240809 Planning and policy development changes based on a tribal WISEWOMAN program

Tuesday, November 1, 2011

Kate Landis , Southcentral Foundation, Anchorage, AK
Becky Oberrecht , Southcentral Foundation, Anchorage, AK
Janice Swier , Southcentral Foundation, Anchorage, AK
Vanessa Hiratsuka, MPH , Southcentral Foundation, Anchorage, AK
Background: The Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) program provides low-income, under or uninsured 40 to 64 year old women the knowledge, skills, and opportunities to improve diet, physical activity, and other lifestyle behaviors to prevent, delay and control cardiovascular disease and other chronic diseases. Southcentral Foundation (SCF), a regional tribal health organization serving American Indian and Alaska Native (AI/AN) people of the urban center of Anchorage and 55 surrounding rural villages, has utilized the implementation of the WISEWOMAN program to initiate system-wide changes in chronic disease screening for AI/AN people. Methods: Using the implementation of a grant funded CVD screening program for a sub-population of the AI/AN community, the Anchorage Native Primary Care Center modified clinical and community health program planning and policy to ensure CVD screening and lifestyle behavior knowledge, skills and opportunities were available to all women ages 40 years and older. Results: Based on the clinical and community health program planning and policy changes in the CVD screening, the groundwork was developed to expand colorectal cancer screening and public education to AI/AN people across the Alaska Tribal Health System through the development of an innovative state-certified colorectal cancer screening clinic offering flexible sigmiodoscopy conducted by a nurse gastroenterologist. Conclusions: The development and implementation of system-wide planning and policy changes across the Alaska Native Tribal Health System around chronic disease prevention and health promotion has been informed by the implementation of individual categorical public health programs.

Learning Areas:
Administration, management, leadership
Clinical medicine applied in public health
Program planning

Learning Objectives:
• Describe the WISEWOMAN screening and intervention as implemented by Southcentral Foundation’s primary care system as a system change. • List collaborative strategies employed to scale up the system changes from the program level to the regional level and then to the state level. • Describe the health program planning and policy changes made in developing and implementing a state-certified colorectal cancer screening program.

Keywords: Planning, Primary Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Program Coordinator for the CDC's WISEWOMAN program for Southcentral Foundation
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.