The tribal programs funded through the American Indian/Alaska Native Initiative of the National Breast and Cervical Cancer Early Detection Program have implemented a wide range of models for service delivery. Differences in the models appear to reflect differences across the programs in several important areas including: 1) whether the program serves one versus more than one tribe; 2) whether or not the service population is spread out over a large geographic area; and 3) the larger health care delivery system serving the target population. Results from case studies of two tribal programs are presented to illustrate two different models for delivering cancer screening services to Native women. The Cherokee Nation Breast and Cervical Cancer Early Detection Program is an example of a model where the program is administered by a single tribe serving a geographically disperse population. Clinicians already on staff at tribal clinics and I.H.S. hospitals provide most of the screening services. To date, over 6,100 mammograms and 4,400 Pap test have been provided through the program. The South Puget Intertribal Planning Agency's Native Women's Wellness Program is an example of a model where the program is administered by a consortium of five small tribes. Program resources have been used to fund female providers who provide screening services in 5 tribal clinics. To date, over 1,247 mammograms and 1,896 Pap tests have been performed. Both programs overcame different types of barriers in implementing screening services.
Learning Objectives: 1. Identify different models for delivering breast and cervical cancer screening services to American Indian and Alaska Native women. 2. Understand the service delivery models of two tribal breast and cervical cancer early detection programs. 3. Discuss successful strategies for designing and implementing breast and cervical cancer screening service delivery models in American Indian and Alaska Native populations.
Keywords: Cancer Screening, Service Delivery
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.