Team Up Missouri Program


About Missouri Women's Cancer Collaboration Program
Partnership to Increase Cervical and Breast Cancer Screening in High Mortality Counties
 
The idea for the Partnership to Increase Cervical and Breast Cancer Screening in High Mortality Counties took root in November 2001. The National Cancer Institute's (NCI) Cancer Information Service (CIS), United States Department of Agriculture's (USDA) Cooperative Extension, the Centers for Disease Control and Prevention's (CDC) National Breast and Cervical Cancer Early Detection Program, and the American Cancer Society (ACS) met to discuss strategies for addressing high breast and cervical cancer mortality rates in counties with underserved populations. The partners agreed that joining forces could lead to the development of a pilot project that could make a difference to women in these counties.
 
In July 2003, the partners offered a pilot training for nine states: Missouri, Illinois, Alabama, Georgia, Kentucky, Mississippi, North Carolina, Tennessee, and South Carolina. Partners representing the national organizations met for three days to develop a process to increase cancer screening in high mortality counties. All nine states left the training with an action plan to address the needs of their community.
 
The Missouri partnership includes the American Cancer Society, Missouri Department of Health Senior Services Show Me Healthy Women program, National Cancer Institute's Cancer Information Service - Heartland Region, and the University of Missouri's Cooperative Extension.
 
The Missouri collaboration has developed a pilot curriculum, evaluation, and training aimed to increase breast and cervical cancer screening in rarely and never-screened women in seven Missouri counties. In February 2004, the partners provided training to University of Missouri Cooperative Extension staff members in St. Louis City and St. Louis, Jackson, Pemiscot, Boone, Cole, Randolph, and Marion counties.


In 2004, our commitment to partnerships that address cancer health disparities and work to reduce the burden of breast and cervical cancer on minority and underserved populations remained strong. Presentations and mailings were implemented in the rural area.
 
In 2006, Team Up Missouri collaborated to systematically adapt and adopt a research-tested intervention program. Therefore, new partners joined this initial collaboration, including Missouri Comprehensive Cancer Control, Boone County Health Department, and Cole County Health Department. Team Up Missouri chose to implement the Tailored Telephone Counseling and Mailings to Increase Breast and Cervical Cancer Screening Among Rarely and Never Screened Missouri Women with assistance from the University of Missouri to evaluate its effectiveness.


The Missouri Women's collaboration displays the National Cancer Institute's Cancer Information Service (CIS) 1-800-4-CANCER number on all media and promotional material promoting screening services. When a potential client phones CIS, a baseline eligibility criteria screening for age, income, and insurance status is completed. If the woman is potentially eligible for screening services with the Show Me Healthy Women program, CIS staff will contact the provider office and assure a connection with the appointment desk. In 2005, a few women identified Extension as the means of their awareness for cancer screening access when they called the 1-800-4-CANCER number.
 
In 2007, Team Up Missouri completed its implementation of the intervention program. Callers to 1-800-4-CANCER with the subject of breast and / or cervical cancer during April through July 2007 included 16 callers from the counties who received targeted mailings and 10 from counties who received tailored phone contacts. However, none of the callers identified an "organization or community group" or "Extension" as how found out about the service. The number of women screened as a result of this project will not be available until 2008.
 
Missouri Department of Health & Senior Services
Missouri Department of
Health & Senior Services

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