Keys to the Successful Implementation of Community-Based Outreach and Navigation: Lessons from a Breast Health Navigation Program.
The well-documented racial disparities in breast cancer mortality have prompted an aggressive response from the public health community, including the development and implementation of breast health education and breast cancer navigation programs. Many programs are successfully reaching women and providing education and motivation to get screened, and separately, many programs are successfully navigating women who have received abnormal results from a screening mammogram and need follow-up. However, a crucial gap in services remains, where women in the community are not receiving systematic navigation to their initial screening mammogram. This paper describes a community-based, community health worker-led breast health education and screening navigation program, details the metrics used to measure navigation outcomes, and discusses unique features of this project which could be adapted within other settings to initiate similar programming.
Sinai Urban Health Institute, Sinai Health System, 1500 S. Fairfield Ave Room K443, Chicago, IL, 60608, USA. bijou.hunt@sinai.org.
Bijou R
BR
Hunt
Sinai Urban Health Institute, Sinai Health System, 1500 S. Fairfield Ave Room K443, Chicago, IL, 60608, USA.
Kristi L
KL
Allgood
Sinai Urban Health Institute, Sinai Health System, 1500 S. Fairfield Ave Room K443, Chicago, IL, 60608, USA.
Jacqueline M
JM
Kanoon
Sinai Urban Health Institute, Sinai Health System, 1500 S. Fairfield Ave Room K443, Chicago, IL, 60608, USA.
Maureen R
MR
Benjamins
D000328:Adult; D001943:Breast Neoplasms / Q000175:diagnosis*; D003150:Community Health Workers; D003159:Community-Institutional Relations; D055088:Early Detection of Cancer / Q000379:methods*; D005260:Female; D006266:Health Education; D006284:Health Plan Implementation; D006293:Health Promotion; D006801:Humans; D008327:Mammography; D008875:Middle Aged; D062526:Patient Navigation / Q000379:methods*
Breast health; Community navigation; Evaluation