South Puget Intertribal Planning Agency Cancer Prevention and Control Programs - The purpose of the South Puget Intertribal Planning Agency’s Native Women’s Wellness Program (hereafter SPIPA NWWP) is to reduce breast and cervical cancer morbidity and mortality within the communities of the Chehalis, Nisqually, Skokomish, Squaxin Island, and Shoalwater Bay Tribes through the provision of high-quality breast and cervical cancer screening services and culturally-informed patient navigation services that will assist individuals with understanding and accessing services, such as, timely follow-up, HPV vaccinations and supports along the continuum of care. With high incidence of breast and cervical cancer, late diagnoses and high mortality rate in these Tribal communities, Tribal governmental and health leaders believe additional measures need to be taken to increase early detection and prevent deaths. With their community-engagement expertise and training in motivational interviewing, the Tribal-based Patient Navigators are a key component to the ability of the SPIPA NWWP to reduce barriers to screening and services for the hundreds of AI/AN women in the service area. In addition to supporting the increase of Patient Navigator clinic days, the SPIPA NWWP will support the development of additional cancer screening capacity at each Tribal Clinic through provision of technical support with electronic health records and their use to generate various reports, track health trends and establish an informational basis for the use of new evidence-based interventions that will adequately meet the needs of the communities to be served and achieve health equity. The purpose of the South Puget Intertribal Planning Agency Comprehensive Cancer Control Program (hereafter SPIPA CCCP) is to reduce the morbidity and mortality from cancer within the communities of the Chehalis, Nisqually, Skokomish, Squaxin Island, and Shoalwater Bay Tribes through the facilitation of cancer control, prevention, awareness and support activities which include the leveraging of resources and the development partnerships to ensure that cancer risks are reduced, cancer is detected early, and the disparities in the incidence of cancer within American Indian and Alaska Native communities are eliminated. The goal of the SPIPA CCCP is to have cancer-free Tribal communities. The program has been designed to prevent cancer deaths through the promotion of healthy lifestyles, the earliest possible detection of cancers, and the provision of support to all community members going through treatment after a cancer diagnosis. The SPIPA CCCP has become a trusted messenger over the course of these many years of work. The SPIPA CCCP will leverage that trusted messenger status to continue to make significant and lasting positive change for all AI/AN individuals within its service area. This program is a model for bringing tribal communities together with outside partners at a common table to work together to make this program culturally appropriate, sustainable, and successful for generations to come.