2024 Cultural approach to GHWIC - Santo Domingo Pueblo’s (Kewa Pueblo) Kewa Health Outreach Program (KHOP), as a Component 1 applicant, is requesting $2 million for a 60-month Cultural Approach to Good Health in Indian Country program to implement chronic disease prevention and management strategies and activities within the Kewa Pueblo community in New Mexico. The program builds on the previous GHWIC funding and expands through lessons learned and partnerships and narrows inequities by including program connections to language and culture. The purpose of the program is to create community engagement through shared cultural experiences. It is a tribal priority to close the gap on life expectancy disparities among community members and revitalize cultural practices by addressing chronic disease prevention and management. KHOP will implement a) Strategy 1 by addressing physical activities to strengthen endurance for cultural events, focusing on nutrition, providing health education for oral health related to diabetes, increasing access to programs, and policy development; b) Strategy 2 by screening, referring/recruiting community members to diabetes and/or heart disease and stroke prevention programs, while strengthening strategies through policy development; and c) Strategy 3 by joining the tribal clinic’s Diabetes Care Team and promoting a multi-disciplinary team-based care approach, becoming a Medicaid Diabetes Prevention Program provider, expanding screening and referral practices with community-based services, and developing policies to support sustainable change. Intermediate outcomes include a) Increased cultural connectedness among community members. Increased sense of social connectedness. b) Increased referrals for community members to clinical, social and community service providers and programs who completed a visit. c) Increased participation in prevention, management, and control programs, including self-management and self-monitoring, for diabetes (incl. prediabetes), high blood pressure, obesity, and oral health. d) Increased participation in traditional and contemporary wellness activities that diabetes (including prediabetes), high blood pressure, and oral disease. e) Increased use of multidisciplinary care teams that provide patient care using evidence-based practices and guidelines to prevent and manage chronic diseases and risk factors. f) Increased use of services for patients from multidisciplinary care teams. The work plan is aligned with the logic model and will strengthen the existing program through the expansion of community-clinical linkages, while focusing on quality of life, mobility, and ability to participate longer in cultural activities (extend life span), enabling community members to share their knowledge and ways to the next generation.