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REACH US SEA-CEED (South Eastern African American Center of Excellence in the Elimination of Disparities in Diabetes) aims to eliminate health disparities related to diabetes prevention and control by reducing risks and preventing complications of diabetes related to hypertension, stroke, and amputations in African Americans.

Building on the success of the REACH 2010 Charleston and Georgetown Diabetes Coalition, SEA-CEED is working to reach 1,750,000 African Americans, approximately 300,000 with diabetes in 121 counties in South Carolina, Georgia, and North Carolina with populations greater than 30% African Americans at risk and with diagnosed diabetes. The SEA-CEED community action plan addresses a geographic area with high burden and great disparity, builds on the success of previous REACH coalitions, capitalizes on a broad network of academic and community partners which have worked effectively with mutual respect, represents rigorous application of community based participatory action principles and evidence based guidelines, and works at the local, state, and multi-state levels, and with CDC and other CEEDs.

SEA-CEED is a network of coalitions and community partnerships that pools the abilities, expertise, and resources of numerous stakeholders to positively change community health. A community action plan is guided by a collaborative model, which stresses identification of change agents, involvement in health organizations and other community organizations, with a focus on policy and systems change to enable and encourage individual behavior change. Strong science is applied within a tailored and culturally appropriate community context. A logic model identifies levels of activity and change with parallel plans for monitoring achievement of multi-level of objectives. Within a ecological framework, SEA-CEED applies concepts from the Chronic Care Model (information systems, decision support, delivery system design, self-management support).

One strategy used to affect change in community health outcomes, behaviors, and knowledge is to implement a sustainable reimbursable diabetes self-management training (DSMT) program and quality improvement plan in health systems. In addition, partnered organizations provide consistent, evidenced based, culturally tailored diabetes prevention, awareness, and self-management support programs that address outcome goals identified as priorities by the affected communities through a strategic planning process. Community coalitions and volunteers work together to improve community norms related to health care, adherence to medications, self-monitoring, and community knowledge of A1C, blood pressure, lipids, early signs of stoke, and healthy behaviors for diabetes prevention and control.

Successful and ongoing community and systems change, increased advocacy, and policy change strategies include intergenerational activities and community development strategies that will diffuse through Legacy Projects in South Carolina, Georgia, and North Carolina.



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