Cancer is the second leading cause of death in Hawaii residents after cardiovascular disease. Each year, approximately 6,700 Hawaii residents are diagnosed with invasive cancer and more than 2,300 residents die of cancer each year. In Hawaii, there are very distinct geographic, ethnic, and socioeconomic status (SES) (i.e., low income and low education) related cancer health disparities in Hawaii. According to data from the Hawaii Cancer at a Glance 2012-2016 burden report, cancer incidence was highest for White males and Native Hawaiian and Other Pacific Islander (NHOPI) females. NHOPI are three times more likely to die from cancer and overall have less longevity than other ethnicities.
Purpose: The Hawaii State Department of Health Hawaii Breast and Cervical Cancer Control Program (HBCCCP) and Hawaii Comprehensive Cancer Control Program (HCCCP) proposes to use a comprehensive and coordinated approach to engage partners and organizations to collectively address the community’s cancer burden by utilizing policy, systems, and environmental changes and implementation of evidenced-based interventions (EBIs) to prevent and control cancer in Hawaii.
HBCCCP’s outcomes include:
• Increase utilization of data surveillance systems for describing priority populations who are disproportionately affected by breast and cervical cancer.
• Increase sustainable use of key EBIs and patient navigators.
• Increase collaboration with internal and external partners.
• Increase appropriate breast and cervical cancer screening, rescreening, and surveillance among NHOPI women.
• Improve delivery of clinical preventive services and cancer care.
• Increase health-seeking and healthy lifestyle behaviors to reduce cancer risk
• Decrease breast and cervical cancer incidence, morbidity, and mortality in the state.
• Reduce cancer disparities specifically in NHOPI women.
Strategies: Despite Hawaii’s unique geography, the HBCCCP provides high quality breast and cervical cancer screenings at seven contracted provider sites on the island of Oahu (County of Honolulu), one provider on Hawaii Island, and one provider on the island of Kauai. The strategies in the HBCCCP Program Year 1 work plan include cross-cutting activities focused on utilizing surveillance systems and population-based surveys to assess cancer burden, examine disparities, inform program efforts and address social determinants of health; supporting partnerships for cancer control and prevention; delivering cancer screening and implementing EBIs in clinics that serve women impacted by health inequities; conducting program monitoring and evaluation; and ensuring effective program management.
HCCCP outcomes focus on:
• Increased utilization of data to monitor cancer risk factors, incidence and mortality.
• Increased utilization of surveillance systems to assess the cancer burden and inform programmatic planning and evaluation and increase policies.
• Improved recruitment and engagement of members from populations of focus, traditional and non-traditional partners.
• Improved implementation of EBIs that address primary prevention, screening, and survivorship.
• Increased access to healthy eating,physical activity, screening and preventive services especially by priority populations.
• Increased health-seeking and healthy behaviors and increase early detection among priority populations.
• Reduced cancer risk, increased quality of life among cancer survivors, decreased cancer incidence, morbidity, and mortality; and reduced cancer disparities.
Strategies: The HCCCP will implement the Program Year 1 work plan by developing objectives aligned with the five NOFO strategies: 1) enhance data quality, completeness, use, and dissemination; 2) use surveillance systems and population-based surveys to assess cancer burden and inform programmatic efforts; 3) support partnerships for cancer control and prevention; 4) deliver screening and implement EBIs.