Ohio WISEWOMAN - The Ohio Department of Health (ODH) WISEWOMAN: Well-Integrated Screening and Evaluation of WOMen Across the Nation CDC-RFA-DP-23-0003 program will be housed in the Bureau of Health Improvement Wellness in the Chronic Disease Section, where collaborations with other chronic disease programs (e.g., Breast and Cervical Cancer Project, Cardiovascular Disease, Coverdell Stroke, Tobacco program) are already occuring. This team also collaborates with other ODH programs within the bureau that promote improved nutrition and physical activity. The WISEWOMAN program will have a network of partners in key areas of the state, as evidenced by the letters of support submitted with this application, to provide cardiovascular disease screening and prevention services for Ohio’s NBCCEDP program in Ohio. In 2020, Ohio ranked among the worst in the country for cardiovascular deaths (42nd) and diabetes (39th). Ohio Vital Statistics data show that heart disease was the leading cause of death in Ohio in 2020, accounting for 30,528 deaths, and stroke was the 5th leading cause, accounting for 7,055 deaths. Ohio has selected two priority population areas for the initial WISEWOMAN project period, both of which include Appalachian counties. The first priority population area is in northeastern Ohio that includes Ashtabula, Trumbull, Portage, Mahoning, and Columbiana counties. The second priority population is in southern Ohio that includes Scioto, Pike, Adams, Brown, Highland, and Jackson counties. The two priority population areas chosen experience a higher prevalence of heart disease than the statewide prevalence of 10.5% for the southern Ohio region and 5.9% for the northeastern Ohio region, compared to the statewide prevalence of 5.1%. With project year one requiring establishment of the program, ODH proposes to reach approximately 150 participants. By the end of project year two ODH estimates increasing participation to 1140 participants, year three to 1428 participants, year four to 1714 participants and by end of project year five 2143 participants.