SEARHC Breast and Cervical Health Program - The Southeast Alaska Regional Health Consortium (SEARHC) Breast and Cervical Health Program (BCHP) remains a model for comprehensive healthcare for women in Southeast Alaska. The SEARHC BCHP will decrease cancer incidence, morbidity, and mortality for Alaska Native and rural women in Southeast Alaska by providing coordinated outreach, screening, tracking, patient navigation, and diagnostic services to women. SEARHC will focus on key evidence-based interventions including client reminders, reducing structural barriers/out of pocket costs, small media campaigns for clients, and provider reminder and recall systems. SEARHC will collaborate with screening partners including SEARHC clinics, Community Health Centers, and a mobile mammography provider to improve access to screening. The primary target audience for this project is Southeast Alaska Native and rural women who are at or below 250% of the Federal Poverty Level (FPL), aged 40 to 64 for breast cancer services, and aged 21-64 for cervical cancer services. All women served under this proposal are in groups identified as “priority populations.” The majority of women served by SEARHC NBCCEDP are Alaska Natives (73%). All improvements in breast and cervical cancer screening will have a significant impact on this population. The program will also continue to serve uninsured and under-insured women of all races who live in isolated, rural communities. Strategies targeting these women are designed to provide services in the patient’s community of residence. SEARHC’s primary priority is on broad population reach: re-screening current clients while striving to provide services to those women that have been identified as “never or rarely screened.” In addition, SEARHC continues to focus on providing the bulk of program mammograms to women over 50 years of age. Project outcomes for the SEARHC BCHP include: establishing internal and external partnerships to support increased breast and cervical cancer screening; increasing access to appropriate breast and cervical cancer screening, rescreening, case management, and diagnostic follow-up among Southeast Alaska Native and rural women; establishing policies and systems that support high-quality breast and cervical cancer screening; using evidence-based interventions to improve breast and cervical cancer screening rates; using data systems for patient outreach, screening, and CDC-required measures; reducing breast and cervical cancer incidence, morbidity, and mortality; and reducing disparities in breast and cervical cancer. For FY22 (Project Year 1), based on previous levels of service provided and analysis of the patient database for need for screening, SEARHC anticipates serving 1,050 women with NBCCEDP-funded clinical services. Of these women, 305 will be served for breast cancer, and 809 will be served for cervical cancer (some women will be served both). In addition, SEARHC anticipates serving 1,800 women with NBCCEDP-funded patient navigation services.