The purpose of the 1422 grant was to support implementation of population-wide and priority population approaches to prevent obesity, diabetes, and heart disease and stroke and to reduce health disparities in these areas among adults, with a primary focus on adults with uncontrolled high blood pressure and/or diabetes and those at high risk for developing type 2 diabetes. There were two components to the 1422 grant. Component 1 supported environmental and system approaches to promote health, support and reinforce healthful behaviors, and build support for lifestyle improvements while component 2 supports health system interventions and community-clinical linkages.
MERC conducted the local health department level evaluation of the 1422 grant in Nebraska. At both the state and local level, evaluation efforts for the 1422 grant will examine how the strategies within and between components 1 and 2 are being mutually reinforced, with a focus on assessing facilitators and barriers to implementing grant strategies.