Mission Action Plan

Breast Health and Breast Cancer Findings of the Target Communities

Quantitative Data Report Summary

The Community Profile Quantitative data reflects the disparities in breast health services with regard to screening rates, late-stage diagnosis and death rates in the Ozark Affiliate service area.  Reviewing and analyzing the quantitative data allowed the affiliate the ability to identify priority action items most applicable for the five county and Hispanic/Latina service areas.

In order to develop effective, targeted breast cancer programs, Komen Ozark chose six target communities within the ten county service area.  Healthy People 2020 (HP2020) objectives for breast cancer incidence, mortality and survival were used to assess and analyze the communities of highest need.  Additional indicators included; demographic data, medically underserved areas, population data, linguistically isolated communities, lack of health insurance, unemployment rates, income levels and other vital statistics.  Upon analysis of the statistics from the Quantitative Data Report, Komen Ozark identified and selected six communities of focus: Boone, Madison and Newton Counties in Arkansas; Stone and Taney Counties in Missouri and the Hispanic/Latina population in Benton, Carroll, Sebastian and Washington Counties in Arkansas.

Health System and Public Policy Analysis

The analysis of health systems and public policy revealed disparities in the breast health continuum of care model in the selected target communities.  In the target counties, there is a lack of medical services and access to breast health screening, diagnostic and treatment services.  In Madison and Newton Counties, the only breast health screening that is available to patients are for clinical breast exams.  There is no access to screening or diagnostic mammograms other than what the mobile unit offers.  In Stone and Taney counties, there is no mobile unit in the area. 

The Affiliate service area’s three selected target communities all have a need for transportation, whether it is public transportation, transportation to breast cancer screenings, access to a mobile unit or transportation to and from breast cancer treatment.  There needs to be a focus on providing services, especially follow-up care, to the Hispanic/Latina community.  Offering bilingual navigators and staff, translated materials and culturally competent practices is a need that has been identified through the Health Systems Analysis.  Education also been identified.  Support/Survivorship is also lacking in many of the selected target communities as well.

The importance of the Affordable Care Act and the state of Arkansas adopting a private option has made access to health care more attainable; however there are still disparities in the accessibility of the various health insurance programs.  Factors like understanding options in insurance levels, English as second language, health literacy, lack of transportation, etc. all lead to a barrier in care.  Komen Ozark will continue to support the state of Arkansas to continue the private option and Medicaid coverage to low-income adults.  The Affiliate will also continue to educate on the importance for legislative support to keep state programs like Arkansas BreastCare and Show Me Healthy Women funded. 

Summary Findings for Qualitative Data

The Community Profile Team utilized focus groups and provider surveys to explore issues affecting women’s breast health in the identified target communities.  Overall perceptions of general health, access to care and factors for increasing opportunities for screening and general outreach were examined utilizing focus groups and survey data.  The questions developed for the qualitative study were directly linked to the findings from the quantitative and public policy analysis.  The target areas were found to be dealing with a higher number of deaths from cancer in addition to late-stage diagnosis.  Further, because of geographic barriers, the access to healthcare is limited for this population.  Last, the analysis indicated there was inconsistent resources and information in these communities. Outreach is necessary to assist in ameliorating the barriers existing for women in the target areas.  Many participants told stories related to their personal experiences within the culture of a small town and trying to receive the best health care possible.  Many participants felt as if they were given mixed messages about their personal health.  Whether it was misinformation, lack of transportation or financial resources, these barriers created confusion for participants.  Additionally, cultural issues surrounding the rural areas contributed to barriers related to care.  Getting information about financial resources and screening services to key community leaders could help women in being diagnosed earlier and getting treatment.

Mission Action Plan

The Community Profile data allowed the Ozark Affiliate the ability to identify priority action items most appropriate for the six target communities.  Based on further data analysis, the Affiliate will continue to focus on outreach efforts targeting low socioeconomic status rural women and the Hispanic/Latina service area.  The data confirmed these women are least informed about breast health and face more barriers to care.

Once the Community Profile Team reviewed the findings from the Quantitative Data Report, Health Systems and Public Policy Analysis and the Qualitative Data Report, problem statements, priorities and objectives were created. Many individuals outside of the Community Profile Team were consulted and the Mission Action Plan was presented to the Komen Ozark Board of Directors for approval.

Problem Statement: The Community Profile Team reviewed the findings from the data and has determined that Boone, Madison and Newton Counties in Arkansas have a low understanding of the availability for screening services and knowledge of breast health.

Priority: Increase understanding of topics centered on availability of breast health and screening services.

  • Objective 1: By October 2016, implement the Worship in Pink program in at least one church in Boone, Madison and Newton counties.
  • Objective 2: By October 2016, develop, implement and evaluate a three workshops on breast health aimed at women organizations in Boone, Madison and Newton counties. The affiliate will use a pre and post questionnaire to measure understanding of breast health and available screening services.
  • Objective 3: By December 2016, visit with two providers in the counties of Boone, Madison and Newton Counties to discuss client motivation intervention in order to increase screening rates overall by 5 percent.

Problem Statement: According to the information learned from the focus groups with Hispanic/Latina population in Benton, Carroll, Sebastian and Washington Counties in Arkansas face more barriers to care access and need culturally competent information about breast health.

Priority 1: Partner with community-based outreach/health organizations to effectively promote breast health education and services including breaking down cultural and language barriers for Hispanic/Latina women.

  • Objective 1: By June 2016, partner with community-based health organizations to arrange small group education classes on breast self-awareness in at least four clinics serving Hispanic/Latina women. 
  • Objective 2: By June 2016, reach out to at least three predominantly-Hispanic/Latino schools and/or faith-based organizations distributed across the service area counties to hold breast cancer community outreach presentations.
  • Objective 3: For FY 2016, boost funding to patient navigator programs aimed specifically at working with Hispanic/Latina residents in the Benton, Carroll, Sebastian and Washington counties.
  • Objective 4: By August 2016, meet with at least three community organizations and/or faith communities that work with the Hispanic/Latina community to discuss breast health outreach.
  • Objective 5: By August 2017, partner with at least one of these organizations and a healthcare institution to provide a culturally appropriate breast health event where women age 40+ can sign up for a mammography appointment. Distribute breast self- awareness materials in Spanish.

Problem Statement: The Community Profile team reviewed the findings from the data and has determined that in Stone and Taney Counties, Missouri there is a shortage of health services and providers available in this service area.

Priority: Increase the number of health services and providers available in service area counties by funding health system partnerships to increase access to services.

  • Objective 1: By May 2016, hold at least two meetings in each of service areas aimed at existing breast health providers identified on the resource map for the purposes of exposing the service areas to the availability of grant funding.
  • Objective 2: By December 2016, visit with two providers in the counties of Stone and Taney to discuss client motivation intervention in order to increase screening rates overall by 5 percent.

Priority: Increase understanding of topics centered on survivorship knowledge.

  • Objective 1: By December 2016, collaborate with local providers and community partners to coordinate and sponsor a conference focusing on survivorship.
  • Objective 2: By December 2016, implement quarterly webinars addressing survivorship topics with a pre and post questionnaire to measure increased knowledge. 

Problem Statement: The Community Profile team reviewed the findings from the data and has determined that there is a lack of knowledge about breast health Affiliate-wide by public policy decision makers.

Priority: Increase state legislators’ education and understanding of breast health issues.

  • Objective 1: In FY 2016, hold quarterly conference calls with the two other Komen Affiliates in Arkansas to discuss joint public policy efforts and any pending breast cancer legislation, including advocating for maintaining state Breast and Cervical Cancer Program (BCCP) funding.
  • Objective 2: In FY 2017, conduct a bi-annual mailing to all legislators to increase Komen’s visibility as a trusted local resource on breast cancer.

Priority: Develop and utilize partnerships to enhance Affiliate public policy efforts in order to improve breast health outcomes of women in the Affiliate service area.

  • Objective 1: By December 2015, identify and train at least six key volunteers to serve on the public policy committee to carry out the majority of the public policy efforts of the Affiliate.
  • Objective 2: In FY16 and FY17, partner with at least one other Affiliate within the state on advocacy and public policy efforts for the state of Arkansas. 

Problem Statement: The Community Profile team reviewed the findings from the data and determined that Affiliate-wide there is a need to improve the quality of life for survivors as they transition from treatment to recover.

Priority: Increase understanding of topics centered on survivorship knowledge.

  • Objective 1: By December 2016, collaborate with local providers and community partners to coordinate and sponsor a conference focusing on survivorship.
  • Objective 2: By December 2016, implement quarterly webinars addressing survivorship topics with a pre and post questionnaire to measure increased knowledge.
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