The Iowa Department of Public Health (IDPH) proposes to implement a comprehensive and coordinated approach to work to prevent cancer whenever possible, increase cancer screening, support cancer survivors, and reduce cancer disparities through the Cancer Prevention and Control Programs for State, Territorial, and Tribal Organizations funding opportunity DP22-2202 from the Centers for Disease Control and Prevention (CDC). IDPH will support the provision of 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 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 4,000 eligible low-income women ages 21 - 64 in Year 1. In order to reduce and eliminate health disparities, the program will focus on population groups disproportionately affected by cancer, including Iowa’s rural population; Black population; Latinx community; immigrant and refugee communities; and LGBTQ folks. Program 1 will work to increase population-based screening for breast and cervical cancer through various partnership activities including those with community-based organizations, chronic disease partners within IDPH, health systems, Federally Qualified Health Centers (FQHCs), and Medicaid Managed Care Organizations. IDPH supports use of evidence-based interventions and professional development opportunities for healthcare professionals as a further means of increasing screening rates. In Year 1, IDPH will conduct evidence-based interventions to increase breast and/or cervical cancer screening rates within a baseline of four FQHCs. Program evaluation and quality improvement efforts will be enhanced through collection, review, and submission of required program data.
For Program 2, the Iowa Comprehensive Cancer Control Program (CCCP) proposes a comprehensive and coordinated approach to decrease cancer incidence, morbidity, and mortality in Iowa. The major components of this application include enhancing, using, and disseminating Iowa Cancer Registry data (strategy 1); using surveillance systems and population-based surveys to assess cancer burden and inform CCCP programmatic efforts (strategy 2); sustaining and enhancing the Iowa’s cancer coalition, the Iowa Cancer Consortium (strategy 3); revising, implementing and evaluating the Iowa Cancer Plan, including EBIs focused on three priorities: primary prevention, early detection and screening, and health equity and wellbeing of cancer survivors (strategy 4); and conducting program monitoring and evaluation (strategy 5). The CCCP intends to target all residents of Iowa, in addition to four populations of focus that are disproportionately affected by cancer: Black Iowans, Iowans in rural areas, LGBTQ+ Iowans, and the Meskwaki Nation.