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"Fear of what they are going to find and not having health insurance are the main reasons women don’t have mammograms.”

Lucille Latham
Coffee County Family Services

 

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Grantee Spotlight

Southcentral Foundation
Anchorage
, Alaska 

Southcentral Foundation’s Breast and Cervical Health program provides breast health screening for Alaska Native and American Indian Women by promoting breast health knowledge, yearly clinical breast exams and yearly screening mammograms. Our service area covers 107,413 square miles, an area larger than all but ten states.  Most of our service area is not connected by roads and transportation between villages and urban areas is done by boat or plane.  Although we have made increased use of mobile mammography by working with the Breast Cancer Detection Center, we are limited to 10 villages a year and are still are not able to provide local mammography service for all the women in our service area.  We recognized early on that outreach to women in remote areas was one of the most important components in getting women screened.  We have to make sure that women understand how important it is to have recommended breast health screening exams. We have collaborated with several partners to ensure this message is consistent and culturally appropriate throughout our service area.  We have worked with the Community Health Aide Program (CHAP) to develop culturally respectful breast health materials for the village-based Community Health Aides and Community Health Practitioners, the primary providers of health care in Alaska’s rural villages. We continue to disseminate information to women through training by the CHAP and through the educational materials we have developed. 

One of the first items we developed was a “Risk of Breast Cancer” poster that showed Alaska Native women as opposed to the generic information that is available nationally.  Our first joint endeavor with CHAP was the video “The Story Basket:  Weaving Breast Health into Our Lives” which showed the three areas of breast care—self breast exam, clinical breast exam and mammogram—using Alaska Native women.  With the success of the video, CHAP produced the booklet “The Story Basket” and we disseminated this, not only in Southcentral Foundation’s service area, but throughout the state.  This past fall, the Yu’pik translation of this booklet was made available for our population.

Comments about the video and booklet:

Mary Alice Trapp, the Founder and Director of Native WEB (Women Enjoying the Benefit) shares breast health education with Indigenous peoples in the US and Ghana. She wrote the following:  “The Story Basket DVD has been used in American Indian communities throughout the US and in Kumasi, Ghana.  Though women do have different heritage all share a common thread--being a woman.  As a women, (mother, grandmother, and younger woman) we are, through this DVD, given tools we can, individually, use.  The importance of screening is portrayed in a non-threatening and informative way.  Discussion following the viewing of the video/DVD focuses, not on Alaskan women, but on the particular community of women visited.  As a result, the importance of the message becomes universal.  Discussion regarding ways each community can help the "Alaskan women" reflect each communities needs/beliefs and availability to services becomes educational, planning and developing.  I limit distribution of the book to just a few copies per site and encourage sites to use it as an example of what one wants to include in a comprehensive BH brochure”.

“I love the fact that an Alaska Native culturally sensitive brochure was developed for breast health.  I just got home from a mammogram check-up at the Barrow Wellness Center and came across your brochure, Weaving Breast Health into Our Lives.  Thank you for sharing such important information showing our Native women taking care of themselves and how important it is the get regular check-ups.  A job well done”

Arlene Glenn, Barrow (Alaska) community member.

Nathalie Miller from Dillingham, Alaska writes: “Thank You Very Much. Our patients have really enjoyed your materials.”

Janine McDonough, a Breast Health educator in Nevada who works with local tribes and those in outlying areas of her state, shared.  I came across this WONDERFUL breast health publication and want to include it for my American Indian presentations”. 

 Jennifer Schack, a Master's student working with Aboriginal communities in the Calgary area (Canada) is sharing the movie in her work with cancer survivors.

“The ladies love the new brochures!  As do I. They want to take copies to their villages for other family members so my supply is dwindling fast.” JoAnn (Jody) Clafferty, Nome, Alaska Mammographer

“We used the Video "The Story Basket" at the breast and cervical screening event in Browning, Mt last week. We had a great screening event there last week. We are showing the video as on-going education for women as they wait to get their Mammograms.” Charlotte Kelley, American Indian Screening Coordinator, Montana Breast and Cervical Health Program, Helena, Mt.

Heather Buesseler, the Program Coordinator for a breast cancer education project for Somali women in the Minneapolis/St. Paul area wrote,” I was very interested to read about your video and booklet in the Kaiser Network newsletter. We are continually looking for ideas to develop culturally appropriate educational materials. Your materials will help to inform our strategies”.

 “The Native CIRCLE (Cancer Information Resource Center and Learning Exchange), located at the Mayo Clinic in Rochester, MN, has distributed more than 650 copies and accompanying booklet of “The Story Basket:  Weaving Breast Health Into Our Lives”, throughout the United States and Canada.  This breast health movie has been shown in tribal clinics (both on the reservation and in urban settings), at pow-wows and during health fairs.  It has also been given individually to Native American women and their families. 

The movie has been well-received in all communities in the Lower 48, but especially in Ontario, Canada and the Yukon Territories, where high-quality, Native-specific movies and print materials are difficult to find.”    Lisa Baethke, Resource Coordinator Native CIRCLE.

For copies of The Story Basket: Weaving Breast Health into Our Lives booklet and DVD or VHS movie please contact Lisa Baethke at:

Native CIRCLE
Charlton 6
200 First Street, SW
Rochester, MN 55905
email:  nativecircle@mayo.edu
toll-free:  877-372-1617
local:  507-266-0960
FAX:  507-266-2478
www.mayoclinic.org/nativeprograms

 

   

coordinated by Cicatelli Associates Inc., New York, NY  phone (212) 594-7741
http://www.cicatelli.org