and physical activity grant programs, particularly in states with the highest prevalence of childhood obesity (IOM, 2005a).

Nutrition and Physical Activity Program to Prevent Obesity and Other Chronic Diseases

CDC’s Nutrition and Physical Activity Program to Prevent Obesity and Other Chronic Diseases is an example of a federal initiative designed to build the capacity of states to prevent obesity in adults, children, and youth. In 2005 and 2006, a total of 28 states received funding under this program: 21 states received funding of $400,000 to $450,000 for capacity development and seven states (Colorado, Massachusetts, North Carolina, New York, Oregon, Pennsylvania, and Washington) received funding of $750,000 to $1.3 million for basic implementation (CDC, 2006b). CDC has provided technical assistance and tools to help all states develop and evaluate their obesity prevention strategic plans (Yee et al., 2006). The states have hired approximately 130 individuals to work on the strategic plans, and CDC has hired staff to provide program oversight and technical assistance to the states (CDC and RTI, 2006). This initiative was first funded in FY 2000, and appropriations grew from $1.6 million in FY 2000 to $16.2 million in FY 2005 and declined slightly to $16.0 in FY 2006 (Table 4-2). Despite applications from nearly every state, the relatively stable level of funding since FY 2004 has limited the expansion of this program to other states. An assessment is needed to identify the appropriate level of funding required to support all states and territories in capacity building and program implementation to prevent obesity.

TABLE 4-2 CDC’s Nutrition and Physical Activity Program to Prevent Obesity and Other Chronic Diseases

Fiscal Year

Number of States Funded

Funding ($ million)

2000

6

$ 1.6

2001

12

$ 4.0

2002

12

$ 5.6

2003

20

$ 9.7

2004

28

$14.6

2005

28

$16.2

2006

28

$16.0

SOURCE: Robin Hamre, NCCDPHP/CDC, personal communication, July 27, 2006.



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