Cervical Health Initiative in Gallia County. Sandra Cassell Corbin, CNP Chair Partners of Hope Cancer Coalition Holzer Center for Cancer Care
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1 Cervical Health Initiative in Gallia County Sandra Cassell Corbin, CNP Chair Partners of Hope Cancer Coalition Holzer Center for Cancer Care
2 ASH- TABULA TRUMBULL MAHONING COLUMBIANA * HOLMES TUSCA- RAWAS CARROLL JEFF- ERSON COSHOCTON HARRISON GUERNSEY MUSKINGUM BELMONT PERRY NOBLE MONROE MORGAN HOCKING WASHINGTON ROSS VINTON ATHENS CLER- MONT HIGHLAND PIKE JACKSON MEIGS BROWN ADAMS SCIOTO GALLIA LAW- RENCE
3 Problem Identified Women under age 40 with abnormal Pap smears have difficulties receiving necessary diagnostic services due to financial and logistical barriers Lack of follow-up services available locally for underserved women with abnormal Pap smears in Gallia County
4 Gallia County Data Gallia County Cervical cancer incidence rate is 24.4% greater than the rate for non-appalachia Ohio Highest age-adjusted incidence rate of cervical cancer of the 32 Ohio Appalachia Counties Cervical cancer incidence rate is 122% higher than the state rate Cervical cancer mortality rate is 41.7% greater in Appalachia Ohio compared to non-appalachia Ohio
5 A Closer Look at the Problem In 2007, the Gallia County Health District completed 227 Pap tests exams and reported a 22% abnormal Pap test rate among those clients 47% did not complete follow-up 95% of these women are under 40 years old colposcopy not covered through BCCP
6 A Closer Look at the Problem (cont.) Currently, women are called and informed of their abnormal Pap test and that there s followup needed. Due to lack of local services, women are referred to River Rose Clinic in Athens County Two trips to clinic miles away Out of Pocket Cost - $290 for office visits, $ lab work
7 Cervical Health Initiative Goal: To increase follow-up for women with abnormal Pap Smears in Gallia County Raise Awareness GYN Committed Enhance Education Trained HCP Colposcopy Procedure Identified Needs Transportation Assistance Colposcopy Equipment Local Facility
8 Part 1 Cervical Health Awareness Project The Cervical Health Awareness Project (CHAP) is an awareness and education project that will help women understand the significance of their abnormal Pap test, the importance of timely followup, along with the details of the colposcopic examination and treatment, if necessary. Funded by
9 Goal: CHAP will target female residents in Gallia County to address possible distress after an abnormal Pap test result and to encourage follow-up care.
10 Recruitment Gallia County Health District staff will identify and contact women, distribute an educational brochure, send out an appointment reminder card, provide travel vouchers and call the client to follow-up.
11 Approach Gallia County Health District staff Distribute an educational brochure to women with abnormal Pap tests Send appointment reminder cards and phone at least 1 week prior to follow-up appointment Distribute travel voucher with a personal note to encourage women to get regular check-ups after their follow-up appointment
12 Progress Focus groups will begin in May to review coalition brochures Gas vouchers are currently being distributed to women attending The River Rose Clinic
13 Part 2 Cervical Health Project Colposcopy Clinic To provide diagnostic follow-up services for underserved women with abnormal Pap test results in Gallia County. Application submitted to Governor s Office of Appalachia Matching Funds committed by the Partners of Hope Cancer Coalition
14 Community Support - Clinic Facility Gallia County Health District would provide space - exam room Equipment Colposcope & forceps requested Forceps Sanitized Holzer Medical Center
15 Community Support - Clinic Training Certified Nurse Midwife will attend the Advanced Practice Clinician Colposcopy Training funds requested Lab work Indigent contract with LabCorp Board Certified Gynecologist committed to follow-up based on colposcopy results
16 Collaborations Appalachia Community Cancer Network Gallia County Health District Holzer Medical Center OSU College of Public Health OSU School of Communications River Rose Clinic
17 Acknowledgements
* HOLMES TUSCA- RAWAS
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