1.  Our Approach  Use teachers & trained peer-leaders to teach about diabetes prevention through healthy living in school setting.  Adapted from previous tobacco control model.  2-year program  Delhi Implementation Partner Hriday, Delhi-based NGO with network of 300 schools  Delhi Pilot Schools Program Supported by Merck.  What we did in 1 school – Delhi Public School in 2011  Developed 5 classroom-based, age appropriate educational modules for 6 th and 7 th grades.  Trained teachers and 4 student leaders per class. Worked with them for implementation.  Conducted pre- & post-intervention surveys to assess impact.  We repeated the same program in 5 additional schools  Total 6 schools in Delhi – 3 government, 3 private.  Reached 2,000 children in 6th, 7th grades (11-13 years old).  Additional Poster-making contest “Diabetes Can and Must be Prevented” – with support from Salesworth, helped mobilize schools around healthy living and marked Nov 14, 2011  Encouraging Year 1 results in awareness and behavior change trends – see accompanying slides  Second Year Intervention currently in Progress with continued support from Merck (2012)  May help behavior changes “stick”.  Results expected mid 2013 Diabetes Prevention Education in Schools 1 © 2010 Arogya World. All Rights Reserved. Non-Communicable Diseases (NCDs) - An Urgent Issue

2. Unhealthy Eating Increases Risk for Diabetes First Year Results Awareness and Knowledge Improved

3. Carbonated Drinks First Signs of Behavior Change Unhealthy Food Consumption Reduced

4. Lemonade over Soda More Exciting Evidence of Behavior Change Children Consistently Chose Healthier Foods

5. We believe that we have developed compelling age-appropriate educational modules, and a model based on teachers and peer-leaders, that can be scaled up and replicated all over India to instill a lifelong respect for healthy living in an entire generation of school children. We are seeking funding to implement the following:  Expand successful Delhi program to different regions especially S. India to show scalability / replicability  Establish an effective way of training teachers/regional school educators.  Demonstrate program effectiveness in urban and rural schools  Explore partnerships with credible groups to implement school programs Dr Mohan’s Diabetes Research Centre – in Chennai - community outreach to local schools Take up one district and cover all government schools. Then scale up state-wide Scale up in all schools in Delhi, where the program has been shown to work Start program in Navodaya Vidyalayas, explore expansion in Kendriya Vidyalayas Sharp – health promoter with large nationwide network of schools in India Agastya Foundation – rural schools Explore how to make part of curriculum – talk to NCERT  Give educational modules for free to the partners, pay for translation and training of program implementers, and for data analysis and publication  With partners PHFI and Hriday, hold a sequel to our 2012 Healthy Schools Workshop and invite multiple stakeholders like Ministry of Health and Education, National Council of Educational Research and Training, Central Board of Secondary Education, to discuss ways of making this program part of the 6 th – 8 th grade curriculum  Take results from North and South India to Govt of India, and state governments, for scale-up Preventing Diabetes for the Next Generation – Next Steps 5 © 2010 Arogya World. All Rights Reserved. Non-Communicable Diseases (NCDs) - An Urgent Issue