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Cheyenne River Sioux Tribe Youth Diabetes Prevention Program

Award Number: H1D1IHS1088
ORGANIZATION: INDIAN HEALTH SERVICE
OPDIV: IHS
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: DEMONSTRATION
PERIOD OF PERFORMANCE START DATE: 01/01/2023
PERIOD OF PERFORMANCE END DATE: 12/31/2027

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Cheyenne River Sioux Tribe Youth Diabetes Prevention Program - Project Abstract Summary The Cheyenne River Sioux Tribe (CRST) is located in central South Dakota. The communities are remotely scattered on the reservation, and the driving distance from the central hub community of Eagle Butte to the farthest community is 90 miles one-way. Since 1998, the CRST Youth Diabetes Prevention Program (YDPP) has provided annual school screenings in the area schools to identify the students with overweight, obesity, severe obesity, and Body Mass Index (BMI) that is very far from the healthy weight range. To determine the impact of the Covid-19 pandemic on childhood obesity, the school screening data from school year 2019 were compared to the school screening data from school year 2021. The percent of students with a healthy weight significantly decreased from 41.9% to 27.89% (p=0.0001). The students with overweight or obesity, significantly increased from 56.86% to 69.39% (p=0.0001). The percent of student with obesity, significantly increased from 40.90% to 53.74% (p=0.0001). The percent of students with a BMI percent very far from the healthy weight range, significantly increased from 1.53% to 7.82% (p=0.0001). In school year 2021, of the students screened in grades K-6, 60.26% had weights >= 100 pounds, of which 5.77% had weights >= 200 pounds. The students screened in grades 7 and 8, 78.57% had weights >= 150 pounds of which, 21.43% had weights >= 200 pounds. The students screened in grades 9-12, 97.06% had weights >= 150 pounds, of which 50% had weights >= 200 pounds. Of the students in grades K-12 with overweight or obesity, the weights ranged from <= 49 pounds to 349 pounds. (See data slides.) These data show the impact of the Covid-19 pandemic and the great need that currently exists on Cheyenne River for diabetes prevention services. Utilizing the 2021 GPRA Report, there are 9,261 people in the user population for the Indian Health Service. Of the 9,261 people, 845 are diagnosed with diabetes. The Diabetes prevalence rate is 9.1%. The CRST YDPP expanded the diabetes prevention services to remote communities on the reservation with the addition of a mobile unit in 2015. The Mobile Unit provided the program with more capability for hands-on services and education that were offered to the youth and their families. The Mobile Unit serves as a "station" for all program activities in the outlying communities. In addition, the Mobile Unit provides space and privacy for individual and/or group education, clinical screening, and consultation sessions. The Diabetes-related Education Best Practice will be implemented with the following activities: Medical Nutrition Therapy, Case Management, Nutrition Education, Mobile Unit, Physical Activity Education. Other Activities/Services include: School Screening and Community Physical Activities.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $663,112 )
2025	2025	CHEYENNE RIVER SIOUX TRIBE	24 E ST	EAGLE BUTTE	SD	57625	DEWEY	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	02	3	8/11/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2025	CHEYENNE RIVER SIOUX TRIBE	24 E ST	EAGLE BUTTE	SD	57625	DEWEY	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	01	3	4/7/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$497,334
2025	2025	CHEYENNE RIVER SIOUX TRIBE	24 E ST	EAGLE BUTTE	SD	57625	DEWEY	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	00	3	12/17/2024	NON-COMPETING CONTINUATION	$165,778
2025	2024	CHEYENNE RIVER SIOUX TRIBE	24 E ST	EAGLE BUTTE	SD	57625	DEWEY	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	04	2	10/30/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $663,112

Issue Date FY: 2024 ( Subtotal = $828,890 )
2024	2024	CHEYENNE RIVER SIOUX TRIBE	24 E ST	EAGLE BUTTE	SD	57625	DEWEY	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	02	2	6/12/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2024	CHEYENNE RIVER SIOUX TRIBE	24 E ST	EAGLE BUTTE	SD	57625	DEWEY	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	00	2	12/18/2023	NON-COMPETING CONTINUATION	$331,556
2024	2024	CHEYENNE RIVER SIOUX TRIBE	24 E ST	EAGLE BUTTE	SD	57625	DEWEY	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	01	2	5/9/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$331,556
2024	2024	CHEYENNE RIVER SIOUX TRIBE	24 E ST	EAGLE BUTTE	SD	57625	DEWEY	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	03	2	9/6/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$165,778
														Subtotal = $828,890

Issue Date FY: 2023 ( Subtotal = $663,112 )
2023	2023	CHEYENNE RIVER SIOUX TRIBE	24 E ST	EAGLE BUTTE	SD	57625	DEWEY	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	00	1	12/22/2022	NEW	$663,112
2023	2023	CHEYENNE RIVER SIOUX TRIBE	24 E ST	EAGLE BUTTE	SD	57625	DEWEY	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	02	1	9/13/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2023	CHEYENNE RIVER SIOUX TRIBE	24 E ST	EAGLE BUTTE	SD	57625	DEWEY	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	01	1	4/5/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $663,112

Grand Total All Awards = $2,155,114

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Cheyenne River Sioux Tribe Youth Diabetes Prevention Program

Award Number: H1D1IHS1088

ORGANIZATION: INDIAN HEALTH SERVICE

OPDIV: IHS

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: DEMONSTRATION

PERIOD OF PERFORMANCE START DATE: 01/01/2023

PERIOD OF PERFORMANCE END DATE: 12/31/2027

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