Federated States of Micronesia: SPF-PFS Project
ABSTRACT
The Federated States of Micronesia (FSM) Strategic Prevention Framework Partnerships for Success (SPF-PFS) will focus on prevention of alcohol use and cigarette smoking among individuals who are 12 to 20 years of age. The FSM will fund culturally appropriate evidenced-based prevention efforts-programs, policies, and practices-in its four states, which are underserved communities greatly impacted by substance abuse disorder. The total population of the FSM, per the latest. census, is 102,843 persons.
The most recently published FSM epidemiological profile indicates that the four states, and the FSM as a whole, suffer from an epidemic of underage drinking and cigarette smoking. The four sub-recipient states-Yap, Chuuk, Pohnpei and Kosrae-compose the while of the FSM's population; thus, the FSM anticipates significant reductions in the use of alcohol and cigarette smoking among the targeted group. Each of the subrecipient states is geographically, politically, culturally, and linguistically distinct from the others.
The overarching goal of the FSM's SPF-PFS program is to support each of the four FSM subrecipient states (Chuuk, Pohnpei, Kosrae and Yap) in the using evidence-based prevention programs, policies and practices to address behaviors of youth ages 12-20 that may lead to initiation of alcohol use and cigarette smoking. Both alcohol consumption and cigarette smoking tend to begin around the age of 17 in the FSM, so targeting youth is especially critical, given the many negative outcomes identified with alcohol and cigarette misuse. These negative outcomes include domestic violence, child neglect, teenage pregnancy, gang activity, low education achievements, low income, unemployment, crime and mental illness.
The overall goa of reducing underage drinking and cigarette smoking within the sub-recipient states can be broken down into three sub-goals: (1) identifying behaviors of youth that lead to initiation of alcohol use and cigarette smoking; (2) increasing the capacity within the four FSM subrecipient states to reduce, and ultimately prevent, the availability of and access to alcohol and cigarettes among persons aged 12 to 20; and (3) building on existing surveillance systems within the FSM subrecipient states to establish a single standardized system to identify underage drinking and cigarette smoking.
The FSM Behavioral Health and Wellness Program (BHWP), its existing FSM Advisory Council, the State Epidemiological Outcome Workgroup (SEOW), and the existing Evidenced-based Workgroup (EBW)_will work in concert with the SPF-PFS project staffs to institutionalize data-driven decision making at both the national and state sub-recipient levels; identify the needs related to underage drinking, and identify evidenced-based programs, policies, and practices to address the needs.
The five-year proposal seeks to continue and extend substance use prevention efforts undertaken by the FSM Department of Health and Social Affairs, the FSM Behavioral Health and Wellness Program, and other entities within the FSM.