People who live in Derry City and Strabane District Council LGD face significant and persistent health inequalities, with many communities experiencing overlapping challenges including chronic disease risk, lower physical activity levels, social isolation, poor wellbeing, and barriers to engaging with preventative health opportunities. Type 2 diabetes and its risk factors alone represent a major and growing burden for individuals, families, communities, and the wider health system. Developing Healthy Communities convened the Western Diabetes Group to respond to this challenge. At a time of increasing chronic disease risk, widening health inequalities, and sustained pressure on health and community services, DHC then partnered with Civic Dollars and the project has become an established prevention asset with proven reach, trusted delivery partnerships, implementation learning, and significant potential for scale.
Traditional health improvement approaches often struggle to reach and sustain engagement among the people who may benefit most. The challenge is not simply awareness but sustained behaviour change.
Research consistently shows that intention alone rarely translates into sustained behaviour change. People may want to become more active, healthier, or more socially connected, but practical barriers frequently get in the way, including:
· limited confidence
· competing life pressures
· poor access to opportunities
· social isolation
· low motivation
· digital exclusion or uncertainty
· lack of trusted support pathways
Effective prevention requires more than information. It requires models that actively support capability, opportunity, and motivation in real-world settings.