1. Mitchellville Screening Project 2011 Iowa Cancer Summit West Des Moines, IA

2. The Iowa Cancer Consortium  About ICC  Established in 2001.  Non-profit 501(c)(3) organization (2008).  Comprised of individual and organizational memberships.  Funded through State of Iowa Appropriation granted through the Iowa Department of Public Health.  Charge: Implement the State’s 5-year Cancer Plan

3. Mission and Vision  Mission: –Reduce cancer incidence and mortality in Iowa through collaborative efforts that provide services and programs directed toward comprehensive cancer prevention and control.  Vision: –Working together to conquer cancer.

4. ICC Organizational Chart Implementation Groups:  Prevention  Screening  Treatment  Quality of Life Committees:  Communications  Data & Evaluation  Governmental Relations  Membership & Nominating  Health Equity and Disparities Board of Directors ↓ ↓ Individual and Organizational Members

5. Cancer Consortiums in the US The CDC supports 50 states, the District of Columbia, 7 tribal groups, and 7 U.S. Associated Pacific Islands/territories in the development and implementation of cancer control plans.

6. Iowa’s Cancer Plan, 2006-2011  Prevention  Early Detection  Treatment  Quality of Life  Research Recently revised for 2012…

7. Iowa’s Cancer Plan, 2012-2017  Prevention  Screening  Treatment  Quality of Life

8. Four Sections 1. Prevention 2. Screening 3. Treatment 4. Quality of Life Overarching Issues...  Health disparities  Cancer workforce  Policy and systems change through advocacy.  Collaboration among cancer research organizations.  Evaluation of cancer control efforts. Iowa’s Cancer Plan, 2012-2017

9. Project Background

10. Iowa’s Cancer Plan, 2006-2011  Prevention  Early Detection  Treatment  Quality of Life  Research Page 61 was devoted to health disparities.

11. Iowa Cancer Health Disparities, 2008  Shows differences in the incidence, prevalence, mortality and burden of cancer among specific population groups.  Includes: Age, disability, education, ethnicity, gender, geographic location, income or race.

12. Project Background  To further disparities cancer control efforts, ICC awarded mini-grants ($2500) for outreach within specific communities in 2008.  African American  Rural  Latino  Native American Mini-grants to diverse populations African AmericanLatinoRuralNative American

13. Project Background  African American Mini-Grants  Health programming (five 1 hour sessions) to air on an African American Radio Station.  Wellness Program @ local Medical Center.  Community Outreach Mini-grants to diverse populations African AmericanLatinoRuralNative American

14. Project Background  Latino  Held Cancer Resource Forums for organizations working with Latino communities in Des Moines, IA.  Project was funded a 2 nd year by the Iowa Cancer Consortium.  One of the organizational leaders was recently awarded a large Promotoras (Community Health Educator) Grant from Susan G. Komen. Mini-grants to diverse populations African AmericanLatinoRuralNative American

15. Project Background  Rural  Outreach in Creston, IA to hold Colorectal Cancer Forums and provide approximately 50 colorectal cancer testing kits (FIT-kit).  Hospital paid for test processing. Mini-grants to diverse populations African AmericanLatinoRuralNative American

16. Project Background  Native American  Cancer 101 Training on Meskwaki Settlement  Native American Cultural Competency Training  Pink Shawl Project Mini-grants to diverse populations African AmericanLatinoRuralNative American

17. Project Background  Pink Shawl Project  Native American women come together to sew shawls and talk about breast health in a culturally appropriate way.  Honors women who have survived and ‘walked on’ from breast cancer. Mini-grants to diverse populations African AmericanLatinoRuralNative American

18. Project Background  Pink Shawl Project  Held in Quad-Cities ($2500 from the Iowa Cancer Consortium)  Iowa Cancer Consortium wrote a 2 nd grant to the Northern Plains Comprehensive Cancer Program for an additional $2500 towards a Pink Shawl Project at the Mitchellville Women’s Facility. Mini-grants to diverse populations African AmericanLatinoRuralNative American

19. Project Beginning  Pink Shawl Event was planned at the Mitchellville Correctional Institute for Women in Mitchellville, IA.  Plan:  Educational session on breast health.  Sew shawls together.  Provide screening resources about low/no-cost screening programs.  What are the options for women here at the prison?

20. Project Beginning  Warden said that the prison is required to offer mammograms to the women at the University of Iowa Hospitals and Clinics.

21. How do we cover these women?  Warden said that they had been unsuccessful in bringing a mobile mammography unit to the prison.  Ideas:  Get Polk County Health Department (BCCEDP) involved to pay for services.  Bring-in a Mobile Mammography Unit.  Have educational & screening day for the women.

22. Polk County Breast and Cervical Early Detection Program  Polk County has largest population in Iowa. Polk County is home to approximately 14% of all Iowans.

23. Polk County Breast and Cervical Early Detection Program Mitchellville is located in Polk County and qualifies for Polk County BCCEDP funds.

24. About Mitchellville  Mitchellville Correctional Institution for Women.  Medium/minimum security prison.  Located about 20 minutes east of Des Moines, IA.  Roughly 540 inmates and 194 staff

25. About Mitchellville  Iowa Department of Corrections data Search found 188 matches for women who were born before 9/6/11 (who are over age 40).

26. Mitchellville Screening Project 2010  Partners  Devised an Memorandum of Understanding between:  BCCEDP Polk County Health Department  Mercy Medical Center Mobile Mammography Van  Iowa Cancer Consortium  Iowa Office of Minority and Multicultural Health

27. Mitchellville Screening Project 2010  Educational Session (x2)  200-300 women in July 2010.  Had 3 session planned – but did not have enough time because there wasn’t enough time due to interest.  Time provided in-kind by ICC.  Resources Provided...  NCI educational booklets about breast cancer.  Couldn’t bring – pens.  Ordered pencils from Susan G. Komen.  Approved incentives: shampoo, body-spray, hair-ties.  After session, women could sign-up for BCC program.  Screening Days (x2)

28. Mitchellville Screening Project 2010  Screening Days (x2)  Two dates: July 2010 & August 2010  Only needed 1 extra guard for event  Created a make-shift waiting lobby outside of van.  Talked about enrollment in BCC after leave prison.  Screened 25 women in July and another 26 in August.  Results  Mercy Medical Center in Cedar Rapids had a radiologist read the mammograms.  As part of the MOA, radiologist sent results back to Polk County BCC program and Mitchellville Women’s Facility.

29. Mitchellville Screening Project 2011  Involvement  BCCEDP Polk County  Mercy Medical Center Mobile Mammography Van (Mammo)  Iowa Cancer Consortium  Iowa Office of Minority and Multicultural Health  Des Moines University Mobile Medical Unit (PAP)  Visiting Nurses Association

30. Mitchellville Screening Project 2011  Plan  Educational Session  Late August 2011  Screening Day  September 13 & 14, 2011

31. Mitchellville Screening Project 2011  Funding  Cut to funds.  Project has been canceled for this year.

32. Lessons Learned  Don’t give up! Keep looking for solutions.

33. Lessons Learned  Listen to what your community wants – even when you are not talking about solutions.

34. Lessons Learned  Invest in partnerships, and watch them grow.

35. Lessons Learned  Doesn’t take a lot of $ to do impactful projects.

36. For more information...  Sara Comstock, Executive Director –Phone: (319) 335-8144 –Email: comstock@canceriowa.org