Primary Navigation for the CDC Website
CDC en Español
CDC’s Steps Communities
Email Icon E-mail this page
Printer Friendly Icon Printer-friendly version

CDC's Healthy Communities Program

Go back to the Healthy Communities Program Web site




bullet Steps Communities
bullet Success Stories
bullet Publications and Resources
bullet Steps in the News
bullet Newsletters
bullet Evaluation
bullet 2009 Steps Heroes

Contact Info

Centers for Disease Control and Prevention
Healthy Communities Program
4770 Buford Highway, N.E., Mailstop K-93
Atlanta, GA 30341-3717

Telephone: (770) 488-6452
Fax: (770) 488-8488

bullet Send us an email

Map of Yuma County, Arizona
Funding Period:

PDF version of text
(PDF- 114KB)

The Steps Program in Yuma County, Arizona

CDC’s Steps Program funds states, cities, and tribal groups to implement community-based chronic disease prevention programs to reduce the burden of obesity, diabetes, and asthma by addressing three related risk factors: physical inactivity, poor nutrition, and tobacco use. Steps-funded programs are showing what can be done locally in schools, work sites, communities, and health care settings to promote healthier lifestyles and help people make long-lasting and sustainable changes that can reduce their risk for chronic diseases.


Yuma County covers a large area (5,522 square miles) and has about 175,000 residents in 14 distinct communities. However, the size of the population fluctuates with the season. Because agriculture is a major industry, there is a large influx of migrant farm workers during the winter growing season, beginning in October. At the same time, many retirees arrive in the area during this season to enjoy the temperate winter climate. There are two military bases in the county, the U.S. Marine Corps Air Station and the U.S. Army Yuma Proving Ground. More than half (56%) of the county’s residents are Hispanic or Latino, living mostly in the southern part of the county. Yuma County is also home to the Cocopah and Quechan Tribes. The annual median income in the county is $35,739, and 19% of residents live below the federal poverty level (U.S. Census Bureau, 2005 estimates). Many of the county’s census tracks are designated as Medically Underserved Areas.

Spotlight on Success

  • The Yuma County Steps Program successfully piloted the Nutrition and Physical Activity Self-Assessment for Child Care Centers (NAP SACC) program throughout the county. Over a 3-year period since its inception in 2005, this program has been implemented in 32 child care centers and 15 home care provider settings in 5 communities, reaching more than 2,200 children and 345 staff members. The most common nutrition changes at centers were a reduction in sugary drinks and an increase in whole-grain foods. Read about this successful initiative in The Steps Program in Action, available at (PDF- 88KB).
  • The Pasos Adelante nutrition and walking club program, initiated by the Border Health Strategic Initiative, continues to be a highlight of the Steps program. It is a 12-week program implemented by promotoras (Spanish-speaking community health workers), and more than 100 participants are recruited annually. Evaluation of the 2006 program showed significant improvements in participants’ knowledge about nutrition and physical activity recommendations and the benefits of physical activity. Participants reported decreases in the consumption of soda and other sugary drinks, increases in the use of healthier cooking oils (olive and canola), and a significant increase in time spent walking.

Community Partnerships

Partnerships for the Yuma County Steps Program include the University of Arizona Cooperative Extension, Campesinos Sin Fronteras, the Yuma County Public Health Services District, and the Regional Center for Border Health, Inc. Together, these agencies plan and implement strategies and interventions that lead to many successful health promotion programs.


Steps to a HealthierAZ–Yuma County
Yuma County Health Services District
Telephone: 928-317-4580

One or more documents on this Web page are available in Adobe Acrobat® Format (PDF). You will need Adobe Acrobat Reader to view PDF files on this page.

Page last reviewed: February 6, 2009
Page last modified: July 31, 2008
Content source: Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion

  Home | Policies and Regulations | Disclaimer | e-Government | FOIA | Contact Us
Safer, Healthier People

Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA 30333, U.S.A
Tel: (404) 639-3311 / Public Inquiries: (404) 639-3534 / (800) 311-3435 The U.S. Governments Official Web PortalDHHS Department of Health
and Human Services