The RMI National Comprehensive Cancer Control Program?s (NCCCP) goal for this proposal is to provide a comprehensive and coordinated approach to inform policy, systems, and environmental changes that decrease cancer burden by focusing on: (1) preventing of cancer though activities to promote the vaccination of adolescent females aged 13 to 15; (2) to facilitating screening and early detection of cancer through activities to promote colorectal cancer screening; (3) improving the quality of life of cancer survivors through activities to increase the average Quality of Life Scores; and (4) promoting health equity through activities to increase the development of Annual Data Gaps Assessment and Recommendations Report. In the short-term (by the end of Year 1), the NCCCP?s expected outcomes are: increased awareness and knowledge among Marshallese about colorectal cancer screening and cancer survivors? needs through media and outreach campaigns; improved and increased community-to-clinic linkages (improve church-to-clinic program and add women?s groups-to-clinic and worksite-to-clinic linkages; improved system to support colorectal cancer screening and survivorship care; and increased environmental support (through the development of the Adolescent Females (ages 13-15) HPV Vaccination Promotion Plan for schools to implement school-based HPV vaccination programs and developing a patient navigation program for survivors. At the end of the project period, we expect to achieve the following outcomes: (1) increased percentage of adolescent females aged 13 to 15 that have completed the 3-dose HPV vaccination series from 27.6% to 40.0% (PPO 1); (2) increased colorectal cancer screening rate from 6.8% to 20% (PPO 2); (3) increased the average Quality of Life Scores from 4.56 to 7.00 (PPO 3); and (4) increased the number of Annual Data Gaps Assessment and Recommendations Report from 0 to 5 (PPO 4). We also expect proposed activities to achieve the following sh
ort-term and long-term outcomes.