Leveraging Culture to Address Health Inequalities Examples from Native Communities: Workshop Summary (2013) / Chapter Skim
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5 Diabetes Prevention in Native Communities
5 Diabetes Prevention in Native Communities
Pages 33-42
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From page 33... ...
And Nia Aitaoto, University of Iowa College of Public Health, offered three different perspectives on a set of diabetes programs for Pacific Islanders. Diabetes Programs Among the Mississippi Band of Choctaw Indians The mission of the Choctaw Health Department in Mississippi, where Darlene Willis coordinates the Diabetes Prevention Program, is to raise the health status of the Choctaw people to the highest possible level.
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From page 34... ...
Willis provided just a partial list of activities that are common in Native communities: • Health fairs • Wellness seminars • Choctaw Fair booth focusing on diabetes prevention • Cooking demonstrations • 10,000-step program • Water aerobics • Community walks • Fitness Day • Fishing rodeos • Bike rodeos • Pool parties • Basketball tournaments • World Diabetes Day • Fitness education • Diabetes education • Home run derby • Exercise classes • Intensive fitness classes • Bingo nights • Annual Unity/Spring Walk Willis also described the I Care Team, which was established in 2010 to provide integrated services for diabetes patients. The team includes expertise in dentistry, diabetes management, women's wellness, diabetes education, exercise, nutrition, and community health.
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From page 35... ...
The Choctaw Health Department has established a partnership with Vanderbilt University with funding from the Native American Research Center for Health and under the guidance of an advisory council drawn from tribal leaders. The goals of the partnership are to identify challenges in diabetes management and develop computer, cell phone, and Internet tools to improve diabetes care and management in Choctaw communities.
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From page 36... ...
A focus group made up of program participants arrived at the mission statement "bringing back the way of life." The program brings traditional foods and activities, such as berry gathering and fishing, into the classroom whenever possible and accommodates seasonal subsistence activities. It helps to support healthy traditional lifestyles and tries to give participants part-ownership of the program so that they feel invested in it.
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From page 37... ...
Pacific Islanders face serious economic as well as health struggles. More than 60 percent of residents of Palau and American Samoa, and more than 90 percent of residents of the Federated States of Micronesia (FSM)
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From page 38... ...
It requires Tofa Manino and Tofa Mamao, not just Tofa Loloto. In a project in Chuuk State in FSM called the Pacific Diabetes Education Program, participants identified their own needs and concerns.
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From page 39... ...
Even after the initial funding for the program ended, 9 of the 11 communities continued doing diabetes coalition work. Legislation and Planning and Policy and Funding and Community Research Regulations Evaluation Procedures Resources Partnerships Prevention Quality Assurance Admin Education System Outreach Continuing Education Risk Reduction Comprehensive Support Service Chronic Disease System System Prevention and Control Equipment and Supplies Screening Diagnosis Educational Data Materials System Treatment Laboratory Services Self Data Management Data Data Accountability and Collecting Registry Analysis Reporting Pharmacy System Follow-Up FIGURE 5-2 A comprehensive system for chronic disease prevention and control encompasses administration, support, service, and data components.
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From page 40... ...
. and stand together with one voice, you can go a long way." Whitson said that the Lifestyle Balance Program of the Special Diabetes Program for Indians has been developing a dissemination toolkit to be ready for use when funding ends.
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From page 41... ...
Kerri Lopez, Northwest Portland Area Indian Health Board, said that part of her job is to examine the standards of care that tribes submit annually,2 and "we are not doing very good." Accountability has been increasing, but not all achievements can be measured in quantitative terms or according to best practices. With funding about to run out, said Lopez, "I encourage you all to go call your congressman and your legislatures and say support the Special Diabetes Program for Indians, because our funding runs out in exactly 1 year.
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