Since 1971, Native Americans for Community Action, Inc. (NACA) has offered a variety of health and human services to urban Native Americans and other low-income at-risk families, most of whom suffer from health and socio-economic disparities at rates disproportionate to the general population. The Native American population of Flagstaff is 12X the national average which represents 28% of the total Flagstaff population. The mission of NACA is to provide wellness strategies to empower and advocate for Native people and others in need to create a healthy community based on Harmony, Respect, and Indigenous Values.
NACA is proposing a five year program, with an annual budget of $375,000.00, to provide intensive nutrition and physical exercise coaching, self-management support, and resiliency programming to Native Americans at risk for obesity, type 2 diabetes, heart disease, and stroke. Through careful planning and collaboration with partnering agencies, NACA proposes to implement and establish a Breastfeeding Collaborative and Support Program for Native American mothers. Additionally, health education campaigns at facilities that employ a high rate of Native Americans, such as the City, County and tribal agencies are proposed. Community Health Workers (CHW) will be employed to promote activities to empower and coordinate care for high risk hypertension patients and individuals at risk for diabetes at the NACA Family and Behavioral Health Center will be conducted. In addition these CHW’s will conduct community campaigns and conduct education and outreach at all NACA sponsored events throughout the year.
The strategies for this proposed programming include:
1. To implement evidenced-informed and culturally-adapted policy, system, and environmental changes (PSE) to prevent obesity.
2. To implement evidence-informed and culturally-adapted community-clinical linkages (CCL) to support type 2 diabetes prevention.
3. To implement evidence-informed and culturally-adapted community-clinical linkages (CCL) to support heart disease and stroke prevention.
Through this proposed programming, the overall goal is to reduce the rates of death and disability from commercial tobacco use, diabetes, heart disease, obesity and stroke within the Native American population of Northern Arizona. Working collaboratively with other local agencies NACA will begin the long term campaign of preventing these chronic conditions in our Native populations. By restoring the Indigenous lifestyles and cultural beliefs that positively impact overall health and wellness we can diminish the destructive lifestyle habits that contribute to the development of chronic health conditions.