Breast Cancer Awareness

Program
Desiree Dorest
Brittany Gonzalez
Taylor Kwiatkowski
Sanam Naik
April 12th
 What is the Problem?
➔ Breast cancer is a prevailing issue that needs to be addressed. Cancer can be
silent so it is important to screen and do regular check ups as a preventative
measure.
➔ According to the CDC (2014), on average 1 in 8 women develop breast
cancer over the course of their lifetime in the United States.
➔ Statewide, epidemiologic data shows a rate of 114.8 per 1,000 women are
diagnosed with breast cancer, as shown by the CDC (2014).
 What is the problem? (cont.)
➔ County data in Florida shows that Duval County has an age adjusted
incidence rate of 131.7 per 1,000 females for breast cancer (CDC, 2014).
◆ With this incidence rate, Duval County is the fourth county in Florida
that has the highest incidence rates.
➔ Healthy People 2020 Objectives
◆ “Reduce female breast cancer death rate”
◆ “Increase the proportion of women who receive a breast cancer
screening based on recent guidelines”
 Goals and objectives
➔ GOAL: To decrease breast cancer mortality in Duval County.

➔ Process Objective: Over the course of our six month program, we will
conduct two bi-weekly meetings in zip codes 32254 and 32208 with 30 to 40
participants per meeting.

➔ Learner Objective: By the end of our informational program, 80% of

participants will be able to identify three benefits of mammogram screening.
 Goals and objectives (cont.)

➔ Behavioral Objective: Six months after our program, 80% of participants will
have had a mammogram screening.

➔ Outcome Objective: Within five years, breast cancer mortality will decrease
by 5% in Duval County’s Health Zone I.
 Target population
➔ Women living in Jacksonville, Florida
◆ Duval County
◆ Health Zone I
◆ Zip codes 32254 and 32208
◆ Aged 50-64
◆ Uninsured
◆ Low-income
◆ Primarily at or below 200% of federal poverty level
 evidence-based related programs
➔ Florida Breast and Cervical Cancer Early Detection Program
◆ Makes it easy to receive breast and cervical cancer screenings
◆ Screenings are free or at a low cost for women who meet the program
requirements.
➔ Baptist Health Needs Assessment
◆ Partners with the American Cancer Society, the National Football League, and
faith-based organizations to recruit women in Health Zone I who meet criteria
for receiving a free mammogram.
◆ Partners with the Susan G. Komen Foundation to provide free mammograms to
women who are uninsured or have not been screened in the past year.
◆ Provides community education on early detection of breast cancer and breast
health in Health Zone I.
 hEALth Education Theory: Health belief Model
Concept Specific Activities

Perceived Susceptibility Via Powerpoint presentation, we will inform

participants of statistics showing the higher risk of
breast cancer mortality in women aged 50-64 living
in Health Zone I.

Perceived Severity Notify participants that breast cancer is the second

leading cause of death in women. Minorities also
have higher mortality rates.

Perceived Benefits Participants will learn the importance of receiving a

mammogram screening every two years since that will
greatly increase their chances of survival with early
detection.
 HEALTH BELIEF MODEL (CONT.)
Perceived Barriers Provide assistance to those who are low-income,
uninsured, and less accessible to services. Give
transportation tickets and $50 incentive upon showing
proof of getting a mammogram screening. There will
also be a mobile mammography screening present.

Cues to Action Provide participants with info packets/brochures and

round-trip bus ticket to facilities that offer free or
reduced price mammogram screening.

Self-Efficacy Conclude with self-breast exam demo. Increase

confidence and aid participants on the required skills to
check themselves between mammogram screenings.
 Evaluation
➔ Impact Learner
◆ Evaluate learner objective via
post test
◆ Post tests will be conducted at
the end of each informational
meeting
◆ Data collected and analyzed by
internal staff to determine if
objective was met
➔ Impact Behavioral
◆ Evaluate behavioral objective
via post test
◆ Six months after program,
meeting participants will be
asked, “In the past six months,
have you had a mammogram
screening?”
◆ Internal staff will collect and
analyze data to determine if
objective was met
 evaluation
➔ Outcome Objective

◆ Evaluated by using data from Duval County’s Health Department

◆ At the end of the program, breast cancer mortality rates in Health Zone 1 will be
compared to breast cancer mortality rates five years later.
◆ External evaluators will collect and analyze this data.
◆ The programs data, findings, and analyses will be shared with the National
Breast and Cervical Cancer Early Detection Program (NBCCEDP) and the
Susan G. Komen Foundation.
 Budget
➔ Health Educators (4)= $2,000/month (7 months) Total: $56,000
➔ In-Kind Program Materials Total: $0
➔ St. Vincent’s Mobile Mammography Unit (1st meeting of every month) Total: $0
➔ Copies of Program Brochures Total: $43.00
➔ Round-Trip Bus Tickets Total: $960.00
➔ Incentives Total: $24,000 TOTAL BUDGET
➔ Volunteer T-shirts Total: $350.00
➔ Experienced Registered Nurse Total: $480.00 $83,933.00
➔ External Evaluator Total: $1,000
➔ Miscellaneous Total: $500
 References
➔ Florida Breast and Cervical Cancer Program. (n.d.). Retrieved February 15, 2018, from
http://duval.floridahealth.gov/programs-and-services/clinical-and-nutrition-services/breast-cervical-health/index.html

➔ http://cdn.baptistjax.com/images/pdf/baptist-medical-center-jacksonville-chna-implementation-plans.pdf

➔ http://www.healthdata.org/sites/default/files/files/county_profiles/US/2015/County_Report_Duval_County_Florida.pdf

➔ http://www.flhealthcharts.com/charts/OtherIndicators/NonVitalIndDataViewer.aspx?cid=0448

➔ http://www.breastcancer.org/symptoms/understand_bc/statistics

➔ https://statecancerprofiles.cancer.gov/incidencerates/index.php?stateFIPS=12&cancer=055&race=00&age=001&type=incd&sort
VariableName=rate&sortOrder=default#results/
questions?