Good Health and Wellness in Indian Country

The purpose of this Assistance Listing (AL) is to reduce rates of death and disability from commercial tobacco use, diabetes, heart disease and stroke, reduce the prevalence of obesity and other chronic disease risk factors and conditions, (e.g., oral health, dementia, COPD). This AL has three (3) separate, competitive components with eligibility and scope of work requirements for each. Applicants must submit a separate application for each component for which they are applying. The AL combines evidence-informed policy, systems, and environmental changes, and clinical-community linkages strategies which may be culturally adapted to meet the needs of Native American Tribe and Alaska Native Village communities. The long-term outcomes of this AL are: • Increased purchasing of healthy foods. • Increased physical activity with an emphasis on walking. • Reduced prevalence of commercial tobacco use. • Reduced incidence of type 2 diabetes. • Reduced prevalence of high blood pressure. • Reduced prevalence of high blood cholesterol. This is a five-year funding opportunity (five year period of performance, one year budget period).