The opportunity for health starts long before you need medical care. Health begins where people live, work, learn, and play. Health starts in strong, loving families, and in neighborhoods with sidewalks safe for walking and grocery stores with fresh vegetables. And health starts in having the time and financial resources to play at the end of a hard day's work, because unrelieved stress takes its toll on our hearts and immune systems. As we work on fixing health care in our communities, we need to start where health starts, not just where it ends. The NKFM recognizes the need to confront the socioeconomic circumstances in which people in Flint, Inkster, and NW Detroit work and play to improve their health and well-being. The NKFM has connected local partnerships to form a coalition in each of these communities consisting of community members and representatives from minority-based organizations, partnering businesses, community agencies, faith-based organizations, local government, education institutions, housing developments, and other stakeholders.
The NKFM collected relevant information on social, economic, and community conditions, health trends of the priority population, its risk status, and the impact of community environment on health. Sources of data include publicly available health statistics, focus groups, photovoice, surveys, key informant interviews, and a needs assessment using the CDC’s Community Health Assessment and Group Evaluation (CHANGE) Tool to identify the assets and specific needs of people living in Flint, NW Detroit, and Inkster. The CHANGE Tool was selected as the primary method of garnering information because of its specific focus on assessing the policy and environment setting in each community.
Out of the data collection effort, a comprehensive strategic plan was born. Priorities were collectively established by each community and the interventions consist of evidence-based, culturally-acceptable programs serving adults with diabetes in predominantly African American communities. Diabetes and its related complications are among these communities’ leading health concerns. From a socio-ecological intervention perspective, diverse resources and supports are needed to effectively manage the disease.
The strategic plan includes specific plans to meet the following goals. For more details, download a copy of the Communities Against Diabetes Strategic Plan:
- Promote Good Nutrition
- Increase Opportunities to Engage in Low-Cost Physical Activity
- Promote Chronic Disease Management
- Disseminate Diabetes-Related Support and Management Information
- Stimulate Policy Change
It is generally accepted that 95% of the tasks required for successful
diabetes management are performed daily by the patient
or the patient’s significant other or caregiver.