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Men’s Health 2010
Standing Rock Reservation
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History
• Model of screening developed by
NDBCCEDP in 1997 – Women’s Way
established partnerships
• Men’s Health started in 2003- requested by the community of Standing Rock
• Funded by Spirit of EAGLES
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Geography
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Partners
• Indian Health Service• Tribal Health Community Health
Representatives• North Dakota Cancer Coalition • Northern Plains Cancer Coalition• Custer Health • Spirit of EAGLES
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Partners
Indian Health Service• Facility• Providers• Lab• Follow up
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Partners
Community Health Representatives:• Outreach • Education in the districts • Promote screening days• Provide limited transportation• Navigation for the men at the
screening events
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Partners
North Dakota Cancer Coalition• Funding to promote colorectal
cancer education• Funding to track the return
rate of the FOBT kits• Colorectal cancer education workshops
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Partners
Northern Plains Cancer Coalition• Fund cancer education • Provide incentives for
attendance• NPCCCP staff conducted
evaluation at workshops with
Audience Response System
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Partners
Custer Health • Organize and facilitate
screening days• Track the Fecal Occult
Blood Test kits results• Organize the cancer education in the
community
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Partners
Spirit of EAGLES
• Has funded the men’s health
program since 2003
• Funding pending for 2010-2011
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Partners
• Tribal Diabetes program• Tribal Education • NDSU Extension Service• SDSU Extension Service• Student nurses from the following
institutions – Med Center One School of Nursing, University of Mary, Sitting Bull College
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Screening
• Invitations sent to eligible men- 40 and older
• Appointments set up at Indian Health Service on designated days – 5 days per year – 2 days at McLaughlin SD and 3 days in Fort Yates ND
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Screening Advertisement
• Posters placed throughout reservation
• KLND - local radio station announces the men’s health events
• Teton Times - local newspaper runs ads when money is available
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Screening
Education stations topics:• Diabetes education• Colorectal cancer education• Heart health• Tobacco cessation• Stress and coping• My Food Pyramid
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Diabetes Screening and Education
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Screening
More education topics: • Dental health• Sexually Transmitted Diseases• Erectile dysfunction• Rate your fiber
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Heart Health Education
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Screening Day
• Men check in• Routing slip given• Physical exam including a digital rectal
exam, Prostate Specific Antigen or shared decision making,
Fecal Occult Blood Test (FOBT)– 3 day take home kit with collection instructions self addressed stamped envelope for easy return
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Screening
• Cholesterol• Fasting Blood Sugar• Chest x-ray if indicated• EKG if indicated
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Evaluation
• Fill out evaluation form• Socialization• Snacks• Incentives – Leatherman, Swiss army
knives, caps, 4 in 1 screwdrivers, Stanley tape measures, phone cards, and T-shirts
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Evaluation Station
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Screening Numbers
In 2001 to 2002 – prior to the men’s health
Program - 37 men were screened for cancer
From 2003 to September 17, 2010 – 774
men’s cancer screenings were completed
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Cancers Diagnosed
8 prostate cancers diagnosed
5 colorectal cancers diagnosed
Data is estimated
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Proclamations
Chairman Murphy
• Declared March Colorectal Cancer Awareness month
• Declared September Prostate Cancer Awareness month
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Administrative Leave
Tribal Employees:
• Paid 2 hours leave for exams
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Testimonials
Cancer Survivors • Speak at events to encourage men to
screen for cancer• Audio – local prostate cancer survivor’s
story played on the local radio station• Letters to the editor with the importance of
screening
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What is next?
Reach more new men
Community Health Representatives contest
to recruit new men for screening events
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What is next
“Zannia Ma Wani- United We Walk for
Better Health”
Cancer Walk- October 27th in Fort Yates -
2 miles ending at Long Soldier Gym
Education stations in the gym at the
conclusion of the walk
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Cancer Walk
• Rollin Colon inflatable colon to walk through with colorectal cancer education.
Other education topics:• Breast cancer education• Lung cancer education• Diabetes and fitness education• HIV testing• Cervical cancer education
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Cancer Walk
Food and water will be available
Salvation Army- feed the children semi truck
of food and toiletries - pending
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Cancer Education
Community Health Representatives
Round table discussion in the districts
separate for men and women
Power points presentations with cancer
education
Anatomical models
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Men’s Health Logo
Developed by a local artist to place on
T-shirts, hats and other men’s health items
to make recognizable – brand the men’s
health program
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Artwork for Logo
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Tool kit
Create a men’s health tool kit • Provide to other communities• To increase screening for men• To share materials that have worked for
the Standing Rock Reservation
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Questions?
• Jodie Fetsch RN
Custer Health
701-667-3370
Elaine Keeps Eagle
CHR Standing Rock
701-854-3865