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Hosey G et al. - Despite persistent health care funding challenges, the assessment showed the resourcefulness of the islands’ diabetes programs in leveraging resources, creating policy and environmental interventions, and strengthening connections in the traditional cultural systems. Population health approaches used in island jurisdictions reflect the resilience of the islands’ cultures in navigating between traditional and Western ways of life. Attention to the interface of cultural knowledge and Western science provides the USAPI diabetes prevention and control programs with opportunities to create strong, sustained partnerships with the shared vision of transforming social and environmental conditions so that they can support healthy people living in healthy island communities.


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