About DNPAO State, Tribal, and Local Programs

For Public Health

Key points

  • CDC funds states, tribal organizations, universities, and communities to advance the nation’s chronic disease prevention and health promotion efforts.
  • CDC’s Division of Nutrition, Physical Activity, and Obesity (DNPAO) supports seven programs to improve healthy eating and active living to prevent chronic diseases.
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Funded programs

State and local programs

Work to deliver proven public health strategies to help improve nutrition, increase physical activity, prevent chronic diseases, and deliver arthritis interventions.

State Physical Activity and Nutrition (SPAN)

SPAN funds state and local activities to help improve nutrition and physical activity. This work helps to make healthy eating and active living more accessible for everyone. Strategies include:

  • Promoting healthy food choices everywhere.
  • Implementing safe, accessible physical activity.
  • Integrating obesity prevention standards in early care and education settings.
  • Strengthening continuity of care in breastfeeding support.

High Obesity Program (HOP)

HOP funds land grant universities to work with community organizations in counties where 40% or more of adults have obesity. This work helps to improve access to healthier foods and safe places for physical activity. Strategies include:

  • Promoting healthy food choices everywhere.
  • Implementing safe, accessible physical activity.
  • Improving early care and education settings.
  • Collaborating to implement family healthy weight programs.

Racial and Ethnic Approaches to Community Health (REACH)

REACH funds recipients working in communities with higher chances of developing chronic diseases. This work helps to improve health and prevent chronic diseases. Strategies include:

  • Promoting healthy food choices everywhere.
  • Implementing safe, accessible physical activity.
  • Improving early care and education settings.
  • Collaborating to implement family healthy weight programs.
  • Strengthening continuity of care in breastfeeding support.

Arthritis program

State arthritis partner funding supports the health and well-being of people with arthritis. This work helps to increase awareness, education, and access to effective arthritis programs. Strategies include:

  • Building infrastructure to promote physical activity and other lifestyle management programs for people with arthritis.
  • Increasing arthritis awareness, physical activity assessment, counseling, and referrals for arthritis management among health care providers who treat patients with arthritis.

Healthy Tribes Program

Partners with American Indian and Alaska Native (AI/AN) communities to advance culturally responsive, strength-based, and community-led strategies to support health and wellness.

Good Health and Wellness in Indian Country (GHWIC)

GHWIC supports tribal partners and communities nationwide to implement chronic disease prevention strategies. This work facilitates peer learning, shares best practices, and coordinates evaluation. Program strategies include:

  • Addressing chronic disease prevention through holistic strategies.
  • Helping to reduce chronic conditions such as type 2 diabetes and high cholesterol.
  • Supporting community-led interventions.

Tribal Practices for Wellness in Indian Country (TPWIC)

TPWIC supports tribal partners and organizations to reduce illness and death from chronic diseases. This work promotes wellness, resilience, and use of cultural practices. TPWIC strategies include:

  • Strengthening traditional practices to promote wellness.
  • Encouraging cultural connection and resilience.
  • Supporting intergenerational health activities.

Tribal Epidemiology Centers Public Health Infrastructure (TECPHI)

TECPHI builds the public health capacity of Tribal Epidemiology Centers (TECs) to improve the health of AI/AN communities. TECs serve tribes, villages, and Urban Indian Organizations (UIOs) to advance TECPHI strategies, including:

  • Building data and public health infrastructure capacity.
  • Supporting disease monitoring and evaluation.
  • Strengthening tribal public health systems.

Current funding map

SPAN, HOP, and REACH funding includes 17 states, 50 tribal and community organizations, and 16 land-grant universities. Arthritis funding includes 12 states. Healthy Tribes funding includes 77 tribal organizations.

U.S. map showing locations of programs that receive SPAN, HOP, REACH, Arthritis, and Healthy Tribes funding.
Funding helps to deliver culturally sensitive programs to improve healthy eating and encourage active living to prevent chronic diseases.

Download the FY2026 DNPAO Funding Recipient/Partner Map.