Jane E. Korn, MPH, MD & Annette Bar-Cohen, MA, MPH ..

1
Using Data to Guide the Development and
Implementation of a State Cancer Screening Program

• Jane E. Korn, MPH, MD
• Annette Bar-Cohen, MA, MPH
• Cancer Control Section, Minnesota Department of
  Health

2
Reducing Breast and Cervical Cancer

• Breast and Cervical Cancer Mortality Prevention
  Act (Title XV) passed by Congress in 1990
• Minnesota one of first four states funded to plan
  and implement a statewide breast and cervical
  cancer control program

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Early Program Goals

• Reduce cost barrier to screening
• Provide free Pap smears mammograms
• Increase womens awareness of importance of
  screening
• Professional education
• Partnership development with key organizations
  and advocacy groups

4
Minnesota Breast and Cervical Cancer Control
Program
5
Minnesota Breast and Cervical Cancer Control
Program

• Priority populations
• Women of color
• American Indian women
• Rural women
• Older women

6
MBCCCP Accomplishments

• Statewide provider network with 300 participating
  providers
• Over 67,000 women have received MBCCCP services
• 73,000 mammograms
• 99,600 Pap smears

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MBCCCP Accomplishments

• Detection
• 501 cases of breast cancer
• 33 cases of cervical cancer
• 1520 cases of significant cervical dysplasia
• Fewer than 2 lost to follow-up

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Using Research to Guide Outreach

• Friend-to-Friend Project
• Funded by the National Cancer Institute
• Used social support networks to encourage
  screening (outreach)
• Offered screening to women visiting clinics for
  other reasons (inreach)
• Results Outreach increased screening by 12

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Using Research to Guide Outreach

• Rescreening project
• Funded by the Association of Teachers of
  Preventive Medicine
• Used tailored and timely mailings to remind women
  of the importance of rescreening and the
  availability of free MBCCCP services
• Results women in the intervention group were
  more likely to return for a repeat screening
  (plt.05)

10
Analyzing the Cost-Effectiveness of Other
Outreach Efforts

• Televised phone banks
• TV promoted MBCCCP services
• Operators determined eligibility abd scheduled
  appointments
• Iterative modification of protocols
• Results eligible callers who were subsequently
  screened rose from 19 to 70 over 3 years

11
Community Outreach Workers

• Funds outreach workers from diverse cultures
• Somali
• Hmong
• Latino
• African-American
• American Indian
• Workers receive close technical assistance

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Conclusions

• MBCCCP exemplifies the value of integrating
  research and programming at all stages of
  programming
• Program development
• Program implementation
• Program improvement
• Importance of integration is reflected in the
  success of MBCCCP