Montana Cancer Control Programs: A United Approach to Equitable Cancer Control in Montana - Montana Cancer Control Programs: A United Approach to Equitable Cancer Control in Montana Among Montana residents, cancer is the second-leading cause of death, after diseases of the circulatory system, such as heart disease and stroke. Each year, approximately 6,300 new cases of cancer are diagnosed among Montanans, and an average of 2,100 Montanans die from the disease. Furthermore, it is estimated that 81,000 Montana adults are cancer survivors. Montana has significantly higher incidence of melanoma, prostate cancer, bladder cancer and female breast cancer than the United States as a whole. Program 1: Montana Breast and Cervical Early Detection Program Purpose: The Montana Breast and Cervical Early Detection Program of the Montana Cancer Control Programs (MCCP) provides cancer screening services and patient navigation to women who are un- or under-insured, in coordination with local communities and statewide partners, with a focus on reaching rural and frontier communities. Outcomes: Intended outcomes of Program One include increased cancer screening rates among program eligible women, decreased late-stage cancer incidence, increased implementation of evidence-based interventions in provider clinics, and reduced cancer disparities. Program One funding from the Centers for Disease Control and Prevention (CDC) to the Montana Breast and Cervical Early Detection Program (MTBCCEDP) will allow the MTBCCEDP to continue to provide quality preventive services and facilitate screening support for eligible Montanans (women 40-64 for breast cancer screening and 21-64 for cervical cancer screening as well as the never or rarely screened population) and maintain the existing, well-established medical service network of 1,760 enrolled providers who provide cancer screening services. Program 2: Montana Comprehensive Cancer Control Program Purpose: The Montana Comprehensive Cancer Control Program of the MCCP convenes and maintains a multi-sectoral cancer coalition and collaborates with partners to facilitate an organized approach to cancer control in Montana. Outcomes: Intended outcomes of Program Two include reduced cancer risk among Montanans, increased quality of life among cancer survivors, decreased incidence, morbidity and mortality, and a reduction of cancer disparities in the state. Program Two funding allows the MTCCCP to support and convene partnerships, including the Montana Cancer Coalition and the Montana American Indian Women’s Health Coalition and support implementation of the Montana Comprehensive Cancer Control Plan. Program 3: Montana Central Tumor Registry Purpose: The Montana Central Tumor Registry of the MCCP maintains and enhances the state’s central cancer registry and uses surveillance systems to assess cancer burden and target program interventions to address social determinates of health. Outcomes: Intended outcomes of Program Three include increased data use for cancer prevention and control, increased flexibility and utility of the Registry to meet new data needs, reduced cancer disparities and increased health equity. Surveillance activities in Program Three include the Montana Central Tumor Registry which was mandated by law in 1979 and has been in operation since. Reportable cases are identified and collected from hospitals, independent pathology labs, physicians, clinics, cancer treatment centers, out of state registries, and death certificates. Since 2000, reporting has been near or over 100% complete. The MCCP utilizes the MCTR data to inform partners, plan and evaluate evidence-based strategies, and improve access to care across the state.