Eliminating Health Disparities Initiative Grantees - State Fiscal Year 2013

The Eliminating Health Disparity Initiative (EHDI) is a grants-based program administered by the Minnesota Department of Health-Office of Minority and Multicultural Health established in the 2001 Legislative session. The goal of EHDI is to improve the health status of Populations of Color and American Indians (POC/AI).

Grant Type Priority Health Area Serving Residents
of County
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Crown Medical /Support Services

Project name: EHD in Diabetes in MN African Immigrants

Grant Type: Priority Health Area Implementation

Project Description: We recognize the importance of providing education to teens, not only for their benefit, but with the understanding that health education combined with diligent implementation strategies for success and routine monitoring allows the entire family to become aware of lifestyle and nutritional changes that will improve health and extend life. Crown Medicals practitioners have seen an upsurge in the number of African immigrants diagnosed with diabetes related diseases. Because of dramatic change in diet and other lifestyles following immigration to the United States, incidence of diabetes and hypertension has reached an alarming proportion in the African population. Based on Crowns recent clinic findings, about 25% of Somali adults who utilize the clinics primary care services have diabetes and more than this number have hypertension If untreated, high blood pressure and diabetes could lead to coronary artery disease, heart attack, congestive heart failure, kidney damage and death. The annual cost of diabetes in Minnesota in terms of medical cost, disability, loss of work and premature death is estimated to be over $2.3 billion. The social and economic burdens on the state of Minnesota and on individuals due to undiagnosed and untreated hypertension and diabetes are very high. CMSS strongly believes that morbidity and mortality rates due to these two diseases can be reduced through simple preventive health education measures.

EHDI Grant Activity Outcomes: We will help detect diabetes earlier by providing culturally appropriate messages about risk factors for diabetes, who is at risk, and the importance of detecting, preventing and treating diabetes. Medication compliance is also an important component of our patient education plans. We will educate patients and reinforce the modifiable risk factors associated with diabetes: Being overweight or obese, having a sedentary lifestyle, having high cholesterol, using tobacco, and having high blood pressure. To achieve optimal success, measurable outcomes include meeting these 5 essential targets: A1C blood sugar level at or below 7%, LDL cholesterol below 130, blood pressure below 130/80, daily aspirin use if over 40, and no tobacco use. Patients will understand that keeping blood sugar at a healthy level is the single most important step they can take to rein in their diabetes. Patients will set specific goals to help them learn to create diabetes friendly meals by making better choices in purchases. They will understand what hypoglycemia is, what the triggers are, what the warning signs are, why they should be concerned, and how to prevent. Goal for patients: keep their heart strong, protect their kidneys, fend off nerve damage, and safeguard their sight.

Racial/ethnic group(s) to be served:
African/African American

Priority health area(s):

County(s) Served:

Geography and Population Served: African Immigants (primarily Somali) and African Americans, and most of them are placed below 275% of federal poverty level.

Contact: Joyce Onyekaba, M D.

Street address:
1925 1st Avenue South
Minneapolis, MN 55403
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Phone: 612-978-3783
E-mail: crownmed@msn.com
Web site: crownmedicalcenter.org

Executive Director: Joyce Onyekaba, M. D.
Phone: 612-978-3783
E-mail: crownmed@msn.com