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Community Prevention: Type 2-Diabetes in California


Empirical studies that have been conducted in the state of California reveal that the health sector has initiated a community-based prevention and control project against the threat posed by diabetes. Evidence has shown that the population of the United States of America is highly susceptible to type 2-diabetes. As a result, it has immensely raised the medical bill (Gordon, 2012). For example, according to statistical records provided by the United States Center for Disease and Prevention, approximately 26 million Americans suffer from type 2-diabetes every year (Sarkar et al., 2010). Therefore, it is anticipated that implementing the prevention program within the Californian community will help to lower the medical bill by close to $29.8 million per year (Gordon, 2012). Moreover, the project will translate into a reduction of the prevalence rate of the scourge which is currently high above the normal rate. For this reason, there are specific intervention measures that can be put in place to improve the health status of the affected population while decimating health costs for a long period (Gordon, 2012). Nevertheless, a significant amount of monetary resources will certainly be spent to implement the program within the state of California.

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Prevention/intervention strategy

From a careful review of statistical data, the most appropriate intervention program should be capable of emphasizing the need for physical exercise and proper nutrition. According to Gordon (2012), this is a hypothetical project that aims at promoting a proper lifestyle within the community. The project is geared towards decimating risks of diabetes by approximately 65% within a stipulated period of four years (Lyles et al., 2011). It is important to note that in each part of California State, screening centers will be established. The aforementioned centers will be used by qualified and trained physicians to screen the vulnerable population. Once they are thoroughly screened, the results will determine the intervention measures that will be taken to ensure that the victims recover fully or are at least able to manage the health risks posed by diabetes. Some of the anticipated intervention strategies for victims include vigorous physical exercise and good nutrition (Banta et al., 2009). These strategies will help to reduce the health effects of diabetes and the mortality rate resulting from the illness. The outline below shows a sample budget plan that will be used to undertake the program in the state of California.

Sample Budget Sheet

Title of Program: Community based program for prevention and control of type 2-diabetes in California

Number of Participants Expected……500 trained and qualified physicians. More than 5.3 million adults are expected to benefit from the prevention program in California. Income Amount………$29.8million per year

Contributions from sponsors…….approximately $10.8million per year

Gifts………. $2.4 million per year

Grants __$14 million per year.

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Participation fee……. $2 million per year.

Sale of curriculum material…..$1.4 million per year

Total income…..$29.8 million per year


Curriculum materials…..$ 0.7 million

Equipment……$12.4 million


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Print…. 1.2 million dollars

Others…. 1million dollars


Administrative assistant ____$0.5 million

Program director ___$1.5 million

Educators __________$1.5 million

Evaluators _______$1.5 million

Postage _________$0.5 million

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Space _______________$1.5 million

Supplies _______________$2.5 million

Travel ________________$2.5 million

Total expenses__________$26.6 million

Balance____________$3.2 million

SWOT analysis of the proposed program

Community-based programs on prevention and control of type 2-diabetes will incorporate approximately four intensive and core sessions that will be offered every year. The sessions will be geared toward improving the lifestyles of type 2-diabetes victims. The major role will be assigned to officers in charge. They will be given duties depending on their rank as well as a hierarchy within the prevention program. Notably, the project has numerous strengths, weaknesses, opportunities and threats as outlined below.


One of the major strengths of the project is that it will help to improve self-management among individuals with diabetes. In addition, the project targets to change the lifestyle of the population and hence, it will indeed make it possible to decrease risky behaviors within the families (Gordon, 2012). Notably, the project has an essential and positive health impact that will ensure sustainable management of individuals affected by diabetes in California. For instance, the intervention measures that will be put in place are instrumental in curtailing the devastating effects of this terminal illness. In this case, the project will effectively manifest the effectiveness of quality lifestyle behaviors through awareness provided by the healthcare teams which will be assigned specific roles (Banta et al., 2009).


Despite the numerous strengths outlined above, the project has some inevitable weaknesses. For instance, the project focuses on lifestyle changes to decimate the prevalence of type 2-diabetes. However, it is evident that other intervention strategies are pharmacological and which have not been included in the program. In this case, the efficiency of the intervention measures is relatively low bearing in mind that it focuses on one strategy only. The project does not also consider measures that should be taken for people with acute and diverse types of diabetes. For example, it focuses on type 2-diabetes and ignores the other types.


One of the possible barriers that could have interfered with the implementation of the project is sufficient to fund. However, the project has numerous sponsors and as such, it will obtain more funds from grants provided by the government and other non-governmental organizations that have a keen interest in healthcare provision and prevention programs (Gordon, 2012). Moreover, it is worth noting that since the project targets to control and prevent type 2-diabetes which is a major health issue, it will receive adequate reinforcement from the government. Moreover, it will also attract private insurers who will provide incentives to reimburse the prevention and control of type 2-diabetes (Gordon, 2012). In this case, the project will be able to withstand all the impending obstacles especially in a case whereby the government will donate some of the equipment to be used.


On a final note, one of the major threats facing the project is the ever-changing paradigm on treatment, control and prevention of type 2-diabetes (Gordon, 2012). Moreover, most people suffering from the disease often opt to go for treatment and ignore the preventive measures. It is also important to bear in mind that this is an investment of its kind and therefore, this perspective can critically affect the operation of the project. In this case, there will be limited turnout for individuals seeking preventive measures which are even cheaper than treatment (Gordon, 2012).

In summing up, it is imperative to reiterate that this preventive program is indeed crucial in the state of California where type 2-diabetes is seemingly at a higher prevalence rate. Needless to say, such programs on healthcare ought to be given more focus by the respective organs of the state government to alleviate the pains which patients usually undergo during treatment.


Banta, J. E. et al. (2009). Retrospective analysis of diabetes care in California Medicaid patients with mental illness. Journal of General Internal Medicine, 24(7), 802-808.

Gordon, S. (2012). U.S. diabetes prevention program might avert 885,000 cases. Web.

Lyles, C. et al. (2011). Patient-reported Racial/Ethnic healthcare provider discrimination and medication intensification in the diabetes study of northern California (DISTANCE). Journal of General Internal Medicine, 26(10), 1138-1144.

Sarkar, U. et al. (2010). Hypoglycemia is more common among type 2 diabetes patients with limited health literacy: The diabetes study of northern California (DISTANCE). Journal of General Internal Medicine, 25(9), 962-968.

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