Table 1 Health Fair Descriptions, Screening and Costs
From: Process evaluation of health fairs promoting cancer screenings
Site Number, Location (City, state) | Date(s) | Cancer of focus | Urban/Rural | Target audience (description and estimated number of participants) | Key Fair Components | Onsite Screening/Referrals | Total Cost (including in-kind contribution) |
|---|---|---|---|---|---|---|---|
Site 1 Church Atlanta, GA | 7/20/2013 | Breast & Cervical Cancer | Urban | Church members in the Old Fourth Ward and residents aged 40 and older who are predominantly African American and female. (N = 212) | Cancer-Related Activities: • Guest speakers provided “Ask the Doctor” session specific to women’s cancer. Speakers included HPV expert, OBGYN (youth reproductive health specialist), OBGYN oncologist, health professionals from ACS (client navigator) • Provision of patient resources: navigators from Grady Hospital, director of the American cancer society who brought ACS brochures, information and resources • Center for Black Women’s Wellness gave two sessions (information on breast and cervical cancer screenings) and provided information for future screenings Screening: • Offered onsite mammograms Community Guide Strategies: Group Education, Small Media, Reducing Structural Barriers | • Onsite mobile van provided mammograms | $43,428 |
Site 2 Community clinic Billings, MT | 9/28/2013 | Breast, Cervical & Colorectal Cancer | Rural | Low-income, underserved, minority, migrant, and underinsured/ uninsured populations in Yellowstone County and surrounding communities. (N = 200) | Cancer-Related Activities: • Helped women in need apply for the Montana cancer screening program • Provided Information on tobacco prevention, nutrition program, colorectal cancer screening and breast self-examination Screening: • Provided pap smears, cervical exams, clinical breast exams, mammograms and colon care at-home screening tests • Provided skin checks – and covered health topics on skin cancer Other: • Provided info on housing programs – which provides housing options for cancer patients in need • Provided info on local Women, Infants & Children (WIC) and other programs Community Guide Strategies: Small Media, Reducing Structural Barriers | • Mammograms [14] • Pap smears [8] • Provision of colorectal stool guaiac card (50) | $24,417 |
Site 3 Local health department Bronson, FL | 9/28/2013 | Breast, Cervical & Colorectal Cancer | Rural | Breast Screening - women over 40; Cervical - women 21 and older; and CRC - Men and Women over age 50. (N = 63) | Cancer-Related Activities: • Had booths with education on breast and cervical cancer. One booth had a breast model with lumps. An educator instructed women on the proper way to identify lumps and educate the women on proper breast self-exams. Susan G. Komen provided educational materials. • Offered the HPV shot and had STD information from CDC. • Colorectal- booth contained men’s health information. A male nurse offered one-on-one education for men Screening: • Florida Department of Health (FDOH) offered an early detection program- offered the opportunity to sign up to get Pap smear at participant’s convenience. Provided educational info-graphics. Community Guide Strategies: Small Media, One-on-one Education, Reducing Structural Barriers | • Clinical breast exams [5] • Pap smears [14] • Provision of FOBT test kits [17] | $16,123 |
Site 4 State health department Farmington, ME | 9/16–17/ 2013 | Breast, Cervical & Colorectal Cancer | Rural | All ages, with the majority of participants from a rural or remote County, and meet the definition of being a disparate population. Targeting adults and lower SES. (N = 200) | Cancer-Related Activities: • Provided information on: - Ways to prevent colon cancer - Breast care brochures - Prostate brochures • Distributed brochures about skin cancer and smoking and smoke-less tobacco products and info about Maine tobacco help line Screening: • Provided information about Maine breast and cervical health program – especially for those who may not have insurance; help the eligible make appointments on the spot • Provided info on Screen Me for Life initiative through DHHS and CDC for those due for colon cancer screening, info geared for men and women Other: • Health counseling provided by health educators, RNs, Nurse practitioners, medical doctors Community Guide Strategies: Small Media, Reducing Structural Barriers | Clinical breast exams [2] | $8525 |
Site 5 Tribal community based org. Valley Center, CA | 7/12/2013 | Breast | Rural | American Indian/Alaskan Native women 42 years and older and non-NA women eligible for the California Cancer Detection Program (CCDP) (N = 100) | Cancer-Related Activities: • Invited speaker (Physician of the organization) presented about breast cancer and reasons why women should have a mammogram and clinical breast exam • Offered group education on breast health and provided handouts and brochures • Provided prizes specific to breast cancer (i.e. diaries to track when you had a mammogram, tote bag) Screening: • During screening, each lady was asked when they had their last exam and they will be followed-up for their next mammogram screening Community Guide Strategies: Small Media, Group Education, Reducing Structural Barriers | Mammograms [18] | $6586 |
Site 6 Community based org. Houston, TX | 5/19/2013 | Breast and Cervical Cancer | Urban | Hispanic women (N = 68) | Dia Del La Mujer Cancer-Related Activities: • Partnered with local Spanish station, Univision TV to promote the event • Breast and cervical cancer education given by 22 promotoras; usage of breast model to teach self-breast exam by onsite Patient Navigators Screening: • Clinical breast exams offered at health fair (Onsite Providers: Methodist Hospital and Baylor College of Medicine) Community Guide Strategies: One-on-one education, Group education, Small media, Client incentives, Reducing Structural Barriers, Reducing out of pocket costs | • Onsite clinical breast exams (68) • Vouchers for breast and cervical cancer screenings (68) | $12,550 |
Site 7 LGBT-serving Community based org. Houston, TX | 9/7/2013 | Breast and Cervical Cancer | Urban | Latina LGBT women and transgender men (N = 41) | Screening • Well person exams including clinical breast exam and Pap tests provided onsite (Memorial Hermann Neighborhood Center) • Breast exams provided through Breast Health Collaborative, The Rose and MD Anderson Cancer Center mobile unit • 3 patient/nurse navigators onsite who referred patients for breast/cervical cancer screening services Other: • Training providers on LGBT cultural for November Health Fair for breast cancer screenings • Community Guide Strategies: One-on-one education, Small media, Client reminders/calls, Client incentives, Reducing structural barriers, Reducing out of pocket costs | •Onsite clinical breast exam [22] •Cervical cancer screenings [22] | $14,479 & 321 volunteer hours |