building bridges program overview 030116
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BUILDING BRIDGES
PROGRAM A 3-year Cancer Prevention Research and
Institute of Texas grant
BUILDING BRIDGES TEAM
Amy Raines-Milenkov, DrPH Principal Investigator
Eva Baker, MPH Program Manager
Martha Felini, DC, MPH, PhD Evaluator
Lucy Smith, MPH Education Coordinator
Emelda Thein Lay Health Educator
Halimo Mudey Lay Health Educator
Laurette Rudasingwa Lay Health Educator
Radhika Subedi Lay Health Educator
Neneh Wurie, MPH Medical Case Manager
Mercy Okaalet Graduate Research Assistant
Iram Qureshi Graduate Research Assistant
BUILDING BRIDGES REFUGEE FOCUS
Refugees, as per U.S. Citizenship and Immigration
Services, are persons living outside their country of
origin who are forced to leave their homes due to fear of
persecution based on their race, religion, nationality, or
membership in a particular social/political group.
Approximately 70,000 refugees are resettled in the USA
each year.
GOAL AND TARGET NUMBERS
Outreach to 1000 Women
Education for 300 Women
Education for 300
Household Contacts
Screenings for 200 Women
Outreach to 1000 Women
Education for 300 Women
Education for 300
Household Contacts
Screenings for 200 Women
Outreach to 1000 Women
Education for 300 Women
Education for 300 Household
Contacts
Screenings for 200 Women
GOAL
The overall goal of this three year Cancer
Prevention Research Institute of Texas
(CPRIT) funded service prevention project
is to expand the net of breast, cervical,
and liver cancer prevention efforts,
activities, and clinical services to include
refugee women – an underserved
population in Texas
COMMUNITY ADVISORS
Bhutanese:
Narayan Subedi
Khara Bhandari
Prakash Koirala
Dal Bir Poudel
Durga Budhathoki
Central African:
Justin Nsenga
Jean Claude Nzambonimpa
Lambert Buhigiro
Bosco Muyango
Karen:
Ebenezer Ku
Htee Moo Shee
Somali:
Asli Parker
Nafisa Mohammed
Ibrahim Mudey
Illmiya Maalin
Deqo Hassan
BUILDING BRIDGES MODEL
Refugee Woman
Lay Health Educators
Midwife Model of
Care
Medical Case Management
Community Collaboration
Health Provider
Education
Community Advisory
Board
Radhika Subedi
Bhutanese
Halimo Mudey
Somali
Laurette Rudasingwa
Central African
Emelda Thein
Karen
Lay Health
Educators
SERVICES
Individual and group education
Healthy Living
Breast Health
Liver Health/Hepatitis B
Cervical Health/HPV
Clinical Services offered at UNT Health
Well-woman exam: PAP Exam, Clinical Breast
Exam, Hepatitis B screening
Mammogram Referrals and Follow-Up
HPV Vaccination
SERVICES
Navigation services to
Hepatitis B vaccination
Perinatal Hepatitis B Services
Medical Case Management
Medical Case Management-Catholic Charities
Abnormal results
Medical care for chronic Hepatitis B
Cancer diagnosis
WHY THESE CANCERS?
Estimated age-standardized rates of Breast/Cervical Cancer Deaths (World) per 100,000 Source: GLOBOCAN 2012 (IARC) , Section of Cancer Information (9/5/2014)
HEPATITIS B
EDUCATION BARRIERS
Karen
“Cancer can spread from person to person,
so we usually avoid people who have it.”
“Cancer cannot be treated.”
EDUCATION BARRIERS
Central Africa
“Only white people get cancer”
“Many women from my country have had abuse and rape from doctors during medical check ups. Sometimes, even though the doctor rapes women in his
clinic, the doctor is the only one in the region so they are not
able to do anything about it.”
EDUCATION BARRIERS
Bhutanese
“Mammograms are painful. They stuck a
needle in my chest and pulled out all my
blood.”
“In our community, many people have
diabetes. It is common for us to share needles
and reuse them.”
“If you fall and injure yourself then it may
cause cancer.”
EDUCATION BARRIERS
“Good Muslims don’t get cancer”
“God is good, so we don’t need to be tested for cancer.”
“Sometimes when someone has Hepatitis B, the traditional
healers can use a metal stick that has been heated in fire to
press three dots on the stomach to cure it.”
Health in Islam:
The prophet (pbuh) was once was asked “O Allah’s
messenger should we seek medical treatment for our
illnesses? He replied ‘yes, you should seek medical
treatment, because has not let no disease exist without
providing for its cure and that seeking treatments is
part of decree”.
Somali
BUILDING BRIDGES
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