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Funding Period:
2003–2008
The Steps Program in the Tohono O’odham
Nation, Arizona
CDC’s Steps Program funds states, cities, and tribal groups to implement
community-based chronic disease prevention programs to reduce the burden of
obesity, diabetes, and asthma by addressing three related risk factors:
physical inactivity, poor nutrition, and tobacco use. Steps-funded programs
are showing what can be done locally in schools, work sites, communities,
and health care settings to promote healthier lifestyles and help people
make long-lasting and sustainable changes that can reduce their risk for
chronic diseases.
Background
A sovereign nation residing on a portion of its people's original Sonoran
desert lands, the Tohono O'odham Nation is organized into 11 districts. The
land lies within three Arizona counties: Pima, Pinal, and Maricopa. The main
reservation is located between Tucson and Ajo, with its administrative
center in the town of Sells. A few of the districts are not contiguous with
the main reservation: The San Xavier District southwest of Tucson, the San
Lucy District near the city of Gila Bend, and the Florence Village near the
city of Florence. The reservation's land area is 4,453 square miles, the
second-largest Indian reservation in size in the United States (after the
Navajo). Approximately 18,000 people live on the reservation today,
significantly more than the 10,787 residents reported in the 2000 U.S.
Census. Tohono O’odham Nation Steps Program efforts are focused on the
significant health impact of chronic diseases and health disparities in this
American Indian population.
Spotlight on Success
- The Tohono O’odham Nation Steps Program has conducted a Youth
Diabetes Outreach Program annually for the past 4 years to reach out to
the community’s young people between 5 and 17 years of age. It provides
diabetes education, awareness, and prevention activities and materials
and highlights the importance of physical activity.
- The Indian Health Service’s pediatricians have partnered with the
Tohono O'odham Nation Steps Program to refer obese clients and those
with diabetes or asthma for ongoing one-on-one health education. The
program helps clients control their weight and teaches disease-specific
self-management skills.
- The Tohono O’odham Nation Steps Program implemented the Open Airways
for Schools program, developed by the American Lung Association, to
teach self-management skills to elementary school children with asthma.
The curriculum consists of six 40-minute lessons and is taught by
trained volunteers. The interactive approach uses group discussions,
stories, games, and role-playing to promote children’s
active involvement in the learning process.
Community Partnerships
Community partners help guide the development and implementation of Steps
programs in the Tohono O’odham community. Collaborating organizations
include the Prevention Coalition, the Food and Fitness Collaborative, and
the Healthy Native Community Fellowship.
Contact
Steps to a HealthierAZ–Tohono O'odham Nation
Tohono O'odham Department of Health and Human Services
Telephone: 520-383-6240
www.azdhs.gov/phs/cdpc/steps
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service to our users. Links do not constitute an endorsement of any organization
by CDC or the Federal Government, and none should be inferred. The CDC is
not responsible for the content of the individual organization Web pages found
at this link.
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Page last reviewed: July 31, 2008
Page last modified: July 31, 2008
Content source: Division of Adult and
Community Health, National
Center for Chronic Disease Prevention and Health Promotion
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