Online Program

Public-Government Partnership to Improve Breast Cancer Outcomes for Low-Income Populations in Salvador, Bahia – Brazil

Monday, November 2, 2015

Tauane Cruz, MBA, Global Strategy & Programs, Susan G. Komen, Dallas, TX
Rose Rozendo, MBA, FIEMA (Municipal Fund for Human Development and Educational Inclusion of Women of Afican Descent), Municipal Secretary of Education of the City of Salvador (SMED), Salvador, Brazil
Selma Mosquera, MBA, PhDc, School of Social Work and Department of Social Responsibility, Fundacao Visconde de Cairu, Salvador, Brazil
Maisa Porto, MBA, CEPRED - Center for Prevention and Rehabilitation for the Disabled, Salvador, Brazil

Since the 1980s, Brazil has developed targeted policies and programs in response to increasing breast cancer incidence and mortality. Today, breast cancer is the leading cause of death from cancer in Brazilian women, and a growing concern among the Afro-Brazilian population affected by longer intervals between diagnosis and initiation of treatment, and mortality rates at 41%. Salvador, Brazil’s third largest city has a population of 2.9 million inhabitants, 80% of Afro-Brazilian descent and ~20% living in extreme poverty. The Afro-Brazilian population is generally characterized as poorer and with higher rates of illiteracy. 

This initiative builds upon the notion that the municipal government has an important role in promoting health education to reduce disparities and should share this responsibility with federal and state governments. This unique collaboration between FIEMA (Municipal Fund for Human Development and Inclusion of Women of African Descent), an organ of the Salvador Municipal Secretary of Education; Susan G. Komen®, a US nonprofit organization; and Visconde de Cairu Foundation, a Brazilian educational institution, prepared college-level students in the Social Service, Psychology and Social Work track to serve as multipliers delivering educational sessions in secondary schools within the Salvador municipality. 

The three-day twelve-hour course followed the ‘train-the-trainer’ methodology and was based on Komen’s Breast Self-Awareness approach including four key messages: 1.Know your risk, 2.Get Screened, 3.Know what’s normal for you, 4.Make healthy lifestyle choices. Thirty participants received certificates of completion and within three months delivered 16 lectures on Breast Self-Awareness in 13 different middle and low-income communities impacting 500 community members including students, parents and school staff.

Effective leveraging of resources led to minimal financial investment from partners and resulted in a sustainable education model. Long-term, this example of collaborative governance may serve as a replicable model for improved breast health outcomes among low-income populations in Brazil.

Learning Areas:

Administer health education strategies, interventions and programs
Implementation of health education strategies, interventions and programs
Program planning
Public health or related education

Learning Objectives:
Design a strategy for collaboration between the public sector and local government to improve breast cancer outcomes. Understand three key strategies in designing a successful education program leveraging partnerships.

Keyword(s): Community Health Workers and Promoters, Cancer Prevention and Screening

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I lead Komen's portfolio in Latin America and am directly responsible for the development and implementation of projects in Brazil. This project was developed in collaboration with partner institutions and supported locally by two in-country consultants under my leadership. My qualifications include: 8 years of experience managing international programs and developing programmatic strategies, and 3 1/2 years planning and monitoring breast cancer and breast health education programs in Latin America for Susan G. Komen.
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.

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