National Breast and Cervical Cancer Early Detection Program - The NARA proposed NBCCEDP project will build on the past 25 years of the NARA Breast and Cervical Cancer Program’s (BCCP) expertise and capacity to work toward achieving the CDC Division of Cancer Prevention and Controls’ overall goal of all people free of cancer. NARA, as a Tribal BCCEDP, has made a direct impact on improving health equity through culturally appropriate breast and cervical cancer screening, navigation, prevention and diagnostic services and treatment referrals for low-income uninsured or underinsured American Indian and Alaska Native women and other eligible non-Native women living in the Portland metropolitan area.
Project goals include ensuring all people have access to appropriate and timely screenings, working toward eliminating preventable cancers, addressing Social Determinants of Health that impact cancer screening and providing culturally specific services to priority populations in collaboration with partners,. The project will utilize evidence-based interventions to reduce breast and cervical cancer related health disparities in American Indian and Alaska Native (AI/AN) women. Priority populations identified in NARA’s proposal include 1) AI/AN, 2) those at high risk for breast or cervical cancer and 3) women with chronic disease and/or behavioral health related co-morbidities. NARA BCCP will assess and incorporate services aimed at reducing Social Determinants of Health (SDOH) related barriers into breast and cervical cancer screening services.
Founded in 1970, the Native American Rehabilitation Association of the Northwest (NARA NW) has over fifty-years-experience offering services to the community and collaborating with Local, Tribal, State, and Federal programs. The NBCCEDP program services are connected through partnerships with the Urban Indian and Portland Metro community, stakeholders, and other CDC Cancer Prevention and Control Programs. Together NARA BCCP will leverage opportunities and plan how to best impact change in cancer control for Oregon’s AI/AN population while building upon each partner’s strength.
Funding is requested to maintain NARA’s existing high quality BCCP staffing, capacity and cancer screening services. Current capacity includes trained and skilled staff (the majority are AI/AN), a robust surveillance system, an established Evaluation Team, organizational capacity to meet all grant deliverables and requirements and an existing network of community, CDC grantee and Health System Partners. NARA proposes to expand the number of women screened by at least 5% per year as well as expand community collaborations and health system partners for cooperative agreement DP22-2022.
The NARA NW mission statement is “To provide education, physical and mental health services, and substance abuse treatment to American Indian and Alaska Natives and anyone in need.” Services offered to the community include primary care, dental, mental health services, substance abuse treatment, and support services. With the award of the NBCCEDP, we will continue to improve health equity and provide high quality breast and cervical cancer early detection services to the Portland Urban Indian community.