©2000 Breast Cancer Outreach Strategies: Models that Work For the Farmworker Population

1. ©2000Breast Cancer Outreach Strategies: Models that Work For the Farmworker Population National Center for Farmworker Health, Inc. Presented by: Alicia Gonzales-Leadership Development & Training Center Director & Monica Saavedra-Embesi-Migrant Health Education Coordinator @2006 NCFH

2. National Center for Farmworker Health • National Non-profit Organization, Est. 1975 • Located in Buda, TX • Provide training & technical assistance to a network of federally funded Migrant and Community Health Centers • Primary Constituents • Other interested organizations @2006 NCFH

3. Mission Statement To improve the health status of farmworker families through the innovative application of human, technical and information resources. @2006 NCFH

4. NCFH Focus Areas • Leadership Development & Training • On-site consultation and facilitation • Leadership and skills-building training • Health promoter and health based trainings • Migrant health orientation & training • Translation & patient ed. Material development • Network Development & Expansion • Call for Health Program-1-800-377-9968 • Migrant Health Network Support • Resource Center & Library • Houses collection of bilingual patient ed materials and FW specific resources @2006 NCFH

5. Leadership Development & Training Center Health Education Focus: Development Experience • Health Curricula • Breast Cancer • Oral Health • HIV • Diabetes • Patient Education Materials • Promotora Training @2006 NCFH

6. Commonly Used Outreach Strategies w/FW’s • Popular education is engaging and empowering. It works to transform not only the lives of the participants, but the whole society. • Popular Teaching Strategies Incorporate the following outreach strategies into your education delivery: • Group activities • Brainstorming • Role-playing • Games • Ice-breakers • Testimonials • Theater • Foto-novelas • Use of Lay Health Promotor models • Health Navigation Program @2006 NCFH

7. Model Programs • Rural Women’s Health Project-Florida • Women’s Center of Jacksonville-Jacksonville, FL • The Rose-Houston, TX • Cancer & Chronic Disease Consortium-El Paso, TX • Multicultural Human Dev. Corporation-Lincoln, NE • Kentucky Cancer Program-Louisville, KY • Delaware Breast Cancer Coalition-Wilmington, DE • Cultivando la Salud-Buda, TX @2006 NCFH

8. Model Program Cultivando La Salud A Breast and Cervical Cancer Education Program @2006 NCFH

9. About the Cultivando la Salud Program (CLS) 1 out of 11 R & D projects funded across the U.S. by CDC (1999-2002) Proved successful and rec’d continued funding from SGK Focuses on Breast and Cervical Cancer Development of low literacy and culturally appropriate educational materials Promotora Program Model Reaches hard to serve populations Proven to be effective in increasing B & C cancer screening @2006 NCFH

10. Cultivando la Salud: Breast and Cervical Cancer Program Overview • Develop, test, replicate and disseminate a breast & cervical cancer program that will build on the promotora model. • Build capacity within health centers through training & technical assistance to implement the program. • Develop and carry out educational strategies to increase knowledge of breast & cervical cancer and improve skills and behaviors that influence screening. • Evaluation component @2006 NCFH

11. Program Goals: • To increase breast and cervical cancer screening among migrant and seasonal farmworker women aged 50 and older. • To increase capacity for Migrant and Community Health Centers. @2006 NCFH

12. Evaluation • Underwent extensive testing in the development, implementation, and completion phases • Conducted over 15 Focus Groups • Pilot tested surveys, materials, and implementation • Trained over 30 organizations @2006 NCFH

13. PROGRAMDEVELOPMENT @2005 NCFH

14. @2006 NCFH

15. CLS Tools & Resources @2006 NCFH

16. Replication Package • Program Manual • Breast & Cervical Cancer Training Curriculum • “Tool Box” to be used by Promotoras to provide education to Farmworkers • Components include: • Lesson Plans • Flipchart • Video • Pamphlets @2006 NCFH

17. Program Manual(For Program Planners) • “HOW-TO” Manual • Background and Program Description • Goals and Objectives • Program Implementation • Overview of the Program Materials @2006 NCFH

18. Program Manual(Continued) • RESOURCES • Promotora Job Description • Recruitment & Training • Management & Maintenance of Promotora Programs • Contact Forms • Staffing Plan and budget • Evaluation and Sample Evaluation Tools @2006 NCFH

19. B & C Training Curriculum Lessons: • Introduction to the Training • Role of the Promotoras • Reaching Farmworker Women • Finding Breast Cancer Early • Barriers to Breast Cancer Screening • Finding Cervical Cancer Early • Barriers to Pap Test Screening • Teaching Methods • Practice Session Using Program Materials • Resources and Referrals • Evaluation @2006 NCFH

20. Promotora Tool Box • Video • Flipchart • Lesson Plans • Breast Model @2006 NCFH

21. Video • Spanish Only • Portrays FW Women 50 and over at work and home • Takes the viewer step by step for the CBE, Mammogram, Pap Test, and highlights the BSE • The FW women engage in a barriers discussion • Testimonials @2006 NCFH

22. Flipchart • Comprehensive & Flexible tool • Bilingual • Script for Promotora; graphics for woman • Barriers, Exams, and Testimonials @2006 NCFH

23. Lesson Plans • Step-by-Step on how to conduct a session • Comprehensive lesson plans • 3 options based on time: a, b, and c @2006 NCFH

24. CLS PROGRAM FOUNDATIONPROMOTORA MODEL @2006 NCFH

25. PROMOTORAS IN THE FIELD @2006 NCFH

26. Role of Promotoras in Cultivando La Salud • Provide B&C cancer education to women in cohort through one on one home visits • Identify & help women overcome barriers to screening • Motivate women to get screened • Provide referrals to local screening providers • Assist them in making and keeping their appointments • Served as link between the client and screening service • Offer other assistance as needed @2006 NCFH

27. Educational Components • Promotoras conducting door-to-door outreach in farmworker areas/colonias • Using program materials, group presentations & one-on-one contacts • Referrals to B&C screening providers • Follow-up @2006 NCFH

28. Why the CLS Program? @2005 NCFH

29. Evidence • Evidence based results • Tested in the community with community members • Farmworker specific • Use of the promotora model @2006 NCFH

30. Screening Completion- Women in Cohort CLS Program Results 20002 @2006 NCFH

31. ****Intervention Effect**** CLS Program Results 2002 @2006 NCFH

32. Current NCFH BC Activities • CLS Nationwide Trainings • 2 day-Train the Trainer • Direct Hands on Promotor Training • CLS Hays County Intervention • Use of Promotor Model • Rural Hispanic Community • Breast Cancer Outreach & Referrals for Screening • Call for Health Program • 800-bilingual toll free line • Provides referrals and $ assistance for qualifying FW patients in need of screening or treatment @2006 NCFH

33. Contact Information • Alicia Gonzales, Leadership Development & Training Center Director • 512-312-5469 • gonzales@ncfh.org • Monica Saavedra-Embesi, Migrant Health Education Coordinator • 512-312-5468 • saavedra@ncfh.org • www.ncfh.org • 1800-531-5120 @2006 NCFH

34. FIN Gracias @2006 NCFH