National Chronic Disease Prevention Framework

Identify prevention deserts. Intervene early. Save lives.

A national epidemiologic surveillance and intervention framework that helps public health agencies pinpoint high-risk communities and deploy proven screening, risk-stratification, and behavior-change programs at scale.

Founded by a UNC Applied Epidemiology researcher and Mandela Washington Fellow.

A Preventable Crisis, Hitting Communities Hard

Too many Americans are diagnosed late or not linked to prevention at all. Prevention deserts persist, places where risk is high and access is limited.

Preventable chronic diseases (heart disease, diabetes, hypertension) keep claiming lives.
Early detection and prevention are inconsistent across regions.
High-risk communities often lack timely screening and lifestyle support.
Fragmented data + programs = missed opportunities to save lives.

See the Evidence

A National Epidemiologic Surveillance & Intervention Framework

We help public health departments, healthcare institutions, and community organizations identify ‘prevention deserts’—places where chronic disease risk is high and prevention access is low—and coordinate standardized screening, risk stratification, and culturally adapted behavior-change programs.

Pinpoint Risk

Community profiles & prevention maps

Act Early

Screening + referral pathways

Sustain Change

Behavior programs + monitoring

From Insight to Action: Four Pillars

Standardized Screening

Clear protocols aligned with USPSTF for primary care and community settings.

Risk Stratification & Community Profiles

County-level profiles highlighting burden and disparities for equitable allocation.

Culturally Adapted Behavior Programs

Nutrition, physical activity, smoking cessation programs modeled on CDC National DPP.

Monitoring & Improvement

Tracking outcomes like screening uptake, diagnoses, referrals, and behavior change.

Who It’s For

Public Health Agencies

Hospitals & Clinics

Community Organizations & FQHCs

Payers & Philanthropy

Built to Scale, Designed to Measure

Increase screening rates in prevention deserts

Improve referral completion and follow-up

Reduce avoidable ED visits

Boost behavior-change program participation

Download the One-Page Overview (PDF)

Equity, Privacy, and Community First

Uses deidentified, publicly available population health indicators
Community co-design and culturally adapted materials
Clear data governance and transparency

Meet the Founder

Hanan Kadi Abafita, MBBS (SPHMMC), MPH, Applied Epidemiology (UNC Chapel Hill), Mandela Washington Fellow.

Hanan Kadi Abafita is a dedicated public health professional with a background in medicine and applied epidemiology. As a Mandela Washington Fellow, she has demonstrated a commitment to leadership and community service. Her work focuses on bridging the gap between data and action to improve health outcomes in underserved communities. Through the National Chronic Disease Prevention Framework, she aims to reduce health disparities and save lives.

Contact the Founder

Collaboration Drives Prevention

We welcome partnerships with health departments, hospitals, community organizations, payers, and funders ready to advance prevention.

Public Health Agencies Hospitals & Clinics Community Organizations Funders & Philanthropy

Get in Touch

Have questions or want to partner with us? Send us a message.