Subsidiary Aim 1.1: Develop a contextually and culturally appropriate integrated group medical visit-microfinance model for CVD risk reduction AMPATH's Community Strategy Initiative routinely engages with existing community-based governance structures to gather input and feedback on any community-based initiative. In addition, the AMPATH Safety Net Program routinely gathers feedback from community members, and the microfinance intervention has evolved as a result of that input. The research team will adhere to these same principles in this proposed project. A participatory, iterative design process will be pursed and create a "design team" consisting of one facilitator, two research team members, two clinicians, two CHWs, two patients, and the research assistant. The design team will meet for several design sessions over a period of four weeks. The design process will involve three phases: brainstorming, conceptualization, and creation. During brainstorming, the facilitator will first acquaint the team with the findings of the qualitative study and specify the criteria for the integrated group medical visit-microfinance intervention (i.e. prototype as described in Aim 2 below, while incorporating content from the focus groups and mabaraza). In the conceptualization phase, the team will evaluate advantages and disadvantages of ideas resulting from brainstorming, and will develop a more concrete model. The creation phase will involve the actual creation of the integrated group medical visit-microfinance model for CVD risk reduction among individuals with diabetes and at increased risk for diabetes. Educational materials will be developed in English, Kiswahili, and other local languages using standard approaches to translation and back-translation. Once the integrated group medical visit-microfinance model is developed, two FGDs will be conducted each with patients, microfinance group members, and health workers, in order to assess acceptability and feasibility. The investigators have previously used this type of approach with positive community feedback.