An Appalachian Community Based Cervical Cancer Outreach Demonstration Project

The University of Kentucky proposes to develop, implement and evaluate a community-based outreach model designed to increase the utilization of cervical cancer screening services for priority populations (never or rarely screened) in rural, medically underserved counties of the Appalachian region. The Appalachian Community-Based Cervical Cancer Outreach Demonstration Project (ACCODP) proposes the following specific aims to achieve this objective: 1. Develop a priority profile of all central Appalachian counties for implementation of cervical cancer screening programs, according to highest burden and highest need for services. 2. In selected priority counties, develop and implement a model for creating profiles of and partnering with the institutions and organizations most likely to reach the hardest-to-reach women needing screening services, based on high contact and high trust. 3. In selected priority counties, develop an inventory of local health promotion/disease prevention program practices and assess their relevance to known best practices for increasing cancer screening. 4. Develop, implement, and evaluate a community-tailored intervention model for increasing cervical cancer screening that matches high contactlhigh trust organizations with best practices along a continuum of ecological approaches. 5. Establish a process for dissemination of results and diffusion of successful practices to other central Appalachian priority sites.