Hawaii is diverse, with 1,413,673 residents living in four main counties across seven inhabited islands; a large percentage are non-Caucasian minorities. Prevalence of chronic diseases including type 2 diabetes and cardiovascular disease continue to rise among all ethnicities and all income levels.
The Hawaii State Department of Health, Chronic Disease Prevention and Health Promotion Division (CDPHPD) is a dedicated team with a history of achieving tangible population-level behavioral changes in obesity and chronic disease prevention. CDPHPD utilizes the socioecological framework to effect environmental and systematic change by influencing organizational and legislative policies to improve resources and quality of care for those with chronic disease. With over 15 years of experience providing leadership and management of CDC cooperative agreements, the CDPHPD has established an integrative and coordinated approach through the building of a shared vision, strategies, partnerships, and resources.
Building upon existing resources, projects, and collaborations, the CDPHPD and its partners aim to reduce the prevalence and death/disability due to diabetes, heart disease and stroke in Hawaii. This goal will be accomplished through evidence-based strategies that support:
1) Type 2 diabetes prevention and management;
2) Cardiovascular disease prevention and management;
3) Implementation of team-based care, including the engagement of non-physician team members (e.g. nurses, nurse practitioners, pharmacists, nutritionists, physical therapists, social workers) for patients with high blood pressure, high cholesterol, prediabetes, and type 2 diabetes; and
4) Linkage of community resources and clinical services that support systematic referrals, self-management, and lifestyle change for patients with high blood pressure, high cholesterol, prediabetes, and type 2 diabetes.