Leveraging Culture to Address Health Inequalities Examples from Native Communities: Workshop Summary (2013) / Chapter Skim
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6 Cancer Prevention and Treatment in Native Communities
6 Cancer Prevention and Treatment in Native Communities
Pages 43-52
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From page 43... ...
A comprehensive cancer control program was the subject of the talk by Kerri Lopez, director of Northwest Tribal Cancer and Western Tribal Diabetes Projects with the Northwest Portland Area Indian Health Board. Linda Burhansstipanov, president and grants director of the Native American Cancer Research Corporation, shared some of the lessons she has learned in tailoring cancer prevention and survivorship programs for local communities.
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From page 44... ...
JoAnn Tsark described the Ho'okele i ke Ola Navigating to Health program within the ‘Imi Hale network. The program is a community-driven effort to address cancer health disparities in Hawaii by training cancer patient navigators.
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From page 45... ...
The training was instituted as a three-credit community college class, because college credits were more valuable to the trainees than a certificate. Training incorporated multiple methodologies, including lectures, class activities, onsite tours, role playing, networking, writing, and developing resource binders, with an emphasis on communications, roles and boundaries, and relationships.
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From page 46... ...
"I'm a believer that if you ask for what you want and you know where you're going to go, you're going to get the funds to do it." -- JoAnn Tsark A Comprehensive Cancer Control Program in the Northwest The Northwest Portland Area Indian Health Board was founded in 1973 to serve the 43 federally recognized tribes in Oregon, Washington, and Idaho. Its mission is "to assist Northwest tribes to improve the health status and quality of life of members' tribes and Indian people in their delivery of culturally appropriate and holistic health care." Kerri Lopez started
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From page 47... ...
It also provides cancer updates for clinicians covering such issues as cancer screening, Native American/Alaska Native cancer policy, cancer patient education, and the use of electronic health records. "For a comprehensive cancer program to actually get primary care providers to a training is a minor miracle, [but]
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From page 48... ...
nutrition, physical activity, tobacco cessation, and wellness in the workplace. And cancer survivors who come back to their tribes need better care, because the clinics offer only ambulatory health care, not cancer care.
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From page 49... ...
• Tribal Cancer Coalition • Women and Wellness • Lifestyle intervention classes • Breast cancer awareness bingo • Colorectal cancer poker walk (a walking event where participants draw a card at each of several stations. The best poker hand at the end of the walk is eligible for prizes)
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From page 50... ...
And a willingness to undergo screening does not help unless people have access to health care. The Patient Protection and Affordable Care Act (ACA)
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From page 51... ...
In local programs today, funding for health care can run out at certain points in the funding cycle, and delays in enrollment and referrals can delay treatment, even for people with advancing cancers. Third, the ACA emphasizes behavioral interventions.
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