The Iowa Department of Public Health (IDPH) proposes to implement a comprehensive and coordinated approach to inform policy, systems, and environmental change strategies to prevent and control cancer through the Cancer Prevention and Control Programs for State, Territorial, and Tribal Organizations funding opportunity DP17-170 from the Centers for Disease Control and Prevention (CDC). IDPH will support high quality breast and cervical cancer screening services and the statewide cancer coalition to plan and implement cancer control priorities. IDPH applies for Programs 1 and 2 with this application. IDPH is not applying for Program 3, as the cancer registry in Iowa is a Surveillance, Epidemiology and End-Results (SEER) Registry funded through the National Cancer Institute.IDPH has a well-organized, successful, and effective set of cancer programs. This opportunity will allow for the state's efforts in cancer prevention and control to be enhanced and developed at a greater level. The ultimate outcome and focus of the programming is to reduce the burden of cancer in Iowa. Both Programs 1 and 2 will implement activities and objectives and achieve outcomes through approaches using the seven strategies identified by the CDC.For Program 1, the Iowa Breast and Cervical Cancer Early Detection Program (BCCEDP) proposes to provide breast and cervical cancer screening, patient navigation, diagnosis and referral to treatment, as needed, for a targeted population of 3,094 eligible low-income women ages 40 - 64 in Year 1. Program 1 will work to increase population-based screening for breast and cervical cancer through various partnership activities including those with health systems, Federally Qualified Health Centers and Medicaid. IDPH support use of evidence-based interventions and professional development opportunities for health care professionals as a further means of increasing screening rates. Program evaluation and quality improvement effort
s will be enhanced. For Program 2, the Iowa Comprehensive Cancer Control Program (CCCP) proposes a comprehensive and coordinated approach to inform policy, systems, and environmental changes to decrease cancer incidence, morbidity, and mortality in Iowa. Two major components for the CCCP within this application include supporting the statewide cancer coalition, Iowa Cancer Consortium, and implementing Iowa?s statewide cancer plan priorities at state and local levels. CCCP intends to target all residents of Iowa, including specific populations that are disproportionately affected by cancer and underserved populations. CCCP will coordinate quarterly Iowa Cancer Control Leadership Team meetings to strengthen collaboration and coordination. CCCP expects many outcomes, during this project period including, in the short-term: increased policies and systems that promote healthy lifestyle behaviors; increased environmental supports for cancer prevention; improved community linkages; increased support among cancer survivors; improved systems to support cancer screening; improved provider practices and systems to support cancer screening; and increased awareness, knowledge, and abilities among target populations about cancer prevention and screening.