Chapter 5

  Innovative Outreach Strategies

 Objectives
 Important Points

Objectives of the Chapter

      After reading this chapter, you will be able to:

            · Apply innovative methods to reach Chinese women

         ·  develop successful strategies for promoting breast cancer screening

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Important Points of the Chapter

·  Innovative outreach strategies are urgently needed to overcome the unique circumstances Michigan’s Asian population faces gaining access to health care services

·  Different types of outreach and educational activities can be used to promote breast cancer screening

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5.1. Need for and Ways to develop Innovative Approaches

1. Need for Innovative Approaches

The challenges that LHAs and all Asians encounter are clear.  On the one hand, in a state where Asians are relatively new immigrants and few in number, health officials need help and assistance in reaching this new population.  On the other hand, most Asians have cultural, economic, and linguistic barriers in accessing health care.  When there are challenges, problems or needs, innovative approaches, something new and different, are called for in solving these problems.

2. Ways to Develop Innovative Approaches

To develop something new, there are three steps:

a. Identifying needs or problem

b. Brainstorm ideas and organize them

c. Exploring options and developing actions

 a.  Identifying needs or problem

Many innovations arose from unmet needs or unsolved problems.  In our case, our problem is how to educate Asian women in Michigan so they understand the advantages of having annual mammograms to detect breast cancer early so that treatment may be more effective in saving lives and preserving the quality of life.

  b.  Brainstorm ideas and organize them

As a member of the Chinese community, you have special knowledge that can be used to develop successful outreach strategies. You have other assets too.  
   
Please make an inventory of your assets by answering the following questions:

a. What are your hobbies?

b. What meeting do you usually after work?

c. What do your children enjoy doing with your family members?

d. What do you enjoy doing with your friends?

e. Do you know what Chinese community organizations are in your county?

f. Do you know what types of Chinese community events are sponsored in your county?

 Now, how can you apply these assets to solving our problem?

 c.  Exploring options and developing actions

Take your ideas and information about the community and develop a plan of action.

 Having finished that, what are some ways of reaching other Chinese women so that you have a chance to talk to them about annual mammography.  Can you think of ways where people can have fun too?  For each suggestion, please indicate:

(1) setting 
(2) time 
(3) target audience 
(4) how you propose to reach the audience 
(5) what obstacles you might encounter 
(6) how you’re going to prepare yourself to overcome the obstacles.  

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5.2. Examples of Innovative Health Promotion Strategies

 1. Healthy Asian Americans Project (HAAP) Suggestions

HAAP’s research findings show that multiple factors impact Asian women’s mammography utilization, including economic, cultural, linguistic, and psychosocial barriers. In order to improve access to health care, special strategies should be developed to help Asian women overcome these various barriers. These are a few ideas for your consideration

a. Overcoming Economic Barriers

The Michigan Breast and Cervical Cancer Control Program (BCCCP) helps women without health insurance and low income get free breast and cervical cancer screening. aims to reduce mortality from breast and cervical cancer through early diagnosis and treatment.  HAAP is working closely with the Michigan BCCCP to help eligible Asian women get cancer screening.  As an LHA, please contact us if you would like to help a woman who has no health insurance get free breast and cervical cancer screening through BCCCP.

b. Overcoming Cultural Barriers

A significant proportion of Asian women are new comers to the U.S. and could be particularly resistant to talking with strangers about their personal issues.  Meeting someone from their community and talking with these women privately while providing them personalized assistance may help overcome this barrier.

c. Overcoming Linguistic Barriers

For those who speak little or no English, HAAP has developed project brochures, posters, and flyers in various Asian languages.  HAAP is also helping women who can not speak English set up cancer screening appointments.  It would be very helpful if you could distribute HAAP’s bilingual educational material to non-English speaking women and provide interpreting services for those who have linguistic barriers.

 d. Overcoming Psychosocial Barriers

Considering Asian women’s beliefs and attitudes about cancer prevention and screening, such as fear of both, you may need to sponsor culturally appropriate health promotion events.  A party at your home or participating in HAAP’s health promotion events are good examples.  Instead of focusing only on cancer topics, the promotion events cover other health educational topics, such as blood pressure, heart disease, and children’s education.  HAAP events generally have good attendance including both women and their family members.  Inviting BCCCP clients or breast cancer patients to talk about their experience is an excellent strategy to help Asian women understand the importance of the early cancer screening.

 2. Breast Cancer Awareness Month (BCAM) Strategies

Below are some examples of events and activities that have been implemented in Michigan in during past BCAMs.  Please visit a special BCAM event this year and in the future to help get the message out to people within your organization and community or to a specific target audience.

 a.  Distribute breast cancer awareness materials and display breast cancer awareness posters at:

   ·  local health agencies, doctor’s offices, and clinics

    ·  libraries, post offices, churches, and municipal buildings such as city hall

    ·  special sporting events and concert

    ·  health fairs

    ·  retail shops, shopping malls, restaurants, and beauty shops

  b.  Invite qualified health professionals and breast cancer survivors to speak at special events:  

            ·  brown bag lunches for employees

            ·  special hospital or health agency sponsored events

            ·  special teas or luncheons, perhaps featuring survivors

            ·  seminars on women’s health issues

            ·  community and volunteer group meetings

   c.  Cooperate with the media to develop breast cancer related articles, editorials, advertisements and special television and radio programming that promote breast cancer awareness issues

   d.  Add breast cancer awareness inserts into routine mailings, such as newsletters, payroll warrants, welfare checks, etc.

   e.  Sponsor a special event to honor friends and loved ones who have battled breast cancer.

   f.  Run a pre-recorded telephone message about the importance of annual breast cancer screening, clinical breast exams, and mammography that clients can listen to while on hold for your organization.

   g.  Cooperate with local transportation providers, such as bus and taxi companies, to offer free transportation for annual mammography and clinical breast exams.

   h.  Offer breast cancer materials and educational speakers for non-English speaking women in your community, if appropriate.

  3. Other Outreach and Educational Activities

This list is part of the Michigan Cancer Consortium’s Cervical Cancer Health Awareness Month outreach and educational activities published in Take Advantage of Cervical Health Awareness Month, Michigan BCCCP Newsletter, January 2002.  Those ideas that were not a part of the Breast Cancer Awareness Month activities are included below. 

 a. Work with local health professional education programs, such as nursing schools, to identify students willing to visit physicians’ offices to distribute information about Breast and Cervical Cancer Control  Program services.  Try giving brochures in creative ways, such as in coffee mugs.

  b. Print ads for cervical cancer screening and services on place mats and distribute them to local restaurants.

  c. Have bilingual volunteers or staff members make home visits to women who are part of culturally diverse groups; talk with them and provide appropriate bilingual materials about cervical cancer.  These visits can be done as an outreach activity or after screening is completed to share results and make appropriate referrals if needed.

  d. Collaborate with your local parish nurse network to provide women with information about cervical cancer and the importance of early detection.

  e. Conduct seminars about cervical cancer for mature and young women at area churches.

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