Native Americans for Community Action (NACA) founded in 1971, is one of 33 Urban Indian Health programs in the United States, serving Flagstaff and surrounding Coconino County communities. The mission of NACA is to provide wellness strategies, empower, and advocate for Native people and others in need to create a healthy community based on Harmony, Respect, and Indigenous Values.
NACA Special Diabetes Program for Indians (SDPI) program is proposing a 12-month budget of 313,856.00 to provide diabetes care, management and prevention strategies to the Native American Alaskan Native patients living with diabetes. NACA will work with our patients within our NACA Family Health Center and the Flagstaff community.
NACA's SDPI program best practice is Diabetes related Education. NACA's Audit focus will be foot exams and physical activity. Through activities such as:
- Providing health education classes such as The Diabetes Self-Management Education and Support (DSMES) and Lifestyle balance classes to provide tools to patients of the NACA Family Health Center and community member to help manage and prevent the onset of type-2 diabetes. Achieving these goals though nutrition and physical activity education and one on one visits with a Registered Dietitian to receive support and advice on healthy eating opportunities.
- Motivate Ourselves for Vitality and Enrichment (MOVE) an 8-week physical activity program to introduce movement to help patients achieve their fitness and health goals.
- Provide physical activity classes and activities to patients in a group or one on one setting at the NACA wellness center or community events such as Hiking Series and Couch to 5k programs to encourage physical activity.
Short Term Outcomes
1. Increased number of DM interactions within Clinic to prompt further care of other NACA HP services, including foot checks and physical activity.
2. Increased number of CDC-recognized type 2 diabetes prevention programs/classes offered in AI/AN communities to prevent or delay onset of type 2 diabetes.
3. Increased patient and community participation of Health Promotion events through culturally-adapted continuity of care/community support strategies
Intermediate Outcomes
1. Increased number of patients with the improvement of A1C levels and regular blood glucose checks
2. Increased number of community members at high risk for diabetes enrolled in CDC-recognized type 2 diabetes prevention programs offered in AI/AN communities.
3. Increased number of patients with high blood pressure or high blood cholesterol engaged in self-management and treatment programs.
Long Term Outcomes
1. Increased Physical Activity
2. Annual Foot checks completed
3. Regular/ daily monitoring DM
4. Reduced prevalence of Type 2 Diabetes