1. Community Networks to Reduce Cancer Health Disparities Community Networks to Reduce Cancer Health Disparities Harold P. Freeman, MD, Director Center to Reduce Cancer Health Disparities The National Cancer Institute Pre-application Conference May 26, 2004 National Cancer Institute Rockville, Maryland

2. Culture Social Injustice CAUSES OF HEALTH DISPARITIES Poverty/ Low Economic Status Freeman, Adapted from Cancer Epidemiology Biomarkers & Prevention, April 2003 Prevention Early Detection Diagnosis/Incidence Treatment Post Treatment/ Quality of Life Survival and Mortality

3. This discovery to delivery “disconnect” is a key determinant of the unequal burden of cancer. DiscoveryDevelopment Delivery Critical Disconnect The Discovery-Delivery Disconnect “Voices of a Broken System: Real People, Real Problems”, President’s Cancer Panel, Freeman, March 2002

4. History of NCI Community-based Programs _ 1989National Black Leadership Initiative _ 1992National Hispanic Leadership Initiative and Appalachian Leadership Initiative _ 1995 Office of Special Populations Research _ 200018 Special Populations Networks (SPN) Cooperative Agreements _ 2001 Center to Reduce Cancer Health Disparities (CRCHD) created _ 2005Community Networks to Reduce Cancer Health Disparities to be awarded

5. Community Networks Program Goal Reducing cancer disparities in the communityReducing cancer disparities in the community By improving utilization of beneficial cancer interventionsBy improving utilization of beneficial cancer interventions Through Community-based education, research, and training in disparities researchThrough Community-based education, research, and training in disparities research This disparities research program will help achieve the DHHS Healthy People 2010 goals, the NCI Director’s goal for 2015 and the NIH Director’s Roadmap goals for disparities.This disparities research program will help achieve the DHHS Healthy People 2010 goals, the NCI Director’s goal for 2015 and the NIH Director’s Roadmap goals for disparities.

6. Organization and Partnerships Project Steering Committee Community Partnerships Local Community-based organizations, government and non-government organizations Community Networks Staff Project PI Multidisciplinary professionals Clinical Partnerships * Primary and Secondary Prevention Facilities Diagnosis and Treatment Facilities Research/Training Partnerships University(s) and other cancer research organizations/foundations Community Advisory Group * NCI Collaborations * Partnerships Policy Analyst * Program Evaluator * Clinical Coordinator *

7. The war against cancer has not been fought equitably on all fronts. To win this war, we must apply what we know at any given time to all people. There is a need to recognize and eliminate all barriers to cancer care.

8. “Knowing is not enough; we must apply. Willing is not enough; we must do.” Johann von Goethe