The Health Promotion Disease Prevention (HPDP) Programs' role within the Tuba City Regional Health Care Corporation (TCRHCC) is to provide diabetes prevention best practices in School Health & Community-Based Physical Activities. In addition, HPDP's role is to increase physical activity and health education among community members and their families. The HPDP’s biannual FitnessGram Assessment assesses the Tuba City service area schools. In 2019 the FitnessGram data has identified approximately 1,660 overweight and obese students, ages 6-18, in 11 schools in the Western Agency portion of the Navajo reservation. The HPDP Childhood Obesity Intervention Program will serve as a resource to build the capacity of schools in implementing evidence-based programs and strategies to reduce diabetes risk. The strategy is to integrate the services provided by TCRHCC with after-school programs, community participation with regard to decision-making, family activities, and the collection of data to support the activities. To complement these strategies, TCRHCCs' approach includes activities to keep students engaged as well as supporting academic success in the classroom. Additionally, the HPDP Community-Based Physical Activities targets over 20,000 participants/community members in the Western Navajo Agency. The HPDP program provides activities for youth & adults. These community-based programs are conducted seasonally throughout the year. The activities include but are not limited to: family walking/running series, community sport leagues, weight management programs, health education classes, social marketing, summer youth activities, healthy food demonstrations, and fitness classes.
The Healthy Living Center (HLC) Diabetes Education and Clinical Nutrition (DECN) department collaborates with Health Promotion Disease Prevention in grant activities and program objectives. HLC/DECN is the clinical component for the fight against diabetes. The Healthy Living Center/ Diabetes Education and Clinical Nutrition includes a diabetes education program recognized by the American Association of Diabetes Educators, which allows reimbursement for the services they provide and as a indicator of the quality of those services. The HLC /DECN provides group and individual diabetes self-management education, medication management, medical nutrition therapy, foot exams, retinopathy screening as well as glucometer training and support. Nutrition therapy for health concerns other than diabetes, such as obesity, pregnancy, and hyperlipidemia are also available. The HLC is also responsible for providing nutrition care and diabetes education in the inpatient setting. The HLC is responsible for maintaining the diabetes registry and completing the annual diabetes audit. The HLC works closely with primary care clinics to coordinate referrals and ensure adherence to diabetes standards of care. HLC plays an integral role in the treatment of diabetes and is focused on providing culturally sensitive care to reduce complications associated with diabetes.