2. Addressing Cancer Disparities American Cancer Society & REACH US Mid-South Regional Meeting August 23, 2011 Pam Bostick ACS Community Health Advisor Director ACS Partnership Director for the REACH US Mid-South CEED Initiative ACS Staff Partnership Director for CNP Center for the Deep South Network

3. ©2010 American Cancer Society, Inc. No.005463 Cancer Mortality

4. ©2010 American Cancer Society, Inc. No.005463 We know a third of common adult cancers may be preventable in the U.S.cancers A Roadmap to 1,000 lives per day Improved screening and treatment can save a number of lives over the next decade

5. Improved Screening & Treatment  Cervical- 50,000 lives  Breast - 64,000 lives through high quality mammography and even more due to breast awareness  Colorectal screening (all modalities) >400,000 lives  Lung Cancer (with CT screening), over 150,000 lives?

6. Cancer Disparities Reduction Collaborative  A dual-division partnership focused on creating a common approach to reduce disparities in cancer mortality within targeted populations.  Three-year pilot using an evidence-based intervention of Community Health Advisors (CHAs) to deliver prevention & early detection messages and navigate women to breast, cervical and colorectal cancer screenings.  Intervention targeted to specific populations and communities of greatest need based on a composite of health status indicators. - Incidence - Mortality - % Poverty - Cancer Screening Rates - Available Clinical Services

7. Mid-South/South Atlantic Profile  12 States and the District of Columbia  66 million total population (21.6% of U.S. total)  15 million African Americans (40% U.S total)  3.5 million Hispanic/Latinos (7.5% of U.S. total)  1.5 million Asians (11.1% of U.S. total)  350K Native Americans (11.5% U.S. total)  16 million Appalachians (65% Appalachian total)  High % of individuals living below the federal poverty line

8. 8 CHA Program Locations Mid-South AR – Little Rock/Pine Bluff AL – Mobile/Prichard KY – Louisville and Eastern Kentucky (Appalachia) LA – New Orleans MS - Jackson TN – Memphis 8 South Atlantic WNC – Eastern Band of Cherokee Indians/Jackson/Swain (Appalachia) WNC – Madison/Mitchell/Yancy (Appalachia) WV – Boone/Logan/Mingo (Appalachia) WV – Doddridge/Harrison/Lewis (Appalachia)

10. Roles in the CHA Program Community Network Partners CHA Community Coordinators CHA volunteers

11. Core Outcome Measures Year 1 CHA Local Staff :  11 CHA Representatives with 3 communities each Community partners:  30 per CHA Representative – 330 + Volunteer Coordinators:  3 communities per staff – 33 coordinators Volunteer Community Health Advisors:  10 CHAs per Coordinator- 330 + Women educated & navigated to screening:  10 women per CHA

12. Thank you