Chronic Disease Priority


Chronic diseases are the leading causes of death and disability in America.

Approximately six in ten Americans live with at least one chronic disease, such as heart disease and stroke, cancer, or diabetes. Many chronic diseases are caused by a variety of risk factors that can be reduced by making healthy lifestyle choices. Not only the leading cause of death and disability, chronic diseases are also the leading driver of health care costs in the United States (US). It is a public health priority in the Greater Nashua Public Health Region (GNPHR) to provide health promotion and education to help our community prevent chronic diseases and manage symptoms when prevention is not possible to reduce the burden of chronic disease on our society.

Chronic Disease Workgroup

Data from the 2020 Greater Nashua Community Health Assessment (CHA) reported that chronic disease is a top priority for the Greater Nashua Public Health Region (GNPHR).  A newly formed chronic disease workgroup met monthly to examine the chronic conditions seen as needing the most attention and improvement in the GNPHR.  Workgroup members came from the following organizations: Southern NH Health System, St. Joseph's Hospital, Dartmouth Hitchcock Nashua, YMCA of Greater Nashua, Harbor Care and Lamprey Health Care. 

For more information or to get involved, email here.

Main takeaways from the Chronic Disease  CHA 2020 page

• Southeast Nashua and West Milford had the highest rates of heart attack mortality in the region, 61.6 and 37.4 heart attack deaths per 100,000, respectively. 

• 9.2% of NH adults have ever been diagnosed with diabetes, 0.8% of which is pregnancy-related diabetes. 

• Cancer is the leading cause of death in NH, with some of the highest rates in the U.S. The most commonly diagnosed cancer in NH is female breast cancer (incident rate = 144.6 per 100k). The most deadly cancer in NH is lung and bronchus cancer (death rate = 42.5 per 100k).

For a full look at Chronic Disease in Greater Nashua, check out the Chronic Disease 2020 Community Health Assessment page here.

Assets & Gaps Assessment

About Respondents

The Chronic Disease Assets & Gaps Assessment was sent out in to community partners in May 2021 and closed in June 2021. 

There were 26 organizations from the Greater Nashua Public Health Region that responded to this assessment. 

Chronic Disease Priority Areas

Community partners were asked to rank the priority areas that they believed were most important for the Greater Nashua Public Health Region to work on. The rank of 10 corresponds to the highest priority area. 

Collectively, the main priorities under chronic disease include:

1) Increasing prevention efforts for Type II diabetes

2) Increasing control of hypertension

3) Increase identification and treatment of depression for those  with chronic disease

Chronic Disease Programs & Services

Community partners were asked to identify what existing chronic disease programs their organization currently has in order to avoid duplication of efforts. Partners were also asked what chronic disease services are needed in the Greater Nashua Public Health Region. 


In an open response question, community partners were asked to identify barriers to receiving chronic disease services. Partners were also asked if they had adequate staff available to run their chronic disease programs. 

Health Equity

In an open response question, community partners were asked to discuss how their organization addresses issues of health equity, access to care and social determinants of health. Partners were also asked what specific efforts their organization makes to reach the Black, Indigenous and other Peoples of Color (BIPOC) population.

Kindness, genuine caring and actually working hand in hand with patients will go a long way."

-- Community Organization

Strategic Map

The Strategy Map below links to detailed objectives, data and programming details for chronic disease. Click on an objective to see more programming details about who is leading the effort in certain program areas and contact information so your organization can get involved.


The goals, objectives, performance indicators or proposed outcome measures, and suggested strategies proposed in chronic disease will enable the GNPHR to create change and improve health through chronic disease prevention strategies. The strategic approach outlined will bring systematic health changes to the region. The chronic disease workgroup will work towards these goals along with community partners.  

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