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RMI Prevention and Control of Chronic Disease and Associated Risk Factors

Award Number: NU58DP006660
ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 03/29/2019
PERIOD OF PERFORMANCE END DATE: 06/27/2025

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RMI Prevention and Control of Chronic Disease and Associated Risk Factors - The RMI NCD Program’s goal for this proposal is to prevent and reduce tobacco use and second-hand smoke exposure, improve the prevention and management of diabetes and diabetes related complications, high blood pressure, high blood cholesterol, and to prevent persons with diabetes from developing type 2 diabetes. In addition, it also aims to improve the capacity of the program to address oral health needs in the Marshall Islands. The church and religion have played a significant role in shaping the attitude and behaviour of the people since the missionaries first arrived in the islands during the 1830s. Food habits among the residents of the Marshall Islands have undergone a change for the worse due to globalization, development of cash-based economy, and the availability of imported western food. The traditional nutritious diet consisting primarily of breadfruit, coconut, pandanus, taro, protein-rich fish, and chicken was overtaken by imported canned and processed food. Alcohol, smoking, substance abuse, and the crime rates are also on the rise. Lifestyle changes combined with changes in diet have led to the increasing incidence of diabetes and the secondary complications associated with diabetes. The health of the people is moving through a transition in morbidity and mortality, so that currently more people die from non-communicable lifestyle-diseases than from communicable diseases. Due to the rise of non-communicable diseases (NCDs) – the Marshall Islands officially declared a state of health emergency against NCDs on October 29, 2012. In the short-term, the programs’ expected outcomes are: (1) routine collection, analysis, and use of NCD clinical and population-based data; (2) increased number of evidence-based strategies implemented that reduce access to tobacco; (3) increased awareness of the dangers of tobacco use, and the benefits of cessation; (4) Increased awareness about benefits of, and increased support for, smoke-free environments; (5) increased quality improvement practices in health systems to improve diabetes and cardiovascular disease (CVD) care; (6) increased use of health information technology to identify and manage patients with high blood pressure and high blood cholesterol; (7) increased implementation of team-based care in managing patients with high blood pressure and high blood cholesterol; (8) increased awareness and implementation of PHS guideline for treating tobacco use and dependence; (9) increased use of health extenders for the support of diabetes, high blood pressure, and high blood cholesterol; (10) increased availability of evidenced-based tobacco cessation services; (11) increased awareness and use of available cessation resources. At the end of the project period, we expect the following outcomes: (1) decreased tobacco use prevalence; (2) decreased number and percent of adults with diabetes with an A1C>9; (3) increased control among adults with known high blood pressure and high blood cholesterol; (4) increased number of people with prediabetes enrolled in a CDC-recognized type 2 diabetes prevention program.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $0 )
2025	2024	MINISTRY OF HEALTH IN THE REPU BLIC OF THE MARSHALL ISLANDS	DELAP IN CAPITAL CITY OF M	MAJURO	MH	96960	MARSHALL ISLANDS	USA	Prevention and Control of Chronic Disease and Associated Risk Factors in the U.S. Affiliated Pacific Islands, U.S. Virgin Islands, and P. R.	03	5	11/22/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	MINISTRY OF HEALTH IN THE REPU BLIC OF THE MARSHALL ISLANDS	DELAP IN CAPITAL CITY OF M	MAJURO	MH	96960	MARSHALL ISLANDS	USA	Prevention and Control of Chronic Disease and Associated Risk Factors in the U.S. Affiliated Pacific Islands, U.S. Virgin Islands, and P. R.	04	5	3/28/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2023	MINISTRY OF HEALTH IN THE REPU BLIC OF THE MARSHALL ISLANDS	DELAP IN CAPITAL CITY OF M	MAJURO	MH	96960	MARSHALL ISLANDS	USA	Prevention and Control of Chronic Disease and Associated Risk Factors in the U.S. Affiliated Pacific Islands, U.S. Virgin Islands, and P. R.	03	5	11/22/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2023	MINISTRY OF HEALTH IN THE REPU BLIC OF THE MARSHALL ISLANDS	DELAP IN CAPITAL CITY OF M	MAJURO	MH	96960	MARSHALL ISLANDS	USA	Prevention and Control of Chronic Disease and Associated Risk Factors in the U.S. Affiliated Pacific Islands, U.S. Virgin Islands, and P. R.	04	5	3/28/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2024 ( Subtotal = $195,329 )
2024	2024	MINISTRY OF HEALTH IN THE REPU BLIC OF THE MARSHALL ISLANDS	DELAP IN CAPITAL CITY OF M	MAJURO	MH	96960	MARSHALL ISLANDS	USA	Prevention and Control of Chronic Disease and Associated Risk Factors in the U.S. Affiliated Pacific Islands, U.S. Virgin Islands, and P. R.	02	5	3/1/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$195,329
2024	2023	MINISTRY OF HEALTH IN THE REPU BLIC OF THE MARSHALL ISLANDS	DELAP IN CAPITAL CITY OF M	MAJURO	MH	96960	MARSHALL ISLANDS	USA	Prevention and Control of Chronic Disease and Associated Risk Factors in the U.S. Affiliated Pacific Islands, U.S. Virgin Islands, and P. R.	02	5	3/1/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $195,329

Issue Date FY: 2023 ( Subtotal = $230,000 )
2023	2023	MINISTRY OF HEALTH IN THE REPU BLIC OF THE MARSHALL ISLANDS	DELAP IN THE CAPITAL CITY OF M	MAJURO, MARSHALL ISLANDS	MH	96960		USA	Prevention and Control of Chronic Disease and Associated Risk Factors in the U.S. Affiliated Pacific Islands, U.S. Virgin Islands, and P. R.	00	5	3/7/2023	NON-COMPETING CONTINUATION	$230,000
2023	2023	MINISTRY OF HEALTH IN THE REPU BLIC OF THE MARSHALL ISLANDS	DELAP IN THE CAPITAL CITY OF M	MAJURO, MARSHALL ISLANDS	MH	96960		USA	Prevention and Control of Chronic Disease and Associated Risk Factors in the U.S. Affiliated Pacific Islands, U.S. Virgin Islands, and P. R.	01	5	3/16/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	MINISTRY OF HEALTH IN THE REPU BLIC OF THE MARSHALL ISLANDS	DELAP IN THE CAPITAL CITY OF M	MAJURO, MARSHALL ISLANDS	MH	96960		USA	Prevention and Control of Chronic Disease and Associated Risk Factors in the U.S. Affiliated Pacific Islands, U.S. Virgin Islands, and P. R.	01	4	3/13/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $230,000

Issue Date FY: 2022 ( Subtotal = $230,000 )
2022	2022	SENSITIVE		Majuro, Marshall Islands	province			AFG	Prevention and Control of Chronic Disease and Associated Risk Factors in the U.S. Affiliated Pacific Islands, U.S. Virgin Islands, and P. R.	00	4	3/1/2022	NON-COMPETING CONTINUATION	$230,000
														Subtotal = $230,000

Issue Date FY: 2021 ( Subtotal = $230,000 )
2021	2021	SENSITIVE		Majuro, Marshall Islands	MH	96960		USA	Prevention and Control of Chronic Disease and Associated Risk Factors in the U.S. Affiliated Pacific Islands, U.S. Virgin Islands, and P. R.	00	3	2/24/2021	NON-COMPETING CONTINUATION	$230,000
2021	2021	SENSITIVE		Majuro, Marshall Islands	MH	96960		USA	Prevention and Control of Chronic Disease and Associated Risk Factors in the U.S. Affiliated Pacific Islands, U.S. Virgin Islands, and P. R.	01	3	9/14/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	SENSITIVE		MAJURO, MARSHALL ISLANDS	MH	96960		USA	Prevention and Control of Chronic Disease and Associated Risk Factors in the U.S. Affiliated Pacific Islands, U.S. Virgin Islands, and P. R.	01	2	11/30/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $230,000

Issue Date FY: 2020 ( Subtotal = $230,000 )
2020	2020	SENSITIVE		MAJURO, MARSHALL ISLANDS	MH	96960		USA	Prevention and Control of Chronic Disease and Associated Risk Factors in the U.S. Affiliated Pacific Islands, U.S. Virgin Islands, and P. R.	00	2	2/25/2020	NON-COMPETING CONTINUATION	$230,000
														Subtotal = $230,000

Issue Date FY: 2019 ( Subtotal = $230,000 )
2019	2019	SENSITIVE		MAJURO, MARSHALL ISLANDS	province	postal_code		MHL	Prevention and Control of Chronic Disease and Associated Risk Factors in the U.S. Affiliated Pacific Islands, U.S. Virgin Islands, and P. R.	00	1	3/13/2019	NEW	$230,000
2019	2019	SENSITIVE		MAJURO, MARSHALL ISLANDS				MHL	Prevention and Control of Chronic Disease and Associated Risk Factors in the U.S. Affiliated Pacific Islands, U.S. Virgin Islands, and P. R.	01	1	8/26/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $230,000

Grand Total All Awards = $1,345,329

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RMI Prevention and Control of Chronic Disease and Associated Risk Factors

Award Number: NU58DP006660

ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 03/29/2019

PERIOD OF PERFORMANCE END DATE: 06/27/2025

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