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6. |
Preventive Health and Health Services Block Grant to
support categorical programs to states that have insufficient funds. |
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Centers for
Disease Control and Prevention
Fiscal Year 2002 and 2003 Implementation Plans for the White House
Intitiative on Asian Americans and Pacific Islanders (AAPIs)
Executive Summary
The mission of the Centers for Disease Control and Prevention (CDC) is
to promote health and quality of life by preventing and controlling
disease, injury, and disability. CDC is committed to ensuring that
programs and services are delivered appropriately and effectively. The
annual Implementation Plan and Report of Accomplishments identify the
specific activities and measurable outcomes of APPI programs.
Recently, President Bush extended Executive Order 13125, affirming his
commitment to the Initiative. In January, the President’s Advisory
Commission on AAPIs submitted their interim Report to the President: A
People Looking Forward. In order to meet these goals, CDC will
continue to develop a framework for the Initiative with the following
primary goals:
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1. |
Institutionalize each federal agency’s
implementation of this initiative. |
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2. |
Improve data collection, analysis, and dissemination
for Asian Americans and Pacific Islanders. |
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3. |
Ensure access, especially linguistic access and
cultural competence, for Asian Americans and Pacific Islanders. |
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4. |
Protect civil rights and equal opportunity for Asian
Americans and Pacific Islanders. |
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5. |
Strengthen and sustain Asian American and Pacific
Islander community capacity. |
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6. |
Recognize and include Native Hawaiians and Pacific
Islanders in federal programs and services. |
During fiscal year 2002 and 2003, CDC will implement the following
plans:
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1. |
Collect results and analyze the Youth Risk Behavior
Survey (YRBS) for the Pacific Region, including American Samoa, the
Republic of Marshall Islands, the Commonwealth of Northern Mariana
Islands, the Republic of Palua, and Hawaii. The result of the 2001
YRBS data analysis will be published and used to guide program
activities in the Pacific Region. |
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2. |
Evaluate the impact of Hepatitis B immunization in
AAPI children and their family members. The Hepatitis B virus survey
program will be implemented as soon as the program receives the
approval from the Institution Review Board. The survey will involve
500 to 1,000 AAPI children and family members in Georgia, and 1,000
to 3,000 AAPI first graders in Hawaii. |
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3. |
Establish and strengthen school health education
programs that address youth risk behaviors that result in HIV
infection, sexually transmitted disease, and unintended pregnancy.
CDC will provide funding to state and territorial education agencies
to: (1) implement the annual Pacific Region Trainer- to-Trainers for
HIV coordinators; (2) provide a skills-based HIV/STDs prevention
education curriculum for teachers and school personnel; (3) develop
an AIDS Supplementary Guide at the HIV/STDs Summer Institute; (4)
increase outreach assistance to targeted high-risk youth; and (5)
coordinate and implement the piloting program of Bringing Guam into
Your Classroom. |
Responses to Federal Inventory-Part V:
Agency Infrastructure to Support AAPI Activities
| Understanding
AAPI Needs |
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A. |
Has your agency conducted any needs
assessments, reports, or other documents within the last five years
(produced internally or through an award or contract) to identify,
quantify, and evaluate AAPI service needs (such as the needs of
Southeast Asians in the Midwest, Pacific Islanders in the mainland,
etc.)? If yes, please list and describe. |
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Yes, the Racial and Ethnic Approaches to
Community Health (REACH) 2010 grantees have conducted needs
assessments; the results of which culminated into their Community
Action Plan, which is a targeted action plan used to guide their
community coalition demonstration projects. The grantees include: the
Seattle-King County REACH 2010 Project; REACHing Vietnamese Women
(University of California at San Francisco); Cambodian Community
Health (Lowell, Massachusetts); Special Services for Groups, Inc-PATH
for Women (Los Angeles, California); the Great Brook Valley Health
Center (Massachusetts); and New Hampshire Minority Health Coalition.
CDC’s Division of Adolescent and School Health (DASH) and its
contractor, the Academy for Educational Development (AED), have
conducted two needs assessments in 1998 and in 2001 with the
Departments/Ministries of Education from American Samoa, Guam, Hawaii,
the Republic of Marshall Islands (RMI), the Commonwealth of Northern
Mariana Islands (CNMI), and the Republic of Palau to identify the
HIV/STDs programmatic and evaluation needs in the implementation of
the HIV/STDs prevention programs in each entity. The results of the
needs assessments were used to design and implement relevant and
culturally-sensitive training.
CDC’s Office on Smoking and Health recently conducted an internal
needs assessment to identify what information is available on this
population, and where there are gaps in data and available resources.
The findings are currently being analyzed. CDC’s Division of Diabetes
Translation has conducted needs assessment in conjunction with the
establishment of the regional Diabetes Today Center. |
| Cultural and Linguistic Competency |
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B. |
Does your agency have regulations,
policies or guidance memoranda on compliance with Title VI of the
Civil Rights Act for the limited-English proficient? If yes, please
describe or attach. |
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No, CDC has not developed regulations,
policies, or guidance memoranda on compliance with Title VI of the
Civil Rights Act for the limited-English proficient. |
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C. |
Does your agency have any informational
materials translated in AAPI languages? If yes, please list and
describe. |
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Yes, REACH 2010 grantees, identified
above, have translated materials for their populations. Also, the
evaluation contractor (National Opinion Research Center) has been
working with the REACH 2010 communities to translate materials for the
Asian Americans and Pacific Islanders (AAPI) communities participating
in REACH 2010.
The Media Campaign Resource Center makes available tobacco
counter-advertisements in Korean, Vietnamese, Mandarin, Cantonese, and
Japanese for television, radio, and print. The tobacco control
programs in California, Minnesota, and other states originally
produced these advertisements. In addition, the Agency for Healthcare
Research and Quality’s publication "Treating Tobacco Use and
Dependence: A Clinical Practice Guideline" will be available for
distribution through CDC in six Asian languages (Korean, Vietnamese,
Laotian, Tagalog, Chinese, and Cambodia). Diabetes Today training has
been conducted in Korean, Phonepeian, and Palauan. The Association of
Asian Pacific Community Health Organization (AAPCHO) has developed
"Steps to Manage Your Diabetes" in Chinese, Vietnamese, Tagalog,
Korean, and Samoan. |
| Internal Agency Infrastructure |
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D. |
AAPI-Specific Workgroups and Advisory
Bodies: Does your agency have any ongoing mechanisms for focusing on
AAPI issues, such as advisory bodies and workgroups? If yes, please
list and describe. |
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The Pacific Region entities, including
American Samoa, Guam, Hawaii, Republic Marshall Islands, the
Commonwealth of Northern Mariana Islands, and the Republic of Palau,
have established the Pacific Regional Leadership Team and the Pacific
Region Trainer-of-Trainers (PRTT) Annual Conference. The first PRTT
HIV Conference was held in Honolulu, Hawaii, from June 24 to June 28,
1999; the second PRTT HIV Conference was held in Agana, Guam from,
from June 25 to June 29, 2000; the third PRTT HIV Conference was held
in Agana, Guam, from July 11-17, 2001; and the fourth PRTT will be
held in Honolulu, Hawaii, on June 2002.
The internal CDC workgroup, comprised of staff working directly
with AAPI populations and the advisory group that has representation
from each of the funded Pacific jurisdictions, established mechanisms
to address AAPI issues. This group was convened as part of
establishing the regional Diabetes Today center. |
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E. |
General Workgroups and Advisory Bodies:
Does your agency have a process in place to receive input from AAPIs
and AAPI community-based organizations? In particular, identify
workgroups and advisory bodies tied to your agency’s major programs
and services. List the ratio of AAPIs constituting those bodies. |
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Yes, the REACH 2010 program recently held
a meeting of External Consultants (on June 26-27, 2001) to seek input
from experts in community health demonstrations projects to eliminate
health disparities. Five AAPIs attended; three from AAPI CBOs, two
from grantee AAPI national organizations, and one from a federal
agency. The total amount of people in attendance was 22; therefore,
the ratio in attendance was 5/22. The group will be reconvened in the
future.
DASH provides funding and technical assistance to the Pacific
Region Trainer-of-Trainers to support the Pacific Islands’
constituents with an opportunity to receive culturally appropriate
learning opportunities and training based on CDC-identified
Programs That Work to reduce high-risk behaviors that contribute
to HIV and STD infection and unintended pregnancy. DASH also provides
funding and technical assistance to the Pacific Region entities to
implement proven effective programs such as Get Real About AIDS;
Be Proud! Be Responsible!; Reducing the Risk; Teenage
Health Teaching Modules; and Know Your Body. Regional
Diabetes Today Training Center Advisory groups are AAPI exclusive |
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F. |
Identify FTE equivalents in your agency
that specifically focus on AAPI issues. If responsibilities and duties
involving AAPI issues are parceled out as collateral duties to one or
more employees, please compute what the FTE equivalent would be. |
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DASH does not have identified FTE
equivalents in the Division that specifically focus on AAPI issues.
However, the Project Officers from the Program Development and
Services Branch assigned to work with American Samoa, Guam, Hawaii,
RMI, CNMI, and Palau, are responsible for all the issues related to
AAPIs--3.5 FTE from NCCDPHP, 1 FTE from the National Center for HIV,
STD, and TB Prevention, and 1 FTE focusing on AAPI initiative in the
Office of the Associate Director for Minority Health, located in the
Office of Director. |
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G. |
Were there any grant programs in FY 99
for which AAPIs were listed as a funding priority? |
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REACH 2010 Demonstration funding is
awarded through a Cooperative Agreement first announced in 1999, which
listed Asian Americans and Pacific Islanders as a priority population.
The Departments/Ministries of Education from American Samoa, Guam,
Hawaii, RMI, NMI, and Palau were eligible to apply for Program
Announcement 805, "Supplement Funding FY 2001: Youth Media Campaign." |
| Representation and Workforce Issues |
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H. |
Has your agency identified or
implemented any strategies for improving workforce diversity and the
representation of AAPIs within the workforce? If yes, please describe. |
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Yes, the Office of Equal Employment
Opportunity (OEEO); the Procurement and Grants Office; and the
Centers, Institute, and Offices plan to distribute resources and
characteristics of AAPI employees surveyed by Human Resource
Management Office. OEEO also has a responsibility in the recruitment
process and to ensure that AAPIs have an opportunity to fully
participate in federally-funded programs. |
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I. |
Is there an AAPI Federal employee
organization in your agency? If yes, please describe ways in which
your agency utilizes and supports the efforts of this group. Also
describe any other strategies in place to support the professional
development and career advancement of AAPI employees. |
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Yes, the Asian Americans and Pacific
Islanders Task Force. Please see letters A-H for a description of how
CDC supports the efforts of this group. |
| Data Collection and Evaluation |
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J. |
List your agency’s main data sets.
Indicate for each data set whether: |
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1. |
aggregated AAPI data is collected and analyzed; |
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2. |
disaggregated AAPI data is collected and analyzed
(specify which subpopulations are
identified); |
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3. |
aggregated AAPI data is collected but not analyzed; |
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4. |
disaggregated AAPI data is collected but not
analyzed (specify which subpopulations are identified); |
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5. |
AAPI data is not collected. |
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K. |
What is the current status for
implementing the collection of AAPI data into the two categories,
"Asian" and "Native Hawaiian or Other Pacific Islander (NHOPI)," under
the new standards for the classification of Federal data on race and
ethnicity? Describe the process and strategies for complying with the
new standards by 2003? Please attach any relevant documents. |
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L. |
Does your agency have any performance
measures specifically for AAPIs? If yes, please describe. |
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In June of 2000, the National Breast and
Cervical Cancer Early Detection Program (NBCCEDP) funded programs in
the Pacific (American Samoa, Commonwealth of Northern Mariana Islands,
Hawaii, and the Republic of Palau) and began collecting sub-population
data regarding Asians and Pacific Islands. Each program collects and
analyzes their own data to identify and screen populations at highest
risk for breast and cervical cancer. The program determines the
categories used, but generally include the major race categories found
in the Pacific Islands including Filipino, Native Hawaiian,
Carolinian, Chamorro, Samoan, and Palauan. The NBCCEDP data are currently reported back to CDC as an aggregate
Asian/Pacific Islander category. Updates are being made to the current
data system to break the category into the two
categories, "Asian Americans" and "Native Hawaiians and Other
Pacific Islanders." |
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Strategic Goals