title: Implementation of the National Breast and Cervical Cancer Early Detection Program: the beginning.
abstract: In 1990, Congress passed the Breast and Cervical Cancer Mortality Prevention Act because of increases in the number of low-income and uninsured women being diagnosed with breast cancer. This act authorized the Centers for Disease Control and Prevention (CDC) to establish the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) to provide high-quality and timely breast and cervical cancer screening and diagnostic services to low-income, uninsured women. The program started in 1991, and, in 1993, Congress amended the act to allow the CDC to fund American Indian and Alaska Native tribes and tribal organizations. By 1996, the program was providing cancer screening across the United States. To ensure appropriate delivery and monitoring of services, the program adopted detailed policies on program management, evidence-based guidelines for clinical services, a systematized clinical data system to track service quality, and key partnerships that expand the program's reach. The NBCCEDP currently funds 67 programs, including all 50 states, the District of Columbia, 5 US territories, and 11 tribes or tribal organizations.
authors.affiliation: Office on Women's Health, Office of the Assistant Secretary for Health, US Department of Health and Human Services, District of Columbia.
authors.forename: Nancy C
authors.initials: NC
authors.lastname: Lee
authors.forename: Faye L
authors.initials: FL
authors.lastname: Wong
authors.forename: Patricia M
authors.initials: PM
authors.lastname: Jamison
authors.forename: Sandra F
authors.initials: SF
authors.lastname: Jones
authors.forename: Louise
authors.initials: L
authors.lastname: Galaska
authors.forename: Kevin T
authors.initials: KT
authors.lastname: Brady
authors.forename: Barbara
authors.initials: B
authors.lastname: Wethers
authors.forename: George-Ann
authors.initials: GA
authors.lastname: Stokes-Townsend
mesh_terms: D001943:Breast Neoplasms / Q000175:diagnosis*; D055088:Early Detection of Cancer / Q000379:methods*; D005260:Female; D006291:Health Policy; D006801:Humans; D008403:Mass Screening / Q000379:methods / Q000458:organization & administration*; D014481:United States; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis*
keywords: National Breast and Cervical Cancer Early Detection Program; breast cancer; cancer prevention; cancer screening program; cervical cancer; screening
references.citation: JAMA. 1989 May 5;261(17):2535-42
references.pmid: 2649703
references.citation: Ann Intern Med. 2009 Nov 17;151(10):716-26, W-236
references.pmid: 19920272
references.citation: Ann Intern Med. 1985 Jul;103(1):143-6
references.pmid: 3890655
references.citation: Public Health Rep. 2004 May-Jun;119(3):279-85
references.pmid: 15158107
references.citation: MMWR Recomm Rep. 2000 Mar 31;49(RR-2):37-55
references.pmid: 15580731
references.citation: J Health Polit Policy Law. 2000 Jun;25(3):451-71
references.pmid: 10946385
references.citation: J Public Health Manag Pract. 1996 Spring;2(2):36-47
references.pmid: 10186667
references.citation: Am J Public Health. 2010 Sep;100(9):1769-76
references.pmid: 20019308
references.citation: Ann Intern Med. 2002 Sep 3;137(5 Part 1):344-6
references.pmid: 12204019
references.citation: Radiol Clin North Am. 1992 Jan;30(1):187-210
references.pmid: 1732926
references.citation: J Womens Health (Larchmt). 2012 Jul;21(7):776-82
references.pmid: 22506920
references.citation: Ann Intern Med. 2012 Jun 19;156(12):880-91, W312
references.pmid: 22711081
references.citation: Obstet Gynecol. 1998 Nov;92(5):745-52
references.pmid: 9794662
references.citation: Am J Clin Pathol. 2012 Apr;137(4):516-42
references.pmid: 22431528
references.citation: AJR Am J Roentgenol. 1998 Jan;170(1):97-104
references.pmid: 9423608
references.citation: Breast Cancer Res Treat. 2001 Sep;69(2):133-42
references.pmid: 11759819
references.citation: Obstet Gynecol. 2000 Aug;96(2):219-23
references.pmid: 10908766
references.citation: MMWR Morb Mortal Wkly Rep. 1998 Mar 27;47(11):215-8
references.pmid: 9551882
references.citation: J Womens Health (Larchmt). 2004 Jun;13(5):484-502
references.pmid: 15257842