209290 Comprehensive Cancer Planning by states and tribal nations: Analysis of Five States

Tuesday, November 10, 2009: 5:15 PM

Brenda Seals, PhD, MPH , Native American Cancer Research Corporation, Lakewood, CO
Delight Satter, MPH , Community Health Sciences, UCLA, School of Public Health, Los Angeles, CA
Diane E. Weiner, PhD , Mountaintop Medical Anthropology Projects, Woodstock, VT
Doris Cook, PhD, MPH , Retired, Akwesasne, NY
Linda Burhansstipanov, DrPH , Native American Cancer Research Corporation, Pine, CO
Lance Allrunner , Native American Cancer Research, Lakewood, CO
Purpose: Comprehensive Cancer Planning has been carried out by every state and at least seven tribal health programs using a well defined community planning process (http://cancercontrolplanet.cancer.gov/) . Such plans are publicly available via Cancer PLANET (http://cancercontrolplanet.cancer.gov/state_plans.jsp). Analyzing plans for tribes and comparing them to the states that they reside in may shed light into tribal best practices for this collaborative community based planning effort. Methods: Five states were chosen for this analysis (Alaska, Oklahoma, Oregon, Washington and Minnesota) because there existed at least one tribal plan publically available and these tribes resided in the above mentioned states. The analysis looked at the content and format of the plans and their recommendations. The composition of the boards who made up the planning groups and any mention of tribal epidemiology or unique needs was also noted. Results: Although there was some variation across states, tribal plans paralleled the states that they resided in both in content, organization and in recommendations. Patterns were found in composition of planning boards and recommendations. Some discussion will be given about the representativeness of the tribes with comprehensive cancer plans compared to the vast majority of tribes without such plans. Conclusions: Some cancer plans were better than others in mentioning or providing information on tribal needs. Possible policy and funding consequences are discussed. Future research needs to examine cancer funding to tribes by states and federal governments as well as other sources (e.g. foundations, independent funding) as they are reflected in both state and tribal cancer plans.

Learning Objectives:
Learning Objective: Enhance understanding of tribal and state comprehensive cancer planning. Appreciate unique features of tribal plans and how these priority systems are tailored to tribal health systems. Expand understanding of Indian Health Services, contract care and access to care for screening and treatment services as evidenced in state and tribal care plans. Evaluate policy and economic issues as they are described in state and tribal comprehensive cancer plans.

Keywords: Cancer, Planning

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been working in public health for over 28 years and am Executive Director of a community based cancer research organization that provides services to local and national American Indians. I have over 80 referred articles and over 100 presentations at scientific conferences.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.