SDPI Summary Abstract 2023: The Pascua Yaqui Tribe (PYT) of Arizona, like many other Native American communities, continue to experience the same growing epidemic of diabetes. In efforts to combat this issue, the Pascua Yaqui Diabetes Prevention and Treatment Program (PYDPTP) has established with community input services to address this issue and aid to serve individuals with diabetes and those at risk for developing type 2 diabetes. Central to the new cycle is the ability to gather community support input and access to services planning. The Health Community Health Needs Assessment every other year and Health Conference “Food is Medicine” opens the door for community partnerships with other agencies as well. PYT reservation is located 15 miles southwest from the Tucson city center along the I-19 corridor to 50 miles from Mexico. It is surrounded to the south and east by the Tohono O'odham Nation where the Tucson area - Indian Health Service (IHS) Health Center is located, near the San Xavier Indian Health Center. Due to recent changes, there are no local IHS health clinics in the Tucson area. The nearest IHS Clinic is in Phoenix 111.4 miles from the PYT reservation. We have been a SDPI grantee since 2016 and in the process of requesting a new five-year grant allocation based on our current annual budget amount of $781,407, which will allow us to expand the scope of services utilizing the skills of trained staff. The funding will also help leverage continuation of ongoing pilot and support programs in partnership with the University of Arizona (UA), Libre 2, Boys and Girls Club, CDC Good Health and Wellness (GHWIC) Prevent 2 project. Funding will allow us to respond to community desires for enhanced services in the areas of diabetes – related education expansion of critical podiatry and eye checks in the development of new physical health activity options to our wellness center for A1C training for 9 staff. SDPI will help continue sites: Ph
armacy, Specialty Services Clinic and Alternative/Traditional services, Wellness Center based on the reservation. All sites providing screening supports and education services. The continuing outreach services include education classes, fitness activities/classes, community events and clinical services with group and individual options. These services target the at-risk population in the community thus providing multiple exercise programs, fitness training/activities which target obese children and adults. Culinary arts programs with strong emphasis in traditional foods and nutrition classes coordinated with outreach staff and the registered dietitian. The PYDPTP provides case management services by clinical pharmacist, podiatry, and holistic diabetes education programs. PYDPTP outreach services provide family-oriented diabetes screening events and offer diabetes education on multiple levels by screening and referrals from clinical health providers from El Rio Health Clinic, PYT Community Health Nursing and other health related programs. The CDC GHWIC 1903 grant has collaborated with the PYDPTP for over 4 years by providing a CDC evidence-based curriculum recognized by the National Diabetes Prevention Program. This collaboration allowed the CDC’s Prevent T2 curriculum to be more culturally adaptive fitting the needs of the community. Other collaborations include a 5-year American Indian Youth Wellness Program, Camp in a box in partnership with the UA. PYDPTP will build collaborating relationships with other tribal programs to ensure that diabetes, fitness, and nutrition education are an integral part of community programming. SDPI will support the growth of the existing programs established by the PYT Health Department. Many of these programs will continue to improve their programming to increase reach and effectiveness. Tribal programming, collaboration, and wellness events supported by the SDPI work together to encourage sustainable behavior change to improve the
health of the community.