Pacific Territories, Commonwealth, and Freely Associated States Models and Innovations
These stories feature model programs and successful rural projects that can serve as a
source of ideas. Some of the projects or programs may no longer be active. Read about the
criteria and evidence-base
for programs included.
Need: The U.S. Associated Pacific Islands (USAPI) needed an efficient, effective, integrated method to improve primary care services that addressed the increased rates of non-communicable disease (NCD), the regional-specific phrase designating chronic disease.
Intervention: Through specialized training, multidisciplinary teams from five of the region's health systems implemented the Chronic Care Model (CCM), an approach that targets healthcare system improvements, uses information technology, incorporates evidence-based disease management, and includes self-management support strengthened by community resources.
Results: Aimed at diabetes management, teams developed a regional, culturally-relevant Non-Communicable Disease Collaborative Initiative that addresses chronic disease management challenges and strengthens healthcare quality and outcomes.
Need: A way to improve health of women in Chuuk, one of 4 states that make up the Federated States of Micronesia.
Intervention: The Chuuk Women's Council offers a program that educates and trains women to prevent and manage diabetes, and adopt healthy lifestyles.
Results: The program's goal of gaining 30 participants in its second year has been exceeded. Participants have lost weight, been referred to needed medical services, and are training others in diabetes education.